Too long to go before i can retire
Sadly we have so little confidence in the regulators. We all know that the first patient complaint to NHSE/GMC/CQC will be result in a prolonged and distressing process for the GP. There will be no account taken of the situation and it will be expected that "Gold standard care" is delivered in all cases. If you forget to measure ear lobe length on a phone consultation with a patient with a cold you will be hung out to dry.
I for one will not put myself in that position. Its sad that at a time when many patients may genuinely need our help our first response is to look over our shoulder at the regulators who are apparently there to keep them safe!
PCN's are dead. They were fundamentally flawed from the start. We all signed up on the promise of more resources but in reality they have created more bureaucracy and diverted clinicians away from patients. My practice will get 1 day of a pharmacist assuming they see 25 patients a day and work 10 months a year (holiday/training/sick leave) we will have an additional 1000 appointments of which I will fund 30%. My practice offers 100000 appointments per year. I do not need 1% extra appointments I need 20% just to deliver the core demand. The resources need to come directly to practices. It's time for an item of service contract so that we can meet patients needs with money flowing directly to practices.
There is no way I will sign up to the new DES whatever fudge the BMA negotiates. The government has shown their hand and they will continue to expect more and more without delivering adequate funding.
I do hope the BMA listen to the grass roots GP's. We will no accept this dire situation in General Practice.
It works the other way as well. Just because the NEWS score is
Our PCN CD has resigned today.
PCNs are finished. Even if they improve the terms it's clear that the intention is to screw GPs further. There is no good will left. I won't sign the DES again. Any losses to the practice will be met with a reduction of service with all non contractual work declined. Come on LMCs work together on this one and you could make a stand that protects our profession and our patients.
The only response that would work is a coordinated rejection of the PCN contract from all practices. Clearly the BMA have repeatedly failed to represent GP's.What on earth are they doing?
Don't worry the BMA will negotiate a "better deal" for us. It will involve picking up urgent visits from 111 and 999 for a reduction in our core contract. We will of course be able to earn the money back with a new PCN incentive to review every patient with ear wax ever 6 weeks to check on progress to ensure a "world class ear wax service" is offered.
The negotiations should start with a 20% pay rise before we even talk about extra work which must be fully funded. Come on BMA act in the interests of your members fixing the NHS is not my concern.
Make your life easier do what the CQC want. Structure your sessions to reflect the time needed for "quality improvement" Our union lacks any teeth so fighting is pointless. Meet your contractual requirements and nothing else.
But GPs are ideally placed to offer this advice....
Government proposes whole scale change of working practice. BMA's response is absolutely for a 1.4% "pay rise" whereas the RMT would say we wont even discuss it until you offer a 10% pay rise. Are our interests well represented?
We will have an army of social prescribers as they attract 100% funding. Where will the 30% of other staff funding come from? Oh another pay cut for GP's of course? And what about year 2,3 etc?
I would encourage all GP's to look at their consultation frameworks. Its simple this work must be included within your session so you will need to cut something else namely patient appointments. There is no need to do extra work.
And yet we all keep doing it. The BMA must take action to address workload.
Dr Madan you are clearly living in a parallel universe. The reality for most General practice is quit different. While we have skill mixed we were already doing this before GPFV we have no choice but continue this as we cannot recruit GP's because of lack of supply and cannot retain them as the global market is more attractive. I have less GP sessions now than 10 years ago in my practice and a 25% reduction in income. My practice building is antiquated and operates at at least 90% occupancy for clinical rooms so i cannot grow the service even if i wanted to. There is no way i could or would borrow additional funds to develop my buildings and the money supposedly in place from NHSE has not made it our way. We are instead looking to reduce NHS services and develop additional income streams to stabilise the practice in the longer term until we can leave and take a reduced income in another sector, emigrate or retire. The GP Forward View is an absolute failure.
Why have a safe healthcare system when you can have a cheap one. If the powers that be really wanted a safe system they would address the workload pressures as these are the key factors in errors. Its time for us to limited our workload on the back of this study. Patients will have to wait longer as we all factor administration into our sessions.
Seriously the BMA are pathetic. We need Len McCluskey or someone else with balls who can truly represent the profession.
Can the BMA produce any evidence of how they have improved my working conditions in the past 10 years. No... I thought not....
Its time to leave the BMA. The views of the average GP are no longer represented. We need a strong alternative union.
it will be given with one hand and then taken with the other. There will be no net increase in your take home pay!
There are no extra staff if my area is anything to go by. The CCG provided pharamcy support service equating to around 4 sessions for our practice. This has stopped as there is no money to support this. The financial support available via NHSE for a practice pharmacist was time limited and came with too many strings attached. We have subsequently recruited a clinical pharmacist who prescribes and undertake approximately 4 clinical sessions. No extra workforce simply a shift of costs to the practice.