Julia Evans’ response to Public Health England (a UK Government Department)’s survey on ‘Healthcare Professionals: Work as a Health Outcome’
by Julia Evans on March 10, 2018
This text and link were sent to Dr Sarah Wollaston MP, Chair of the Health and Social Care Committee. A receipt was received on 12th March 2018 at 18:17 which confirms that this text will be dealt with as soon as possible.
A response from the Health and Social Care Committee was received on 18thApril 2018. Quote from the letter : I understand that this survey has now been de-activated. However, The Health and Social Care Committee would not have the power to ‘remove’ a survey being run by the Department of Health and Social Care or one of its arm’s length bodies, such as Public Health England. The Committee exists to scrutinise the policy, administration and expenditure of the Department of Health and its arm’s length bodies. …. Again, we have no formal powers to change the policies of bodies like Public Health England as a result of our work. …. End quote.
_________________________________________
Note: Public Health England is a UK Government Department which exist to protect and improve the nation’s health and wellbeing, and reduce health inequalities.
Question : Further to defending the nation from attack by others in war or from the use of nerve agents in Salisbury, is it the Government’s business to protect the nation’s health and wellbeing?
I have argued ‘No’ since the Health Professions Order was promulgated in 2001. See below for some of the material I have produced.
If you protect, you will do so from a superior position, and will be working towards what you define as the subject’s good. For example, the Inquisition protected your immortal soul by torture, murder and taking your goods away from you. Not far from this Government’s actions on those who exist on benefits.
Curiouser & Curiouser
(from Lewis Carroll ‘Alice in Wonderland’ — ‘Curiouser and curiouser!” Cried Alice (she was so much surprised, that for the moment she quite forgot how to speak good English).’)
– This survey is beyond words
– execrable, manipulative, using naked power to insert the UK Government’s will into practices used in healthcare,
do not begin to describe how disgusting this survey is.
– I found it difficult to answer as all the questions are of the variety: ‘When did you stop beating your wife?’ The UK Government is intent on blackening those, on benefits or unable to work and practitioners walking alongside them, as rejects and failures. My answers are below, and I feel I have exposed myself to Government censure by these responses which is scary. Fortunately, I am not dependent on Government benefits to survive. Whether a subject is in or out of work is not part of the way I diagnose. Neither is encouraging a subject back into work any part of the processes in place. Neither is being in work any part of the outcome of our time together, let alone a ‘success’ criterion as in the Government’s evaluation fantasy.
___________________________________________________
For more information on evaluation as used by UK Government,
see Evaluation and Outcome Measurement here &
Networking & Politics here
Also recommended:
Why is the Ideology of Evaluation Pernicious? by Jean-Claude Maleval on 14th April 2010 : See here
Important article on the UK Government’s imposition of work as a mental health outcome
As a psychologist I see the fantasy of neoliberal values having a devastating effect on mental health treatment
The Tories may believe in the ‘dignity’ of work, but not everyone can function as expected. People with serious needs are being punished as a result
- Jay Watts
- Saturday 4 November 2017 12:15 GMT
Comment on the Government’s previous attempt to impose their diagnosis and success factor of work
Work capability assessments for those with NICE/DSM defined mental illness by Julia Evans on October 27, 2013 : Available here
This comments on Dr Sarah Wollaston MP’s text, published in the Guardian:
Work capability assessments are humiliating & tick-box methods of evaluation doomed to failure.
__________________________________________________________
THE SURVEY
Public Health England at https://surveys.phe.org.uk/TakeSurvey.aspx?SurveyID=HCPhealthwork#
Survey : Work as a health outcome
Healthcare Professionals: Work as a Health outcome
|
||||||||
_________________________________
Page 2 of 18
How did you find out about the survey ?
