My wife went to see a doctor recently whose English WAS terrible. He was going to advise a completely inappropriate treatment regime because he couldn't understand her and it was only because I was there that it got resolved. Do we need to keep quiet about things like this in the future for fear of causing offence?
Please realize this is not me defending any racist behavior from patients. But native level English should be a non debatable criteria of being a health professional in the NHS.
concentrate on sugar. Not a single health benefit and hugely damaging vs fats whose role in health/disease more controversial and nuanced.
Had such an exciting day yesterday! 5 polypharmic patients in the morning with multiple problems.... So ace to feel that pressure of running behind and knowing no one else will help them! Then a totally wicked consult with a patient on like loads of pain meds, regally demanding and rude, just love that thrill!!!!!! Totes amazeballs meetings at lunchtime, and SSSSOOOOO excited for CQC next week OMG OMG OMG!!!!
If we stopped home visits, we would lose something. But the gain in morale and retention would massively exceed it.
We need to have a maximum workload defined. In today's world, 12 x 15 min consults per session. Of course this could lead to gaming, filling your clinics with your favorite easy patients, but the alternative of all you can eat care is the real cause of the hemorrhage of GP's
Poor PHE. Imagine not being told that each year we have flu and need to vaccinate parts of our population? If only someone had told them. Perhaps they could also be told that night follows day and how to breathe in and out. The bleedin' obvious!
An excellent article. Allied health professionals creaming off all the easy work is not the answer.
BTW I am just finishing my clinic as a GPSI in dermatology. The consultant next door who is the "lead consultant" will only see 2ww as they are "most demanding of his skills". The fact they only take 2 mins and he spends the minutes in between doing telederm, which he gets paid another session for, seems more likely. We are mugs as GP's and should be striking for better terms and conditions.
Peter, I agree. But urgent visits late in the day can destabilise the whole service. If it literally cannot wait until tomorrow it requires a response more urgent than primary care can be expected to deliver.
Essentially we should only agree to work that is not urgent i.e. can wait until the next day. Anything else is so destabilising it causes us to be totally inefficient, which causes a vicious circle of loss of capacity.
Medical problem needing immediate attention? - ED
“What evidence is there that the CQC’s inspections lead to safer GP services”- you don’t seem to have provided any evidence in your answer. Would you care to try again?
Not contractual?? Maybe not, but it is "mandatory" for my colleagues and I. Not too keen to provide time to attend the safeguarding meetings tho.
Hey doc my heads fu$%^£d and my usual gabbas and jellies arent working have you got anything stronger or I'm gonna lose it.......
Yes Mr Knuckles, have you considered self referring for reiki and taking a walk at your local National trust?
Can’t hire another GP because the job is so crap? Keep getting patients allocated and workload dumped? Your fault- you should be working more in collaboration.....blah blah
We should resign. On mass. And sell our services back... just like lots of consultants are doing
Poor boy- abandoned and became so low he took his own life.
Or sort out living standards and make a concerted effort to make eating healthy and exercising more accessible to people. We don't need to "prescribe" social things, that is virtue signalling BS
Straight back to the front line then 🙄
Dominic Hardy- actually a fair comment- but that means rationing treatments at a government level, not breaking the backs of the staff trying to deliver all the demands patients have
More people doing nice things for themselves = great. Suggesting it needs to be "prescribed" by a GP= moronic
Yes Sir this genetic testing is very unusual. You suffer from a rare condition called "idontgive a crapitis" and need to refrain from seeing a medical professional for the next 3 years
Ask if it happens every time they are bitten? If so they’re probably “allergic”.
FGS in Canada/Scotland people end up covered in these, especially early in the season
Still it’s a nice quick consult
God help any of the GP's whose patients give them a Polaroid of the notes I take in my dermatology clinics.