Brilliant! Yes totally true. Most sensible people should avoid seeing the doctor
Yes totally true - am getting totally fed up with specialists not following up on their results also..
It's the GP "management class" that are causing all the problems - please just go back to your practices and start seeing some patients
Brilliant Charlotte - yes you're right - it is really is an Orwellian nightmare
Totally agree - there will be huge pressure on some of the unwell and vulnerable to end their lives as they will feel a burden. Unfortunately there are some greedy people out there as so bleeding obvious has said. Obviously some people want to be able to end their life at a time of their choosing. Jonathan Sumption (legal genius) has said that the law needs to stay as this safeguard for the vulnerable, but that there is no moral obligation to follow the law..
Errr who mentioned religion? Forgive me I know it's the daily mail but the article is illuminating
Just read this :https://www.dailymail.co.uk/news/article-2686711/Dont-make-mistake-As-assisted-suicide-bill-goes-Lords-Dutch-regulator-backed-euthanasia-warns-Britain-leads-mass-killing.html
If anyone really thinks this can be 'regulated' they are living in a fantasy land. If you need any more proof actually read the experiences of doctors living in Holland etc and see what they really think...
Cobblers cobblers - although you do sound lovely x
Thank you Sam and Margaret - good luck with this innovative project!
No. The law acts a a safeguard for those vulnerable, often elderly people who think they are a 'burden' to people by staying alive. These people need protecting and the law does that albeit imperfectly. Many patients get depressed, if their quality of life is poor, and may feel like not wanting to continue, but then, as we have all seen in clinical practice, the depression can lift and people may change their mind
I'm sorry having now worked with AHCP it only increases GP work, as a lot of the actual decisions still get passed back to the GP. They key is to get all those many managerial GPs who pay themselves lots of money to sit around in stupid meetings back to the coalface where they belong, and deep down they know where they should be, but unfortunately they are still trying to locate their consciences
Over-diagnosis at it's very worst. Medicalising hundreds of thousands of children with a pseudo - disease (in the majority of cases) is to be honest horrific and the medical establishment who have caused this should be ashamed.
Vitamin D levels (it's not even a vitamin, it's a steroid pre-cursor) naturally vary over the year. Therefore 'normal' levels are hard to quantify. Of course there are a relatively few number of children with genuine deficiency and rickets but the numbers are actually very low. For the vast majority of children this is unnecessary medicalisation and is basically saying that natural selection has got vitamin D wrong?!
Yes agree - the paradox is that unfortunately a lot of new work is being generated by PCNs that didn't exist before, the financing is a mess with tax /VAT etc, the funding is not nearly enough to justify it, Gp partners are paying themselves partnership sessions rates to sit in lots of silly meetings rather than where they are needed at the coalface,social prescribers will means lots of patients inundating reception with non clinical tasks
Agree social prescribing should be 'why don't you either do it yourself or alternatively go to the citizens advice bureau?'
Thank you Nick - very interesting. The real phenomenon of 'central sensitisation' needs more widespread understanding when linked to chronic pain
Agree none of these activities needs to be "prescribed" - it is just promoting more dependence in the population on HCPs rather than promoting proper self care
Dear David - thank you for your great writing, honesty and integrity
Brilliant!! the paradox with AI is that is increases anxiety AND workload in one fell swoop and "common sense" goes by the wayside...