[Ticked] Other
______________
Page 3 of 18
A few questions about your occupation
- What is your occupation group?*
Medical Doctor
Registered Nurse
Nursing or Healthcare Assistant
[Ticked] Allied Health Professional
Other, please specify
________________________
|
| Allied Health Professional |
|
______________________________
______________________________
|
| A few questions about your occupation |
|
_________________________________
|
| Attitudes on health and work |
| Questions in this section aim to assess your attitude, views and perceptions of the relationship between health and work.Your answers are confidential and so please answer honestly with your views. |
|
_____________________________
_____________________________
|
| Role of the healthcare professional |
| Questions in this section aim to identify how you as a healthcare professional (HCPs) understand your role in engaging patients about health and work issues in routine clinical practice. |
|
______________________________________
______________________________________
|
| Role of the healthcare professional |
|
There is no standard ONE answer to this. It varies from never discussed to as relevant to the subject.
| 20. | Thinking about the responsibility to discuss health and work issues with patients in routine clinical practice.Please rank the following HCPs in terms of their responsibility to discuss the health benefts of work with their patients.i.e which professionals do you think should be primarily responsible for having these types of conversations with patients. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
[5 was ticked for all of these professionals, as it is not their responsibility. This will vary from subject to subject]
___________________________________
___________________________________
|
| Thinking about your own clinical practice |
|
__________________________________________________________
[Note: these questions are of the variety ‘When did you stop beating your wife?’ They assume that getting the subject back into work is a prime concern]
__________________________________________________________
|
| Knowledge around Health and Work |
| Questions in this section aim to assess your confidence, knowledge and understanding of issues related to health and work. |
|
_______________________________________
_______________________________________
|
| Thinking about your own skills in this area on health and work issues |
| Questions in this section aim to identify gaps in skills around the relationship between health and work, and how we can better support health and work as a topic in clinical interactions where appropriate. |
|
All these are not necessarily originating in work. They are usually motored from elsewhere.
| 39. | Can you tell as a bit more about what makes this issue more difficult for you to discuss in the context of health and work? |
My trade is to cure people not to act as a Government work enforcer
_____________________________________________
_____________________________________________
|
| Thinking about your own skills in this area on health and work issues |
|
I do not have clinical conversations about health and work with my patients. I work within a process based on the subject speaking not on my forcing my opinions manipulatively on them.
________________________________________
________________________________________
|
| Workplace health for NHS staff |
| Questions in this section aim to explore your own views and attitudes to workplace health within your workplace in the NHS context. |
|
______________________________________
______________________________________
|
|
This whole survey is invalid as it contains the direction in which the Government wishes to target the health services – getting people in work. This is more dismal than the Soviets’ attempts to control dissidents by labelling them mentally ill and treating them with drugs. The most disgraceful fact about it is that Government will manipulate targets so ‘health professionals’ will be paid on target of getting people working. The Stasi used similar methods to ensure compliance.
Further information on national resources and how to receive the final report from this survey is available at the end of the survey
(Please click ‘Done’ to see this)
__________________________
___________________________
|
| Other Demographic Information |
| We would like to know a bit more information so that we can compare the experiences of different types of HCPs. The below categories have been replicated from the NHS Staff Survey 2017. |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
64. Do you have a long-standing illness, health problem or disability?
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 65. Has your employer made adequate adjustment(s) to enable you to carry out your work? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 66. | Have you ever been off work for more than a month due to work-related illness (e.g. stress)? | |||||
|
||||||
| 67. | Have you ever been unemployed and received state benefit? | |||||
|
||||||
| The end of the surveyThank you for your participation in Public Health England’s work as a health outcome survey.Please remember to click ‘done’ at the bottom of this page to submit your responses. Your views are important to us and will help shape future provision of training and support for healthcare professionals. |
_____________________________________________
_____________________________________________
Survey Completed
—————————————————————————————————–
Practicing Lacanian Psychoanalyst, Earl’s Court, London
Further texts
Evaluation & Outcome Measurement : Available here
Responses to Government CON-sultations : See here
Risk & Protection & Safety here
Use of Power here
Ethics here
Of the clinic : here
By Sigmund Freud here
By Jacques Lacan here
INDEX OF RELATED TEXTS
More information on evaluation as used by Government
Previous responses to UK Government CON-sultations:
Addenda
_____________________________________________________
For more information on evaluation as used by Government,
see Evaluation and Outcome Measurement here &
Networking & Politics here
Also recommended:
Why is the Ideology of Evaluation Pernicious? by Jean-Claude Maleval on April 14, 2010 : See here
Important article on the UK Government’s imposition of work as a mental health outcome
As a psychologist I see the fantasy of neoliberal values having a devastating effect on mental health treatment
The Tories may believe in the ‘dignity’ of work, but not everyone can function as expected. People with serious needs are being punished as a result
- Jay Watts
- Saturday 4 November 2017 12:15 GMT
Comment on the Government’s previous attempt to impose their diagnosis and success factor of work
Work capability assessments for those with NICE/DSM defined mental illness by Julia Evans on October 27, 2013 : Available here
This comments on Dr Sarah Wollaston MP’s text, published in the Guardian:
Work capability assessments are humiliating & tick-box methods of evaluation doomed to failure.
