I am UK trained and worked for the Nhs for 25 years as a GP.
After 4 years in Aus ,I was in effect 'frozen out' and failed to return to Uk practice ,drifting into retirement at 55.The Gmc never actually said we don't want you back, but you soon get the message when they ask you to revalidate in 3 months ,when they know you've worked in a different system for 4 of the last 5 years.
The reality is however that the 'average Australian Gp'(working outside the cities) is much MORE skilled tha his Uk counterpart.When confronted with acute medical and paediatric emergencys,I found myself standing outside my colleagues door as a trainee would often do in the Uk.
No GP is genuinely influential,other than in the minds of other GP's.
In summary ,to be a good GP,strive to be average.Uninspiring ,pointless and Sad.
50 yrs make or activate retirement plans.
45- 50 yrs,look at alternatives to GP,remembering less tax/NI has a sanitising effect,especially when allied with more time spent on things you enjoy.If you do not,how many quality years will you enjoy beyond 66 yrs and will the pension still be there for you?
Dr's will NOT 'organise'along usual 'industrial'lines,as they are so fragmented as a group.
Anything that looks like a contradiction probably is and as such will not endure.
No one cares,so this IS a war of attrition.As long as the most deluded of politicians can point to the continuation of 'a service'(even in token form)NOTHING will change.All the political party's will follow the lead of the DOH civil servants,because ' none of the emperors have any clothes ',so forget about democratically driven change.
All problems solve themselves eventually,this one will play out along some variation of the above lines.
What is most important is that ' lessons are learned '(call it reflection if you like)and that when it comes to rebuilding the system,the 'stateism ' model is not replicated,so you end up with no CQC/performers lists etc and a regulator that just keeps 'the register up to date'.This can be run by an administrator on £50k per year,who is not tainted by having to be 'an insider'to get appointed.
Thought the whole point was to pick up those things that a good history and appropriate examination miss.(silly old me,how many Gp's do the first bit properly now anyway?)
Man bites dog story.
"Persecuting doctors,failing to protect patients".
Agree with Bob Hodges,the NHS is 'pseudo-communist '.
As an inpatient recently,would have had better care in Chernobyl hospital during a reactor meltdown than my local hospital on an ordinary Friday night.
I certainly remember being taught about it in my London med school circa 1981.
Uncommon but to be considered in differential diagnosis.
Why stop there?
What do Performers lists add??
The U.K. Is small competitively,should mobility not be encouraged eg.why stop an Carfiff GP from working Chester.
In my 25 years as a GP,there were always Dr's who were not good with patients and they usually combined clinical work with other things eg.inventing and supervising appraisal and performers lists etc.
Why do we pretend this is not the case and see the patients on behalf of these tormenting quislings.
This model has been implemented in Wales for some 8-10 years.
What is the governments favourite tactic when it comes to defending NHS England?
- some thing along the lines of,"you ought to be thankful you don't live in socialist controlled Wales."
I know we're not good at looking at best practice elsewhere in the world eg the Antipodes,but come on,how about somewhere that is less than 100 miles from Whitehall,that would make a good start.
Only marrying and having kids perhaps comes close to the feeling of joyous relief you get at retirement.
Really what you are talking about is the shape of a Gaussian distribution curve.
Appraisal/pdp'/CQC etc just push you totally over the hump and down the Right side.
Knowing you have left all that Sh-- behind is so,so cathartic because deep down we all know- no other country puts its Dr's through this- we won't be doing it either in 10 years time.
Roderick Shaw,suggest you Google 'Ponzi scheme'.
Some stand on the sidelines and lob stones,I did'nt.
When I got bullied by the secret police, I resigned and went to Australia for 4 happy years.On my return, I did'nt work again.I did'nt need to ,after a period of 'item per service'fees.(a bit like being a dentist in the UK)
The people who I feel sorry for are the 35-50 age group,too old to retrain and too young to retire.
However even this age group should take some 'Gonadotrophic factors',because they will be working till 75 and get NO Pension when they get there.
I'm sure Charlie Massie et al must be trembling at the thought that there might be a petition going round,that a few contributors may sign at some future time.
The very reason the gmc know that they will get away with there repression is the limp wristed ,impotent reactions you get on here.Meantime a colleague's livelyhood is threatened.ie.they will endure when good people look the other way.
The modus operandi of the gmc(small case) is to create a climate of fear amongst 'ordinary doctors'- ie those who in normal circumstances would have little to fear from an impartial regulatory body.They perpetuate this by means of inquisitions and show trials.
One does not need a comprehensive knowledge of history to know from whom they have copied the model.The 3 great dictators of the 20th century certainly terrorised there society's with similar tactics.
If we require Dr's from the EU,it's because our own ones retire at the soonest moment they can.Medicine remember is supposed to be a vocation.
The reason why this is is that other groups do not have to answer to bodies like the GMC,who are in effect just a branch of the government.
I was bullied at every stage of my NHS career,particularly the 22 years spent as a GP.
There was an intensification post the 2004 contract,what a brilliant idea it was of the BMA to surrender any control and autonomy we had to the administrators.
As a result I am pretty sure that I now suffer from PTSD.
Thanks for everything ,
Tell you what,1 week of item per service Medicare fees will soon make you feel better and recall the feelings of professional worth and autonomy.
Pulse most influential Gp-the ultimate sinicure.