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GPs go forth

Decimus Iunius Iuvenalis

  • The great NHS stitch-up

    Decimus Iunius Iuvenalis's comment 19 Nov 2016 9:51pm

    " And we don’t need to involve patients,"
    and Anu Singh with Jane Cummings are sure making that the case.
    In case you don't know, Anu Singh was been appointed as Director of Patient and Public Participation and Insight (PPPI) a year ago, and as her 1st substantial contribution to PPPI?
    She unilaterally, overnight, shut down NHS-Citizen & Gather, NHS-England's one and only online interactive Forum for we P&P.
    P&P were held in suspense for 6 months until at a hastily convened Tell-In packed with Charity Chums was told "There are no done deals" only to find that at the next NHS-E Board there were. All neatly tied up and passed on the nod despite intensive lobbying for discussions with P&P.
    However, the best-laid plans have been gnawed at by mice, and the 2 week implementation schedule has fallen apart, and P&P still haven't got a PPPI vehicle.
    And there's naive me thinking that it was Our=NHS, after all WE pay for it, and THEY are the Executives, not the owners??

  • Private company expands 'GPs to your door' service

    Decimus Iunius Iuvenalis's comment 31 Oct 2016 10:52pm

    @ Anonymous | GP Partner 26 Oct 2016 10:59am
    We are such mugs, driving round like lunatics during our lunch breaks Anonymous | GP Partner26 Oct 2016 10:59am

    Finally we have a "value" for home visits! It's time for the GPC to negotiate to make house calls an Enhanced Service (let's not be greedy, £80 per call would be fine). Fat chance.

    We are such mugs, driving round like lunatics during our lunch breaks visiting patients for free whilst the private pirates clean up. ...
    "... for free ... "
    Would you care to 'unpack' that, please?

  • LMCs draw up explosive 'plan B' to take GP practices outside the NHS

    Decimus Iunius Iuvenalis's comment 28 Oct 2016 10:45am

    Great news for the 'bum' bailiffs who will make a fortune 'collecting' debts from patients and/or their surviving relatives.
    Now where did I put those fantasy novels by Cronin?

  • LMCs draw up explosive 'plan B' to take GP practices outside the NHS

    Decimus Iunius Iuvenalis's comment 28 Oct 2016 10:41am

    @ Anonymous | Work for health provider 28 Oct 2016 10:32am

    Isnt Dr Bahalkar forgetting that patients already pay via National Insurance and taxes ?
    Possibly didn't 'forget' it. perhaps never knew it in the 1st place?

  • GP wins case against GMC for releasing fitness-to-practise report to patient

    Decimus Iunius Iuvenalis's comment 28 Oct 2016 10:14am

    And not one word from any of you about the patient who had :
    " complained that the GP’s incompetence had led to a yea r’s delay in diagnosis of bladder cancer."
    What an introverted set of CogDis sufferers you so called doctors are.
    The sooner you're replaced by an adaptive, intelligent, VR program the better.

  • 300 practices to be given funding to improve premises and technology

    Decimus Iunius Iuvenalis's comment 20 Oct 2016 9:04pm

    I fully support 'throwing money' at these SMEs, as long as NHS is given a £ for £ share in the equity of the 'bricks and mortar'.
    GPs are contractors to Our=NHS after all.

  • GPs who went salaried under hospital trust now 'better at meeting demand'

    Decimus Iunius Iuvenalis's comment 19 Oct 2016 3:45pm

    Oh, my.
    What a lot of you have concentrated on how much the pay is, and almost nothing else.
    Still, you are SMEs after all. And with a hierarchy within your own establishments = Partners; Salaried; Locums; ??; Nurse Practitioners; ...
    Some of you are coalescing to form much larger Profit Centres that are in the medical market.
    And when you get big enough you'll get swallowed up by an international vertically integrated conglomerate, Human Resource and Allied Utilities, Inc and find yourselves Gigging like so many of the rest of us are.
    To echo the Stones
    You didn't know what was going on
    You've been on your own too long
    You can't come back and think you're still mine
    You're out of touch, my doctor
    My poor discarded doctor
    I say doctor, doctor, doctor, you're out of time

  • Over 75s on many prescriptions at risk of hospitalisation

    Decimus Iunius Iuvenalis's comment 17 Oct 2016 12:23pm

    @Anonymous | Junior doctor 14 Oct 2016 10:02pm
    "Can we have some common sense here? Correlation and causation are not the same"

    Thank Hippocrates of Kos for someone who is prepared to apply some logic to matters.

  • Pharmacists to hand out emergency medication supplies without GP approval

    Decimus Iunius Iuvenalis's comment 14 Oct 2016 6:42pm

    ​Are you contributors really, really sure you're in the correct (caring) profession?​
    Anonymous | GP Partner14 Oct 2016 7:46am
    I ran out of food the other day. So I phoned 111, they contacted Waitrose, I popped round there and they gave me the food immediately avoiding any delays or queues. My friends say that I must be stupid to have allowed myself to run out of essentials and why should I get preferential treatment at no cost to anyone for being stupid.

    ​Anonymous | NHS Manager14 Oct 2016 10:45am
    Until the cuts to community pharmacy mean there are fewer pharmacies to do this.... Heaven forbid patients could organise themselves to get their repeat medication organised in time.

    ​Anonymous | Other healthcare professional14 Oct 2016 11:46am
    So a bit more paper work for the GP's, check your emails for medication updates ...
    Surely patients need educating in ensuring they don't run out of regular medication?
    It would also help if patient's took their medication regularly and stopped sharing their headache tablets with family.
    This assumes that patients are registered with a pharmacy in the first place and who is going to do the ordering. Does this mean any member of the family can order repeats for another member of the family ... what a brilliant way of reducing abuse of drugs.

