A short while ago, I promissed to get my friend "Old Sawbones" to give me his professional view on the latest NICE proclamation on how to interrogate patients about their drinking habits.This is what he had to say :
"Anyone and everyone knows you shouldn't (1) smoke, (2) overeat, (3) drink daily above the recommended amount, but life can be (1) cruel, (2) short, (3 )unfair and we need no lectures from the 'great and the (not so) good' on how we live our lives.
The patronising medical establishment have a vested interest in cosying up to the politicians, and parroting their 'guidance' as to how to live a healthy life - as if we didn't know - and, of course, with an eye to appearing in the forthcoming honours list. (Don't rock the boat.)
Anyway, as if there wasn't little enough time during the average consultation to deal with the medical problem itself, I suspect that advice on drinking may be one of the issues for which GPs get additional payment, as with advice on dealing with obesity."
So there we have it from the expert. Looks to me like another hangover from the good old nanny state New LieBore days of inventing ways to pay people for meeting targets rather than letting them alone to get on with their jobs - which in this case is healing the sick...
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