Dr Chris Mimnagh: Rethink on clinical language can be NHS Christmas gift

John Lennon's seasonal words of wisdom could inspire an important change in NHS terminology, argues Dr Chris Mimnagh.

'Merry Christmas - war is over', was penned by John Lennon, but with the coda: 'if you want it'.

As a child I wasn't sure what he meant, although it sounded good. But it was his Christmas present to the world - and in a similar vein, here's my present to you.

Have you come across the Sapir-Whorf hypothesis?

It's nothing to do with Star Trek, but it relates to the suggestion that language influences action. There's a lot of evidence backing it, plenty of soft science research on the issue, even down to how nationalities differ in saving habits due to language.

So, look at the health service and tell me what's a discharge?

Usually unpleasant, better out than in? Painful, nauseating, pus-filled?

No, actually they are our customer, our treasure, our reason for being.

We should pass them on like heirlooms, like eggs in baskets.

So I'm calling for an end to discharges - everywhere across the NHS.

One quick and easy way to end discharges would be to only have 'transfers of care'. Six years ago I blogged about discharging from primary care, into hospital. That was wrong, but said as a way of shifting a paradigm it can open the door to change.

Provision of teams who take complex patients home to establish viability before transfer to primary care offers an end to re-admissions. Early supported discharge teams are supposed to do this - but they don't - maybe because they have discharges.

Similarly, hospital rounds carried out by hospitalists who collect the inpatient data, enter it on EMIS Web, send prescriptions via electronic prescribing to community pharmacy, who actually deliver, will end discharge letters, avoid waiting for letters and deliver the patient back into the arms of primary care while still in hospital.

I know some places are doing this, but it's not universal.

My point, just like John Lennon, is - discharge is over, if you want it.

  • Dr Chris Mimnagh is a GP in Liverpool and head of clinical innovation liaison and deployment at The Innovation Agency, the academic health science network for the north-west coast.

Read more from Chris Mimnagh

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

A meeting with one person on a video conference screen

Improving learning log entries in GP training: a reflection on leadership

Dr Prashini Naidoo looks at a typical e-portfolio learning log entry (LLE) and discusses...

Whitehall street sign

NHS officials doubled in two years as GP workforce dropped

Staff employed by NHS England and the DHSC doubled in two years from the start of...

Child coughing

NICE traffic light tool that helps GPs spot seriously ill under-5s 'unreliable'

NICE's 'traffic light' system - intended to help GPs identify risk of serious illness...

Pregnant woman receives COVID-19 vaccine

COVID-19 vaccine uptake in pregnant women rising but stark inequality remains

More than half of pregnant women are now double vaccinated against COVID-19 as uptake...

Vaccination tracker

UK COVID-19 vaccination programme tracker

GPs across the UK have led the largest-ever NHS vaccination programme in response...

GMC sign

Overseas-graduate GPs fare worse in medical tribunals due to lack of legal help

UK GPs who graduated overseas face worse outcomes in GMC cases because they are far...