GP UK hits the nail on the head - what we actually need is fewer patients per GP - that means funding practices to take on additional GPs - part time retainers returners retirers - anything but the funding MUST be in place for what is actually needed - doctors not just people playing at being doctors but who can pass the responsibility & push off home when the clock hits 5!!
Time to be concerned about those of us who still have to bear the disproportionate burden of responsability - ie Principals - the John Wayne school is still there - we cant pick & choose when we work or who looks at the results when everyone else has gone home at 5.
Time for change for all of us - huge financial risk, take home less than the employed docs & shoulder all the burden when they decide to have a sick day or insist on having a holiday / day off - time to level the playing field again ...........
The really sad thing is it could so easily have been the Daily Whinge .....
You've made my Christmas! Well said as ever (just cant share it with my friend who is one - a nurse that is - & would probably never speak to me again....
Keep up the good work!
Well the good news is at least the Health Secretary has identified where the problem with the NHS is!! A time for celebration & rejoicing - light beacons & ring church bells (although they will be banned soon too)
What utter B******s!!!
Quite an unbelievable shambles - Clearly no one in the department or the manufacturer understands the basic principles of mass vaccination campaigns! It has to be rapid at the outset & then pick off the stragglers - maximum stock delivered on day one - this year is shambolic beyond belief - yet they talk of not paying practices who dare to use a quadrivalent vaccine in an over 65! We have a professor of HIV Medicine, a Professor of Liver disease & a medical microbiologist who have all declined the Trivalent for the better coverage of the Quad... say no more!!
What a load of b******s! As ever policy being decided for us by non GPs - roll on retirement cant wait.....
So presumably when the out of area bods decide they want to be seen at their "regular home" practice they will have to be welcomed with open arms and seen as TR's - otherwise known as "for free" as I dont think anyone has had a TR payment in the last 10 years.....
Christmas has come early this year!
Wonder if it was a cut & paste report like everyone else gets!!!!
sadly they just dont get it do they - mentorship / training ..... What we actually need is base funding increases so we can employ more doctors & nurses!! just rearranging the deck chairs on the Titanic is hardly going to keep the Atlantic at bay!
Get real NHSE & DOH put real funding to get more GPs & more frontline staff into practices not reward the life coaches & accountants!
it just gets better & better...
Sadly unlike Bill Slim, we have never had a "medics Health minister" - probably too much to hope for - just go back to lobbing prescriptions over the tennis courts of our own little Kohima! Some how the Kohima epitaph is beginning to feel more & more applicable to general practice .... for your tomorrows we gave our today!
Leadership is of the spirit, compounded of personality and vision.Also by Bill Slim - probably the finest General of WW2 and as true today as then - Have we become the equivalent of the Forgotten Army? Certainly feels like it!!
Mike - sounds great but....
as ever no funding or funding coming from our existing dwindling practice income. In real terms it hasnt saved any money (unless you were actually not going to "employ" a doctor for the freed up appointments which will have just been booked up anyway) - so you & your partners are subsidizing the poor old NHS once again to the tune of £1k set up & £28/month + free light & heat etc.
Virtuous but really the NHS needs to fund this sort of initiative properly!
OMG - just which world do they live in - crisis? what crisis? Practices have lots of free time for this sort of thing - especially now Dave & his mate have promised us all these new GPs & staff..... (time for my injection!) Course if we leave the EU there will be no more cakes or cream or food so everything will be wonderful too!!!
There will be catches - there are always catches"! For some reason the doh cant bear the thought that we might make a profit by doing extra work & taking risk - this will be both!!
They really cant go on expecting us to do it all from the existing funds or a little contribution to partially cover costs - they just dont seem to understand we cant afford to subcidise anymore!!!(or do they!)
Paul is absolutely right
All it is doing is giving even more immediate access to GPs who are overwhelmed with actual patients.
This should be placed in the luxury I Phone 6 & beyond level for when everything else is sorted & I can see the complex multi-pathology in 20 -30 minute slots without another 20 waiting up the corridor.
Instant communication with us is a pipe dream & a political aspiration / marketing ploy.
Fund the whole service correctly to cope with existing demand before throaing it open to everyone who will demand an instant response!
Bet it will be us in the poo with NHSE if any complaints arise from this mess....
thanks to everyone - this has been the most amusing mid-patient read this year!
I wonder if the responses could be collated & sent to NICE?
Actually - rather like the Daily Telegraph books of obituaries could Pulse compile the best threads? would make a good Christmas pressie
As for the guidance what a load of B******s!!!