Monday, July 26, 2004

Where did the smell of disinfectant go?

There seems to be a growing fear among the British population that MRSA (Methicillin Resistant Staphylococcus Aureus) is reaching epidemic proportions. The subject is covered in an article entitled Private Hospitals Don’t Get MRSA by James Bartholemew in today’s Sunday Telegraph. (Sorry I can’t do links yet.) In particular he states:

The danger of getting MRSA is, above all, a risk affecting patients of the NHS. Officially the number of people infected by MRSA in the bloodstream - the dangerous place to get it - is about 7,600 a year. But this is a minimum. It is possible for someone to die of MRSA without a post-mortem test to discover whether it was the cause of death. Even if we take this minimum, though, how does it compare with the private sector?

BMI Healthcare is one of the biggest private hospital groups in the UK, with 47 hospitals. During the course of a year, the group has a quarter of a million in-patients and three-quarters of a million out-patient visits. How many patients in BMI hospitals have acquired MRSA in the blood? None. In fact, over the years, the company has "never" had such a case.

My own view is that the problem has several causes. They include a government which is more than happy to point the blame at the personal hygiene of doctors and nurses and a nursing profession which is institutionally programmed to see itself as the passive victim of governmental parsimony. These problems are compounded by a management system which long ago forgot the distinction between management and leadership. None of them seem to be asking “Why the NHS?”

When I started nursing in 1982 hospitals had a distinctive smell of disinfectant. Where did it go?


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