What is connection culture?

#GPFUQ 189 What is the unintended consequence culture?

Its when in modern health care every possible approach to improving health care can have an unintended and unwanted consequence. For example improving health seeking opportunities for patients may enable either their dependency or self-care; transforming the interactions with patients may increases the opportunities for greater risk or reassurance and reconfiguration of 'work' practices may cause more burden or empowerment for patients.

#GPFUQ 190 What is connection culture?

It’s when you shift from using ‘I’ and ‘you’ to ‘we’ in your language and heart. If you can connect with someone you can talk about anything. If you are disconnected from someone its what you do next to get connected that’s important. When we are disconnected we feel different from the experience of others and this limits our ability to empathise and understand, to problem solve and manage risk. Seeking connections with people helps us respect different points of view and cultural diversity. We learn to be curious and more tolerant.

#GPFUQ 191 What is entitlement culture?

In British society everyone usually feels entitled to something. This sense of what we’re entitled to changes with the times, and seems to get stronger with each generation. The problems occur when sense of entitlements clash. For instance government and public may feel entitled to have an 8 till 8, 7 day a week routine NHS, but until the rest of the country works exactly similar hours the NHS staff feel entitled to have a roughly 9 to 5, 5 day a week routine NHS. The clash continues when patients believe they are reasonable to want faster access to more services for more of their problems, whilst GPs feel overwhelmed by the increasing workloads fueled by what they consider unreasonable expectations.

#GPFUQ 192 What is reality culture?

This is the Trilemma dilemma. Whilst we want fast accurate and cheap solutions to problems we can only ever usually achieve two out of the three. For example the answer to the Government rhetoric that its manifesto pledges it to push for increased access to GP services via 'seven day working' is that we already have a fast and cheap GP service  24 hours a day seven days a week  that is working  via our GP Out of Hours services. If we want to extend the routine five/six day services (that are already are under extreme pressure) quickly so that the seven day service is more ‘accurate’ or ‘routine’ we can’t do it with the present resources. It must be more expensive, or will take a very long time to bring about.