This has been going on for so many years and so many have suffered. I and others have been calling for sense about this for years and to at least allow former UK GPs to return without being excessively penalised. The 2015 scheme, although we now learn it was designed to do that, has totally failed in that aim.
The members of the former COGPED should be thoroughly ashamed of themselves for having put in this wrong-headed system and supported it against all rational argument, but I am sure they are not. GP educationalists hold the profession hostage and their nonsense goes unchallenged.
Anyway, I'm out in Australia now and thank God for that.
I am a UK GP in Australia. I was a partner in the UK and left in 2012. The scope for GPs here is enormous. I am not currently doing GP work, but working in emergency medicine in a remote hospital. FTE pay is over A$400K per annum and procedural GPs in rural hospitals can earn A$500K.
Of course, the Australian system has its own stupidities, but on balance it is far, far better than being a GP in the UK.
The death of professionalism and the rise of bureaucratic nonsense. Is it any wonder GPs are leaving, given they have to put up with this sort of trivial rubbish, which means they have to balance getting told off by the medicines management wonks with doing the best for the patient and possibly fending off a complaint? Honestly, getting prissy over a paracetamol prescription for a child? Is this for real?
P.S. Paul Roblin, sock it to 'em!
Conflict of interest: I left UK GP in 2012 after 21 years in the NHS and I am now in Australia, where you can actually practice decent medicine and people value your skills and expertise.
I will be interested to see what HEE says and I will be surprised if they agree to working abroad with annual appraisals as a means to stay on the performers list. . Their position -- when they were COGPED -- has always been that unless you are working in the NHS then you are not NHS competent. They appear to think there is some incredibly complex secret sauce in NHS work, the knowledge of which fades rapidly even if you are working clinically overseas. It's a very precious, smug attitude and one which totally refuses to acknowledge the benefits of working overseas in bringing new experiences and attitudes.
I'm in Australia now and the attractions of coming back are not great, to say the least, so it probably doesn't matter for me now. I just find the current arrangements insulting and patronising to those of us doing jobs overseas which require far greater clinical expertise than the increasingly deskilled chronic disease manager role of the British GP, whose skills, through no fault of their own, are being atrophied by the burgeoning clinical governance prohibition on doing anything beyond the most mundane.
It's a shame, because British GPs are bloody good and they are certainly loved here in Australia.
Brilliant article, but this whole thing is not about facts.
Yours from Australia,
David Berger (ex-UK GP)
GP contract set to change as Hunt hands responsibility for out-of-hours care back to general practice
I've said it before on these pages and I will say it again: I'm one of the GPs who has resigned his partnership and gone to Australia after 21 years qualified and 14 as a GP. I resigned last year and it is only getting worse. My only advice is to run away if you can and then let them see how they can run the service without any GPs. It's very hard to divine any strategy behind this endless and increasingly vitriolic GP-bashing beyond scapegoating and who wants to spend the rest of their working lives subject to that?
This is so patently obvious to any practising GP that it hardly bears repeating. Until there is good evidence that this risk profiling actually has the desired outcomes it should stay firmly in the realms of research. It beggars belief that such far-reaching policies are implemented on the basis of no evidence whatsoever.
Reasons to be cheerful... I've left for Australia. Hooray!
My wife and I, both GP partners aged 46 and with three teenaged children, uprooted ourselves mid-career, sold our house and left our outwardly very nice GP partnership last year and have moved to Australia, where conditions are so much superior and stress levels so much lower. If things had been slightly less bad, no doubt we wouldn't have gone, but the perfect storm of contract impositions, pension degradation, workload increase and media and political hostility meant it was a no-brainer.
So long. We won't be coming back.
I find it typically coercive, oppressive and two-faced of the GMC to be saying 'you should' instead of 'you must' in this context. It allows them to present themselves as non-directive and open on the one hand and then to come and slam you if they wish and say 'Well, we did advise you very strongly to... and now look what's happened, silly boy / girl. You have only yourself to blame.'
Doctors have human rights too and one of those rights is to express themselves freely and upset if they wish to, anonymously or not. I don't recall giving up my rights to free expression when I became a doctor. I also don't recall ever signing up to represent the views of my entire profession whenever I open my mouth and if people believe that I do then they are stupid. That, however, is their lookout and not my responsibility.