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  • Government may call in retired doctors to help deal with coronavirus outbreak

    AnonGP1's comment 02 Mar 2020 10:52pm

    Surely they would need appraisals and revalidations and evidence of 50 hours learning and reflection in the last year. What's that you say ? All that gumph isn't really necessary to practice good clinical medicine ?

  • We need to tell the time wasters to bugger off

    AnonGP1's comment 29 Feb 2020 9:16pm

    Nick Mann , most of Europe has some form of charges for healthcare and on the whole their cancer outcomes are better than the UK. The free NHSers need to explain this fact not ignore it. Definitely it has to do with more money going into healthcare per capita. But I also think it has to be with patients behaving more healthily and using medical services more responsibly because of the cost. That means the medics are not overrun with trivia. Anyway that is my hypothesis. You may be able to explain it another way. Maybe someone from Australia can comment on if charges change healthcare seeking behaviour?

  • Babylon launches 'troll' attack on doctor who tested AI app

    AnonGP1's comment 29 Feb 2020 2:14pm

    I suppose the question is , Does Medical Devices Regulation cover the use of AI in clinical decision making? Google search is educational. Do we know the sensitivity and specificity of the device compared to a trained human ?

  • Number of full-time qualified GPs falls by 277 in a year

    AnonGP1's comment 27 Feb 2020 11:01pm

    You don't need more GPs anyway . I keep being told a trained pharmacist and nurse can do my job. So really the statistic quoted should be ' FTE primary care staff '

  • We need to tell the time wasters to bugger off

    AnonGP1's comment 25 Feb 2020 11:49pm

    Katie it is refreshing to see someone young have such a mature view of the state of affairs. of course if it is free you ain't going to value it and you are not going to bother to learn the skills of dealing with minor illness. eg . Why are people advised to ask pharmacists for medical advice ? Just do home remedies like your grand parents used to. eg. Now I feel happy when a child sees me for an urti with symptoms since one week which was the norm about 20 yrs ago because now it is usually cough since one day and that is after seeing OOH the previous night. Everyone is so anxious now , thanks to the media and the NHS is free , so why wait?

  • Enough is enough – NHS Property Services must end its toxic disputes with GPs

    AnonGP1's comment 17 Feb 2020 2:06pm

    Agree with Edwina.

  • NHS Property Services on why ‘a clean slate’ isn't the answer

    AnonGP1's comment 15 Feb 2020 1:05pm

    It should be a clean slate because the service charge bill is not accurate. If contested in the courts it will be long and drawn out. Going forward ( or looking backwards ) the NHS should charge a set fee like say £3 per patient for service charge and make the rest up with NHS Property Services. Our surgery is seriously thinking of leaving our NHS Property Service Building and joining a neighbouring surgery to avoid future service charges . Repeat this by a few hundred and you will have lots of empty NHS buildings. Look at what is happening to large property companies with empty shops in shopping malls. At the moment I would not recommend a new GP partner join a GP surgery with NHS Property Services lease because of the uncertainty of future service charges.

  • GPs to declare if they earn over £150k from 2021 for national publication

    AnonGP1's comment 10 Feb 2020 11:27pm

    Crazy idea. A list of high earners for all the fraudsters in the world to target. On the same principle of getting public money, I assume the government will be publishing a list of everyone who gets total benefits of more than say £10K per year?

  • GP practices to be assessed against ‘patient experience’ measure in 2020/21

    AnonGP1's comment 10 Feb 2020 10:22pm

    How will people complain about a locum? Seems the best way to work now. And also stay below the £150K reporting rule and have more leisure time.

  • GP contract could include postnatal six-week check, says minister

    AnonGP1's comment 06 Feb 2020 3:12pm

    we have been doing these for years. better start getting paid for them in that case.

  • The GP workforce's faulty production line

    AnonGP1's comment 05 Feb 2020 0:01am

    Won't need so many GPs anyway. The block contract means that it makes more sense for each GP to supervise a few non medical personnel to meet the unlimited demand and maximise income.

  • PCNs to receive monthly data from CCGs on cost of A&E admissions in their region

    AnonGP1's comment 04 Feb 2020 11:45pm

    Why not send a proportion of the bill to the patient direct ( like they do in Europe). That would make more sense and require less phaffing about with PCNs but it would require more honesty from everyone concerned.

  • Hancock wants ‘value for money’ from PCNs in GP contract negotiations

    AnonGP1's comment 29 Jan 2020 9:38pm

    You could get value for money by linking pay to number of consultations and having some token cost to the patient so they learn how to self treat minor illness. PCNs will do nothing to reduce patient demand.

  • Out-of-hours service suspended across city again due to GP shortages

    AnonGP1's comment 23 Jan 2020 3:17pm

    The British public ( or their politicians) don't want to pay a sum at the point of care unlike in France Germany Netherlands Spain etc, then they cannot really complain if there is not enough money for ambulances and doctors at the point of care.

  • Hospital says GPs will manage patients it has told doctors to discharge early

    AnonGP1's comment 20 Jan 2020 11:49pm

    It is a good thing my surgery has a block contract with the NHS and we will see all patients as often as is needed or wanted , regardless of if we have capacity in our surgery hours. We will just expand our staff and hours of working to accommodate any extra work sent our way because after all , we are responsible for all care out of hospital. Thank you our negotiators.

  • GPs must now vote on the whole future of PCNs at the special LMC conference

    AnonGP1's comment 18 Jan 2020 1:11pm

    Our GP partners will not vote for any deal unless there is 100% funding for the extra staff ( not 70% ) because we now see that the extra staff will only have time for DES work , not GMS work.

    On a wider point , personal General Practice with continuity of care will only survive if there is some form of payment per consultation. Otherwise might as well delegate everything to digital triage , non Partner workers and non medical staff. The really ill people will just go to A/E. It will be good for Part time workers I suppose.

  • Should GPs stop doing home visits?

    AnonGP1's comment 23 Nov 2019 9:17pm

    At the moment we have a visiting paramedic service supplied by the CCG but I think it will end next year . It works very well. The paramedic can visit about 8 patients per day for about 40000 patients. The GPs don't pass on all the visits . We keep the palliative care and ones where the paramedic has been before and there is no improvement. Once the paramedic is booked out for the day then GP has to decide if to visit any further requests. The number of home visit requests is definitely going up because people are getting older and more housebound/ residential homes. What would really help would be if NHS England would fund a visiting paramedic per PCN. It would probably pay for it self in reduced ambulance call outs.

  • We must convince graduates that general practice is 'exciting', says Ashworth

    AnonGP1's comment 14 Nov 2019 6:47pm

    The job is fullfilling and interesting but any new recruit should understand that in this country , the workload and clinical risk are potentially unlimited and the tax burden is high. So if you want to work a couple of days per week and have a nice life then it is good ( but not good for the Health Secretary). If you want to be a full time partner/ full time earner , you may burn out, with not that much higher take home pay.

  • Conservatives pledge 6,000 new doctors in general practice by 2024/25

    AnonGP1's comment 09 Nov 2019 3:55pm

    Don't worry. One social prescriber, one pharmacist and one physiotherapist per PCN will make up for the experienced GPs reducing their hours.

  • Babylon to expand to Manchester with new GP at Hand clinic

    AnonGP1's comment 04 Oct 2019 11:21pm

    I suspect this hands off way of practising general practice can only survive when the tax payer picks up the cost of indemnity insurance. Funny that.