"The training and clinical supervision there were the best I've ever experienced in any organisation, he said. They truly invested in developing their staff a consultant paediatrician would often sit in on assessments to observe and provide detailed feedback. But issues at the company emerged over time: the workload was massive and the quality of the clinical work did not seem to carry through into the reports sent to patients and GPs, which were often done by administrative staff to save time."
"Over the 13 months I was there, I never actually saw a single report that appeared to have been written by me, even though they were sent out under my name, he says. I believe that was the core issue. Other clinicians, working across different providers, describe the same disconnect. Alice, whose name has been changed, worked for a clinic from 2023 to 2024, and recalls annotating PDFs only to see them turned into highly templated letters."
Clinics provided unusually thorough training and clinical supervision, including consultant paediatricians observing assessments and giving detailed feedback. Despite strong training, administrative practices led to reports being produced by non-clinical staff and heavily templated letters that often lacked clinicians' individual input. Clinicians reported large caseloads, frequent prescription requests, and workloads far beyond contracted hours, with some routinely working double their contracted time. Diagnoses were made only when symptoms were clearly current and pervasive since childhood, and clinicians were not pressured to diagnose, but ongoing case ownership caused caseloads to expand. The mismatch between assessment quality and documentation quality undermined clinical standards and created unsustainable working conditions.
Read at www.theguardian.com
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