Outcome measurement
The Government’s outcomes measurements – Education by Julia Evans on June 28, 2011 : Available here
_________________________________________________
Previous responses to UK Government CON-sultations:
Julia Evans’ contribution to the Department of Health’s October 2017 consultation by Julia Evans on January 18, 2018 or here
The National Audit Office’s investigation into the performance data of IAPT services.by Julia Evans on August 14, 2017 : Available here
Two letters for your attention: the bps tells Parliament why it should not be swallowed whole into the domain of the Privy Council & Earl Howe, the Government’s Standards Zsar within Health, commands a reply to 3 of my emails. by Julia Evans on November 13, 2012 : Available here
The exchange between Earl Howe, the Department of Health and Julia Evans during October. My reply will be posted shortly. by Julia Evans on October 30, 2012 : Available here
CHRE(PSA) trumpets its success in creating a ghetto of wellbeing practitioners who are compliant (for a fee) to the Government’s fantasy of safeguarding. by Julia Evans on October 3, 2012 : Available here
CHRE (PSA) reports on how they are progressing in their regulatory capture of ‘talking therapists’ onto their ‘voluntary registers’ regulated by statute……. by Julia Evans on September 17, 2012 : Available here
The ‘Fat Controllers’ in the DoH dictate THE law with the agreement of both Houses of Parliament by Julia Evans on August 13, 2012 : Available here
The CHRE/PSA receives over 400 responses to its CON-sultation on Accreditation Standards (Voluntary Registers) by Julia Evans on July 20, 2012 : Available here
The UK Government’s ethnic or practice cleansing of talking therapies: a response to CHRE/PSA consultation by Julia Evans on July 10, 2012 : Available here
Open Letter to the CHRE/PSA’s consultation on Accreditation Standards by Bruce Scott on July 5, 2012 : Available here
English context of Autism in relation to medical and other political formulations by Julia Evans on June 30, 2012 : Available here
The Law Commission’s consultation on regulation of health and social care professionals: a response: 31st May 2012: Julia Evans by Julia Evans on May 31, 2012 : Available here
For your action (UK):the Law Commission’s CON-sultation which closes on 31st May 2012 by Julia Evans on May 28, 2012 : Available here
For your participation: The CHRE CON-sults by Julia Evans on April 18, 2012 : Available here
Sadeian power, the UK Government……… & CON-sultations by Julia Evans on February 3, 2012 : Available here
So who is in bed with whom (part 1)? & further on the Government’s CON-sultation mechanisms by Bruce Scott on September 28, 2011 : Available here
Psychotherapy is imposed: Psycho-analysis© works: Psychoanalysis operates by Julia Evans on December 15, 2010 : Available here
Reply to CON-sultation: Equity and excellence: Liberating the NHS White Paper July 2010 by Julia Evans on October 9, 2010 : Available here
_____________________________________________________
Addenda
See Collaborators win: Putting the State Wellbeing Strategy to work….. by Julia Evans on February 8, 2011 : Availability here
Posts for the “Government White Papers & Reports” category : See here
See Category : Government as guarantor of Practice within Mental Health or here
‘Will you walk into my parlour?’ said the spider to the fly: An invitation from the Government-guaranteed supplier of risk-free treatments. by Julia Evans on December 1, 2012 : Available here
Category : Posts for the “Other Government actions” category : Available here :
What escapes when regulation is used to address risk… by Julia Evans on March 14, 2012 : Available here
Does rule through regulatory systems give protection from murderers? – No by Julia Evans on November 6, 2009 : Available here
