"Not patient focused"

Anticoagulation dept, feels like money is sloshing around so much that they are finding work for their staff to do, and this is at the expense of patients. My experience fully illustrated how the NHS totally find additional ways of spending the money they are allocated. In my case they now DEMAND that I attend every year so that they can watch me prick the end of my finger and dib the blood onto the end of a stick. If I don't do this, they will withdraw my Warfarin therapy. It couldn't be more simple. But I have to put aside the best part of a day to travel to that hospital, use up a valuable parking space which I have to queue for 30 minutes to find, walk for a further 30 minutes with my painful hip, just to show a very nice, slow, obsequious person that I can wash my hands properly and prick the end of my finger, just like I did 12 months ago, and 12 months before that and will have to every 12 months until I pass away. It is clear that they have so little to do, with another obsequious colleague checking, very politely, very quietly, very softly, if they wanted a cup of tea, that my time was taken up with them 'just checking' that my date of birth hadn't changed. Just checking that my phone number hadn't changed. Just checking that my GP was the same. Just checking that the results recorded on my device were the same as I had reported to them. This entire visit did nothing to assist with my healthcare. No tests were done that I can't tell them directly via email or over the phone from the comfort of my home. This was all about getting me, the patient, to waste my day, so that the anticoagulation dept could tick some boxes, to say that they had checked that I am safe to prick my finger and dab it onto a slide. And to make matters worse, and I mean much worse, to the point of really angering me today, someone claiming to head the dept decided to ring me up and tell me that I had 'signed an agreement' to undergo this insult every year, and that if I didn't comply with he demands, they would withdraw treatment. They told me repeatedly that they are a nurse based service, completely missing the point that they are a patient based service. It is clear that the awful experience I have had, the total lack of patient focus, stems from the head of this dept. (35 members of staff I think I counted on their 'know your team' board - no wonder they are looking for things to do)

I can find no researched evidence online that suggests that yearly assessments are critical, justifying the withdrawal of treatment. Which explains why these assessments were not required for about 4 years post covid.

Well I am sorry that you feel that patients are here to help you justify your role. I am sorry that you feel unable to make sensible decisions regarding the appropriateness of yearly assessments. I think this speaks more about the bloated coffers of the NHS that you think that such a heavy handed approach to such a simple task is proportionate.