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There is nothing worse than a PCT target to interrupt a simple patient encounter. No longer can we say: 'Mrs Jones, your BP may be elevated, but you're a 102, and you have come this far without me. Take my advice now, and get as far from me as you can.'
Instead, we must persuade Mrs Jones of the merits of a diuretic then refer her to the continence services using a four-sheet faxed form to SPOR, who will reject it if we omit to sign a statement saying that she poses no immediate threat to their health, what with her axe wielding murderer past and all that.
However, the challenge inherent in the new, micromanaged NHS is never more vivid, the disease illness model …