    ​Anonymous | GP Partner14 Oct 2016 11:57am
    yippee, emergency methadone, and a few vallies please


    ​'coz I'm not convinced that you are.

  • Vulnerable practices 'to be allowed to fail and wither', says NHS England director

    Decimus Iunius Iuvenalis's comment 14 Oct 2016 12:59pm

    They're all SMEs
    It's the MARKET, stupid.

  • Vulnerable practices 'to be allowed to fail and wither', says NHS England director

    Decimus Iunius Iuvenalis's comment 14 Oct 2016 12:58pm

    @Simon Ruffle | GP Partner12 Oct 2016 6:39pm

    Quo usque tandem abutere, NHS England, patientia nostra?
    patience or patients ?

  • GP dismisses patient's ADHD self-diagnosis

    Decimus Iunius Iuvenalis's comment 04 Oct 2016 9:46pm

    Anonymous | Salaried GP 04 Oct 2016 4:11pm

    Im pretty sure this article is making fun of people who dont have ADHD! Thats the whole point isnt it. Get a sense of humour! (sic)
    Gosh, the old "Get a sense of humour." ploy. It was much in use when ppl started to challenge mouthy racists and misogynists.
    The response was often a sharp kick in the testicles, accompanied by "That was my applause."

  • GP dismisses patient's ADHD self-diagnosis

    Decimus Iunius Iuvenalis's comment 04 Oct 2016 9:39pm

    "A surreal look at the NHS from Dr Kevin Hinkley"
    What's surreal about this puerile piece?

    One can but trust that you will donate any fee you got from writing this to a suitable charity?

  • Stop med school GP 'banter' to boost recruitment, says RCGP

    Decimus Iunius Iuvenalis's comment 04 Oct 2016 8:48pm

    Good god, sir... I was thrashed at my public school every night of the week, except Sunday, and it made me the person that I am.
    This hierarchical banter stuff is good for the morale of the lower orders and keeps them from getting opinions and aspirations above their place in society. Without those methods of control we'll be having comprehensive school trash doing OUR jobs.
    And women with Birmingham accents infesting the wards and operating theatres pretending to be surgeons when they should be home carving the Sunday roast.

  • Newly trained doctors to be tied to NHS for four years, announces Hunt

    Decimus Iunius Iuvenalis's comment 04 Oct 2016 8:22pm

    . .. and about time too.
    Whenever I consult a medic of any sort I always agree to 'students' and others 'in training' being present. Indeed I'm on a list at my GP surgery to be called on, if students are needing to do a longish spell taking med. histories.
    , or need to examine someone with my particular set of symptoms.
    I don't make a charge for this, don't even ask for my travel costs, since these ppl are the future of Our=NHS. They went into this career because they wanted to do what 'medics' do.
    According to the vast majority of those who have contributed to this thread so far, I'm WRONG, very, very WRONG.
    They +/ their children view it as just another 'job', and certainly not a vocation. If there's some other really important outlet for their enormous talents which will bring home big bucks, like international finance, selling health insurance, or being an estate agent in the buy to let market, then that's where they feel their altruistic talents should be best placed.
    Perhaps I should be very grateful for this threatened exodus of these self defined Crème de la crème, as in future I'll be treated by those who are dedicated to their patients, not to their bank balance.

  • Et tu GPC?

    Decimus Iunius Iuvenalis's comment 28 Sep 2016 4:34pm

    @Anonymous | GP registrar26 Sep 2016 10:06am
    The NHS is preventing me from being the best doctor I can be. It's a monopsony that harms patients and medical staff. For that reason I'd be happy for things to change.
    "While they are in the GP part of their training programme, GP specialty trainees (GP registrars) are typically employed by the practice directly."
    Have you lodged a complaint with your employer about this hinderance to your rise to excellence?
    If not, why not?
    If so, what was the response?
    What 'change/s' would you welcome?

  • Et tu GPC?

    Decimus Iunius Iuvenalis's comment 27 Sep 2016 11:18pm

    @ June Greaves | Other healthcare professional 24 Sep 2016 10:22am
    "Surely, General Practice IS part of the NHS just like Nursing & ALL the healthcare professions."

    But it isn't. GPs are private, SMEs, which are contractors TO the NHS.

    What you're claiming is similar to suggesting that Big Pharma is part of our NHS - tho' the reverse may soon be the case.

    Dentists, high street opticians and pharmacists, almost all of the residential care and nursing home sector, not to mention the agencies making fat surpluses supplying nurses, are part of the profit based sector, not our N H Service.

  • Et tu GPC?

    Decimus Iunius Iuvenalis's comment 27 Sep 2016 10:49pm

    ‘Do you believe in the survival of the NHS over and above the survival of general practice?’
    ​... ​this is my answer: not that I loved the NHS less, but that I loved general practice more.’
    ​In the original, Brutus​ said that he didn't want to kill his friend Caesar​, but
    ​it had to be done for ​the good of Rome and the Romans.​

  • Dear GMC, it’s me again

    Decimus Iunius Iuvenalis's comment 27 Sep 2016 2:32pm

    ''And apparently these people are being paid. Why?''
    'cos it's a Private provider, and the private, profit centered sector ''No one does it better.''
    Ooops - I forgot that GPs practices are also SMEs - private concerns - and they are in charge of distributing our £75bn/year without referee to P&P.
    GPs who live in green houses ....?

  • Hunt's GP smartphone app to 'strengthen' patient relationships, says public health chief

    Decimus Iunius Iuvenalis's comment 27 Sep 2016 2:22pm

    I logged into this discussion hoping to read some well informed and thoughtful postings.
    With but a few exceptions, much would have been rejected as of too low quality for a Student Rag Mag of the 1960s.
    I was there.