The wizard and the gatekeeper: of castles and contracts

Abstract

The wizards and the gatekeepers were unhappy. There were many reasons for their unhappiness. They worked hard but felt that too much was being demanded of them. The poorly people's charter was resulting in unrealistic expectations, and changes in the apprenticeship for wizards were putting great strain on their mentors. The wizards enjoyed their work less and less, and it was getting difficult to find new gatekeepers. On the other hand, the way the system worked meant that there had to be plenty of goblins and the number ofscrolls that had to be filled in was rising sharply. The wizards and gatekeepers tried to point out ways to improve things that would ensure that poorly people were better treated, but there was no easy solution. With the ominous sign that the recruitment of wizards and gatekeepers was becoming more difficult, an answer was neededand soon.North Tees NHS Trust,

Contextualising the role of the gatekeeper in social science research

“…An understanding of the communication processes and the identification of key stakeholders at various levels of the organisation with the potential to influence the support base for the study are all critical factors to consider. [9,14,15] REC chairs frequently field questions from researchers wanting to know when and why gatekeeper permission should be sought. SA RECs generally agree that a study can only be provisionally approved until the researcher can produce and lodge formal proof of gatekeeper permission, while other RECs might issue full approval with a stipulation that the researcher obtain written proof of gatekeeper permission before recruitment and data collection.…”

The history of GP training

“…The NHS's emergence in 1948 drew on arrangements of three components: the GP, the community and hospital-based secondary care. General practice has arguably maintained a role as the gatekeeper to NHS services (Herd et al., 1995).…”

The Wizard, the Gatekeeper, and the Watchman: a fairy tale of resources and decisions

“…Over time many more people saw the Gatekeeper than the Wizard, but this balance was shown to be necessary for all concerned. [1][2][3] What has not been told before is the tale of the Watchman. He too was a learned Wizard but his was a different task.…”

“…[1][2][3] The Wizard lived in a white castle and owned a powerful crystal ball that could tell him why people fell ill, and, when he had determined the cause, he would cure them with powerful magic potions. He had spent many years training to become such a clever Wizard and was highly revered by the people.…”