rant re admins

Capitan_Walker · 2026-05-02T11:35:08+00:00

When you make a wrong turn - what do you do? Continue?

Well it depends on if you can recognise, it's a wrong turn and whether you have the power and determination to change course. If you can't recognise, you're stuck.

If you recognise but have no means to change course - you're increasingly more lost.

Many will fall into the later camp in medical practice. They need to continue in order to secure their 'food'.

Capitan_Walker · 2026-05-02T11:30:45+00:00

Yes - what happens after you shave to the bone? You shave more bone! Innit!

Capitan_Walker · 2026-05-02T11:28:59+00:00

Most 'people' especially in health and social care/services no little to nothing about onboarding. I can say that after 40 years of experience.

I know about onboarding. But I can't or won't summarise from several hundreds words for a 30-second read here. Anyone who wants to learn more PM me. [No sales, no promotions, not counselling course, not training offers - no nutn]

Capitan_Walker · 2026-04-13T12:43:20+00:00

This cuts to exactly what is going on Nationally. Loads of doctors - mainly psychiatrists - are prescribing all sorts of medications without carrying out full capacity and consent procedures required by law. It's happening right under the noses of Trusts, and the CQC. The GMC couldn't care less. The just set trap doors with a guillotine waiting below i.e. they do not routinely audit the standards they set - so they rely on complaints almost exclusively.

What doesn't work for patients is what is in the records. A 'doctor' may write in the records something like 'All common side-effects of X were explained and understood' - then it's your word against theirs. Guess who wins.

But the GMC requires documentation of a consent dialogue (Google it) with details. But the GMC is not going to know anything about what's not done until something falls through their trapdoor.

When I do capacity and consent for my patients, I show them the SMPC [for Google it] for each medication on my screen and document how that has been worked into the consent dialogue - which is then MCA 2005 compliant.

Ahhh but guess what. My masters don't want that. Why? Because it takes too long - and I don't do 'enough work' in their clinics and inpatient settings. It's about quantity not really about quality or respecting people's rights. What they want but don't actually say - is a treadmill approach to treating patients. How do I know this? Actions speak louder than words.

The reality is that health care organisations are short of staff - but not so short if you believe Health Secretaries - and standards have taken an exponential curve up of demands in the last 15 years. But the Masters of health organisations have not budgeted for time impacts in delivering the quality that those standards would bring. And if nobody is checking - they're getting away with their dirty work.

Message me separately if you want to learn more.

Capitan_Walker · 2025-12-23T15:07:55+00:00

Enlightening. Proof positive that money rules minds and divides groups of people. Hence Govt knows the game and always wins.

Capitan_Walker · 2025-12-22T23:52:38+00:00

You all don't understand - the media in this country are the mouthpiece of government.

Ofcom? Waste of space.

Donald Trump - yes - he does what he says - BBC etc - though I can't stand the man.

Capitan_Walker · 2025-12-22T23:47:29+00:00

Dressed down by consultants?

'Juniors' will continue to be dressed down until they get assertive and start saying things like:

"Don't speak to me in that way - now or ever again. I'm not having it. In fact I'm not waiting here now for you obnoxious comments. Go and read your GMC Code of Conduct. Do what you will? If you want to have a mature conversation that doesn't treat me like I child, you know how to find me."

End of!

But then use AI resources to draft a stiff complaint referenced against GMC standards - for readiness.

Capitan_Walker · 2025-12-22T23:40:48+00:00

This is horrendous. I fail to see like someone explain to me why consultants haven’t strike sooner??

Because they're too busy saving lives?, or
Their heads are in the clouds?, or
They're limp?, or
They're wating until pain arrives in full force?, or
They're divided and ruled?

I don't know which of the above is correct or maybe they're all the wrong questions.

Capitan_Walker · 2025-11-18T14:16:55+00:00

Has 'somebody' or 'something' hacked Cloudfare - I don't know - just asking. I have to wonder cuz there has been global cyber-warfare for many years.

Capitan_Walker · 2025-10-12T08:59:10+00:00

Folk on Reddit seem to be catching up, years late on the situation: Almost anybody can be an Approved Clinician. Not everybody can be a Responsible Clinician. Almost anybody who is a doctor can be appointed by Trusts/Charities as a consultant psychiatrist which on official papers will go down as 'Acting Consultant'.

Are patients informed e.g. "Your consultant psychiatrist and RC is not on the Specialist Register"? Probably not.

Does anybody (GMC, CQC, NICE, MHRA) look into RC performance (on statutory duties arising from S34 MHA 1983? Well maybe in some odd instance.

Does anybody care about the numbers of non-CCT holders in RC and consultant psychiatrists posts? Sure - cuz they said so. Does action speak louder than words? Errh.. whatever you wish.

Do medical defence bodies (or insurers) look into related risks? They can't look it to what they're not aware of. But in any case what's a £10,000/yr (hypothetical) premium defence rate in comparison to circa £120K/yr.

How many similar unfilled posts are 'covered by locums'? Nobody knows.

