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GPs go forth


  • Practices warned not to stockpile locums during ‘surge’ in shortage of GPs

    OOH's comment 22 Jan 2019 3:14pm


  • We must tell people the truth - the Tories are deliberately wrecking the NHS

    OOH's comment 11 Apr 2018 1:51pm

    Well said Cobblers.

    The NHS is a bottomless pit. More money is not the answer. I've said it in the past, we need to pay for our choices. 10% NHS contributions on all tobacco/nicotine products, alcohol, fast food, takeaways, sugary snacks/drinks etc as well as abolition of free prescriptions. Should pay for our treatment when we start feeling the ill effects of the bad choices we make.

  • BMA calls on NHS England to release details of 'unallocated' pensions money

    OOH's comment 22 Mar 2018 12:43pm

    Useless. My TRS hasn't been updated since 2015.they don't respond to emails. When I wrote to ask for my statement, they printed the online statement to say "unfortunately, its not available" and threatened to charge me if I asked again. Wrote twice to say my employer paid too much or too little, again an automated email with a reference number but no actual reply to my query.

  • NHS-run GP practices 'outbid' independent contractors on locum fees

    OOH's comment 22 Mar 2018 10:08am

    You get what you pay for. If you are lot willing to pay enough, sometimes you get nothing.

  • Dilemma: A frail patient has no means to pick up an urgent script

    OOH's comment 09 Mar 2018 8:53am

    Picking it up yourself, really?

  • GMC fails in case against surgeon exonerated of manslaughter

    OOH's comment 07 Mar 2018 0:25am

    From the BBC.

    Another Doctor scapegoated for failings in the service.

    A surgeon who had his manslaughter conviction quashed says "justice has not been done" for the patient's family.

    David Sellu, 69, served 15 months of a two-and-a-half-year prison term for manslaughter by gross negligence.

    James Hughes, 66, was under Mr Sellu's care when he died at the Clementine Churchill Hospital in Harrow in 2010.

    On Tuesday, the Court of Appeal ruled the November 2013 conviction was not safe.

    The appeal judges said the trial judge did not give the jury adequate legal guidance on what gross negligence meant.

    'Justice not done'
    Speaking after the conviction was quashed, Mr Sellu said there was a range of factors which contributed to Mr Hughes's death, including problems with the whole system at the hospital.

    "I think for the sake of that poor man and his family justice has not really been done," he said.

    "It has been retribution, but I don't really believe that they've been served as well as they should have been."

    Mr Hughes became ill after a routine knee replacement carried out by another surgeon.

    Mr Sellu later carried out surgery to repair a perforated bowel, but there had been delays in that carrying operation. Mr Hughes died two days later.

    The Crown Prosecution Service has decided not to seek a retrial after David Sellu's conviction was quashed
    The original case against Mr Sellu, of Hillingdon, was based on the standard of his care over about 25 hours.

    Mr Sellu argued he knew Mr Hughes needed an urgent operation, but an anaesthetist was not available for several hours and it was not safe to move the patient to the nearby hospital.

    "It really was another routine day. A busy day of course, but I'd been used to working in this sort of way for many, many years," Mr Sellu said.

    Mr Sellu's medical licence was suspended when he was convicted and would only be reinstated after a General Medical Council (GMC) hearing.

    The Crown Prosecution Service has decided not to seek a retrial.

    In a statement, Mr Hughes' family said the doctor had "served his sentence".

    "Our father's suffering was not prioritised as the emergency it so clearly was," they said.

    A spokesman for Clementine Churchill Hospital said the "original prosecution was a criminal case led by the Crown Prosecution Service and the police".

    "Our thoughts remain with the family of Mr Hughes," he said.

  • Parliamentary petition calls for doctors to stop paying for GMC

    OOH's comment 22 Feb 2018 3:16pm

    See reply from the petetions committee

    The Government has responded to the petition you signed – “Make GMC a tax-payer funded organisation and not to be funded by doctors.”.

