Don't you agree that in this day and age,having an honour makes you so much less trustworthy to the average person, than plain Dr,Mr,Miss etc would.Funny old world is'nt it.
The front line,is that somewhere between 'no mans land' and the Royal college?
Would think very carefully about buying a secondhand car from out Mr. Hand ok.
Sounds like a voluntary return to Colditz castle for many,recalling memories of the excercise yard and "the cooler ".
GMC would put huge hurdles in the way, were you to try to return under normal circumstances,but here verty happy to fascilitate a journey into the abyss.
If you wanted to stay on after the emergency is over ?
"We will now automatically return you to your previous status,it's the least we can do under the circumstances,the medical acts do not allow us to do otherwise".
A government health warning,sycophants form an orderly queue.
From memory,the last time the RCGP did anything positive for its general membership(ie. Not "committee creatures") would be around '92 , the £ in the ERM etc.
Talking about money,that about coincides with the last time I payed my subs!
"Houston to tranquility base/earth to Mark Drakford (Welsh Govt. first minimiser)- after you".
Well said Stelvio,the majority of Drs,particularly BMA representatives have no clue whatever about market forces.
Some realise this and hold the BMA in very low regard whilst in Whitehall it is still seen as an organisation 'best sidestepped'because it always opposes change.
This is why very shortly you will see Drs churned out on 3 year courses,ensuring huge numbers of "doctors ",with the corresponding loss of professional status/terms of service.This is an existential threat,but I expect from the BMA +RCGP bland statements such as 'we broadly welcome any initiative in which stake holders work collaboratively towards goals and end points that have considerations of capacity fundamentally embedded into consultations"
In 1947/48 the BMA fought tooth and nail against the inception of the Nhs, at a time when the population suffered 'diseases of want' eg TB and Rheumatic fever.Presumably this was because they feared poor terms and conditions for there members.
From the late 80's onward however it was obvious thr the situation had changed,the people suffered 'Chronic diseases ' largely caused by excess.
The BMA once more rallied against meaningful change to what had become in effect a 'communistic system',presumably because in this buroctatic morass some of its people were 'doing verty nicely thank you,
What comes around goes around,you can not in good faith support a communist system and not expect communist wages and conditions.This is what will happen if these plans are pursued,because governments of all party's have always prioritised quantity over quality.
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.