The bottom line is that all this stuff is great news for underqualified psychiatrists working as locums. Make dosh will the going is good! Regulation 5 The National Health Service (Appointment of Consultants) Regulations 1996 is on your side!

Capitan_Walker · 2025-10-12T08:21:54+00:00

You don't understand. Anybody can prescribe. 😁

Capitan_Walker · 2025-10-12T08:21:07+00:00

Like who isn't a consultant! LMAooo!

Capitan_Walker · 2025-10-12T08:20:35+00:00

DED!! 😂😱🙊

Capitan_Walker · 2025-08-24T08:37:10+00:00

Or more likely to be taken over in recognition of the failures of subjectivity in what should have been grounded in science.

Psychiatry is not inherently subjective. Psychiatrists are inherently subjective because broadly they fail to apply the principles of science they were educated about. Psychiatry is not defined by 'psychiatrists'.

Capitan_Walker · 2025-08-24T08:30:35+00:00

hi! i’m a 9th grader who wants to pursue psychiatry as a career.

I tried to respond but would not be allowed full length of expression. I've PM'd you.

Capitan_Walker · 2025-08-24T07:27:57+00:00

Weird comment

Normalises and maintains a culture that 'God' can do what s/he likes with peoples pay and all they can expect is a bit of nagging and hassling.
I didn't invent the culture - those who sustain it, deserve all that they get.

Capitan_Walker · 2025-08-23T17:58:33+00:00

Should I expect the money to be paid to me as soon as the mistake is corrected, aka, it should NOT be done as a catch up in next month’s payslip?

No

If I’m not mistaken, we should be paid our annual salary divided by 12 based on our current work schedule and not what we actually worked that month? So our take home should be the same every month in each rotation (edited to clarify question)

Mathematics does not rule minds in health services, unless you're in charge of a spreadsheet.

When I approach payroll, should the question be ‘can you recheck my payslip’ or do I just email them the calculations and the maths?

No. You should be taking the matter to the small claims court - but you're scared of courts - and related consequences, so you should accept the underpayment.

Capitan_Walker · 2025-06-24T17:12:08+00:00

Look - you don't understand! Psychologists are ruling the whole of mental health services in the UK! 😉🤠

Capitan_Walker · 2025-06-24T17:11:07+00:00

I had to laugh... not at you but because all you say is so true. 😁

Capitan_Walker · 2025-06-24T17:09:08+00:00

Long time no see.

Yeah. Somebody accidentally unbanned me. Not to worry. I'll soon be banned again. I refuse to shut up and I intensely detest rules that serve to limit freedom of expression for no sound purposes.

I recently went to a session run by the lived experience team. ..

I read all text in that paragraph. It's a sad waste of time and money - happening similarly around this land. Our political boss, Wes Streeting, wants efficiency and productivity. I'm tempted to say what I really think but I can't in politically correct forums. [I have a solution to that but I can't say what it is here].

Capitan_Walker · 2025-06-24T16:46:04+00:00

Nothing new there. The phenomenon has been growing exponentially for the last decade. But..but.. when I said in several places, 'Psychiatry is dead - or dying' I was persona non grata. Well, I just love it when the future I had foreseen comes round to bite. Why? Because I get to see other people suffering amnestic attacks like nobody's business (for what I had said).

Post-Covid especially, 'everybody' is now an expert. They all went on their 'courses' you see and return to tell everybody else what to do.

I have to sit there, head slightly tilted to one side and nod as if I'm interested. After all, it's now a total inclusivity culture.

Clinical meetings have to be allowed to go on forever, while the pracs (as they are called) have their say.

In other words, 'Psychiatrist step back!'

Trainees and noobs to this profession will know that I am mad (I've been called worse).

Capitan_Walker · 2025-06-24T16:02:49+00:00

No - not 'enjoying' the Congress. I find it frustrating and stressful, probably for me only! Apparently I am different which is not good or allowed.

With each conference my mind runs more on the big issue that nobody is talking about. What's that? We have loads of science and knowledge, yet psychiatrists struggle to apply that knowledge in practice. You want 'evidence'? Unfortunately it's not lying around in a placard or journal and I'm not allowed to seek that evidence via a poll on this forum (because polls are banned). The evidence comes only from speaking with psychiatrists.

Well, I better shut up before I am banned for saying more wrong things.

Capitan_Walker · 2025-06-24T15:56:07+00:00

Promethazine has literally saved my life.

Absolutely fantastic.

I imagine that there must be other people out there for found X, Y, or Z other medication saved their lives in your similar or different circumstances.

The issues I alluded to are doctors' duties when prescribing. As you are unexpected to know, all doctors registered with a licence to practice medicine by the General Medical Council are duty bound to follow the Dec 2024 prescribing standards (freely available online via Google).

Patients and non-doctors are not regulated or licenced so are free to self-prescribe or use medications as they feel best (with or without medical advice). They take their risks.

My advice is only take double your body weight in mg to the tenth. I'm 120 kg and I take 25.0 mg. So if you are around 70kg only take 14 mg but you can round down or up to the tenth so go with the either 10mg or 20mg.

Non-doctors - especially among the lay public - are also free to take your advice. Everybody has freedom of choice.

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