Debate on community matrons

    We asked:- Is the idea of community matrons a good

    Here are the comments we received.

    “Well I suppose we only have ourselves to blame for the
    resurrection of the extinct and absurdist persona from many a
    ‘Carry On’ film. The jobsworth social workers I have
    the doubtful pleasure too often of talking to on duty desks and the
    Community OTs who in spite of being often the sole service
    providers cannot and will not care manage- are largely behind, I
    suspect, this woefully poorly advised government’s idea of
    returning to the well worn cliche of the angelic nursing profession
    riding to the rescue.

    Other “drivers” are the current doctor shortage and their lack
    of commitment to primary care – added to the total shock registered
    in the department of health about the escalating costs of hospital

    If nurses care to look at the history of social work since the
    introduction of Community Care, they might be less willing to come
    to the dance as sweethearts of policy makers who have tired of
    their first love (us) and will if their track record is to be any
    judge, abandon their next paramour (matrons) when the going gets

    Mike Jubb
    Pulmonary Hypertension Service
    Hammersmith Hospital

    “There will be much said, from all sides, about resources,
    roles, responsibilities, opportunities etc in respect of this new

    My concern is that this development diverts from the need for
    Case Management to be rolled out to all health professionals, OTs,
    hospital nurses, health visitors, physios etc, with the development
    of joint/compatible information and communication systems and
    business processes an integral support.

    Until this happens, social work and health will not be prepared
    to meet the needs of all clients/patients in the 21st

    Mike Friel
    Senior Social Worker


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