    Government responded:

    The GMC sets standards for doctors, provides support to achieve them and takes action when they are not met. It is right that the cost of regulation is met by those professionals who are regulated.

    The GMC is an independent organisation that regulates doctors in the UK, helps to protect patients and improve medical education and practice across the UK.

    In doing so the GMC:
    • decides which doctors are qualified to work in the UK and oversees UK medical education and training;
    • sets the standards that doctors need to follow, and make sure that they continue to meet these standards throughout their careers; and
    • Takes action to prevent a doctor from putting the safety of patients, or the public's confidence in doctors, at risk.

    Doctors must pay a fee to register with the General Medical Council and an annual retention fee to remain on the register in order to practise as a doctor in the UK. The standard fee to join or remain on the register is £425, though this is reducing to £390 from 1 April 2018.

    Managing Public Money allows certain public goods and services to be financed by charges rather than from general taxation: this includes registration by statutory regulators, such as the GMC.

    Department of Health and Social Care

    Click this link to view the response online:

    The Petitions Committee will take a look at this petition and its response. They can press the government for action and gather evidence. If this petition reaches 100,000 signatures, the Committee will consider it for a debate.

    The Committee is made up of 11 MPs, from political parties in government and in opposition. It is entirely independent of the Government. Find out more about the Committee:

    The Petitions team
    UK Government and Parliament

  • Working life: The Emergency GP

    OOH's comment 22 Dec 2017 12:04pm

    Sounds great!

  • Ten minutes and counting

    OOH's comment 14 Dec 2017 11:06am


  • 'We have a number of serious concerns about the GP at Hand service'

    OOH's comment 09 Nov 2017 10:26am

    The only answer is payment per activity. You do more, you get paid more. You do less, you get paid less. This payment should be a reflection of the type of activity as well.

  • State-backed indemnity scheme to cover 'all GPs for all NHS work'

    OOH's comment 13 Oct 2017 6:03am

    Have the MDU really halved fees?

  • GPs should contact MPs to demand support on indemnity crisis, says MDU

    OOH's comment 10 Oct 2017 3:27am

    MDU quoted me 30% of my salary to provide indemnity for my work in OOH. Shame on you.

  • #GPnews: Young people's 'blatant addiction' to mobile phones harming care of the elderly

    OOH's comment 06 Oct 2017 12:01pm

    Bravo for speaking the truth.

  • GP leaders face tough decision on industrial action in November

    OOH's comment 25 Sep 2017 2:50pm

    Are we then prepared for a scenario where we are Sat in the surgery twiddling our thumbs waiting for the punters to come in. No activity, no pay situation?

    If not, a salaried role with/without crown indemnity, set hours and serfdom awaits.

  • GP leaders face tough decision on industrial action in November

    OOH's comment 25 Sep 2017 2:46pm

    Everyone has their limits. A might happily see 40 patients a day but B might only manage 20. What feels safe for X might not be the same for Y.
    Instead of discussing numbers, limits etc, scrap the current contract and bring in pay per activity. Will solve most of the problems.
    Demand can only be addressed by charging for access... without exemptions.

  • GPs told to refrain from referring as hospital declares early-season black alert

    OOH's comment 15 Sep 2017 12:34pm

    Bloody good BigAndSmall. Spot on.

  • The real conspiracy of NHS England

    OOH's comment 04 Aug 2017 10:28am


  • Brace yourself. Indemnity costs will get even scarier

    OOH's comment 12 Jul 2017 12:01pm

    GP's can expect crown indemnity only when they move to a fully salaried model.

  • New GP-exclusive indemnity organisation promises to slash fees

    OOH's comment 12 Jul 2017 11:59am

    GP's can expect crown indemnity only when they move to a fully salaried model.

  • Education bosses consider 'scenario' of 1,000 GP shortfall by 2022

    OOH's comment 26 Jun 2017 12:08pm