Honest From Yorkshire
Important to charge for A+E as well because if not the 'patients' would just go there.
I had to attend recently with a metal shard stuck in my cornea and would happily have paid £50 to be seen. Were this charge in place I suspect I would have been seen much faster because half the people there didn't seem to have had either an accident or be an emergency.
The general population don't expect to die, they don't expect to even be ill. The idea that health measures prevent illness and admissions is ridiculous, what happens is they may be postponed and that is completely different. I walked away after 23yrs of f/t nine session clincal practice and now have a non-medical internet business, no litigation, coffee breaks and a lunch break, finish on-time or earlier and look forward to work. It's not looking good for either GPs or the NHS, best of luck.
@Knowledge is Porridge.
The reasons I walked away at 50yrs old and now run a non-medical internet sales business:
Old age is not a treatable illness.
Workload (nine clinical sessions a week).
Fed up of patients and media telling me how much I earn when tube drivers are on about the same.
Sick and tired of listening to the sick and tired.
Best bit about leaving is a normal working day with breaks for food and drinks.
Worst bit is feeling guilty for not using 23yrs of experience and knowledge.
Good luck to all who remain, you'll need it.
I left at 50 and took pension, now sell motors on internet and have more money and tons of time. Managed 23yrs FT nine-session as partner and as you say no contact about departure reasons or plans. Remaining partners dropped to three day weeks shortly after I left so that they don't end up burnt out and fed up as I was.
The cavalry isn't coming.
I sell DC motor kits to hobbyists, engineers etc.
As a GP earning 100K I thought that I was well off but cash in hand after tax, NI, pension, cost of working was under 50K. Take pension at 50yrs, use interests/skills to set up business and bingo income significantly greater than working with no risk of complaints or prison.
I always thought that a much simpler idea than appraisal was to ask on reception when the next available appointment for a doctor was. You couldn't see me for weeks but one of my partners was always available the same day, it was just that no-one wanted to see him. I left four years ago at 50, fed up and burnt out, I sell stuff on the internet now and make more money, shame for my patients though.
Entirely correct, I walked away four years ago after 23 yrs of FT nine clinical session practice. I would be happy to return and do a couple of sessions but the hoops to jump through and paperwork involved is ridiculous. Shame really because the new GPs who are good don't have the massive experience I can offer.
Bizarre, as much healthcare experience as Hancock.
You couldn't make it up. Just glad to have walked away at 50. Good luck to the remainers.
Let's not forget the patients with dirty houses, surely we can prescribe cleaners for them. Another good idea would be professional bathers to visit and wash unclean and pungent patients, then what about checking if people are wiping their bottoms properly......
Reminds me of a big reason behind leaving at 50, good luck to the remainers.
So glad to have left three years ago at 50. I entered medicine thinking I would be dealing with ill people. The medicalisation of people's lifestyle choices is unbelievable. Scripts for food, vitamins, drugs and exercise. Perhaps we should consider prescribing cleaners for dirty houses and laundry services for pungent patients. Good luck to the remainers.
And that is this weeks advice...................
Wait for next week.
London tube drivers earn £80K+ with overtime which is still less hours than FT GP partner. I left at 50 and top up pension with internet business 4-5hrs daily and no-one expects me to work nights and weekends as well. Good luck.
More stupid statements about preventing admissions in elderly patients. You don't prevent anything you postpone it. It is similar to preventing strokes, MIs, cancer etc. We don't - we postpone them until later, they still happen just in older, frailer patients and that leads to more complications and longer admissions. Glad to have left at fifty, good luck.
'Living alone is a risk factor'
Maybe the old-fashioned route of engaged/married/set up house/ensure relationship and financial stability/get pregnant/have child might be an alternative answer. Another example of the medicalisation of societal/relationship issues.
If blood pressure and cholesterol is reduced even further perhaps patients will live forever as the Government and media seem to be leading people to believe. I feel truly sorry for those remaining in GP currently, I left three years ago and make pretty much the same income importing goods from China and selling on the net. London tube drivers earn £80 - 100K with overtime that is still less hours per week than I did for 23yrs as FT nine clinical session partner. Best of luck.
Reply to Paul Cundy.
Exactly right, I wince every time the politicians or media suggest that MI/CVAs are going to be prevented and that cancers will be eradicated. All are simply postponed as you say. Unfortunately the misleading statements lead to ever more unrealistic expectations.
I would suggest that perhaps GP satisfaction with patients is also at record low levels! I left three years ago mainly due to the unrealistic patient expectations and demands.
Oh dear, best option if possible is to walk away, no unrealistic expectations, no politics and no litigation. The pension is index-linked!