@ GPSTWO - really? A and E can deal with primary care? Arrogance or ignorance. And the idea of emergency doctors to staff GP is a deliberate joke highlighting how it is assumed GPs should be mopping up hospitals inadequacies but not the other way round.....
1) Patient makes stupid decision to attend ED with trivia
2) Government- how do we accommodate this foolishness better?
3) Government drain only highly efficient part of NHS
The thing that I really hate about general practice is the patients valuing your opinion as precisely worthless.
It’s almost like there aren’t enough GPs and they’re unwilling to adequately remunerate those that do exist
I was in a role for several years and supervised lots of noctors. Some were amazing. Some were nightmares. Supervising them was very stressful. If you are using them try and have them on a different site so they’re forced to deal with their own workload.
Why do the BMA hate us so much? For a very hard working highly trained professional £150000 is totally justified.
Still makes me want to avoid partnership with a barge pole
Dr Zoidberg - correct. GPs new job title “chief responsibility officer for high risk unmanageable patients”
@Christopher Ho- Yes, to be effective it needs to be tiered so that every increase in income guarantees a higher take home. It does provide a UBI in most models where someone earning 0 gets money which gradually reduces as wages increase until at a certain wage it flips, and income tax is paid, but never so much that extra work is disincentivised. Like a blunt UBI, which as you mention is ineffectual, the system of multiple different means tested benefit IS eliminated hopefully saving costs.
Just to wind everyone up more- Where I do GPSI sessions in dermatology a consultant service has come in to see 2ww patients (the easy ones). They see one every 12 minutes and refuse to see ANYTHING apart from the lesion referred. £80 a patient so £1280 for a morning. The biggest joke? On one session they referred all 16 patients for surgery. Our lack of value of ourselves is terrible. Time to go private
Worst case scenario is all the easy stuff being taken off us so all we have is complex functional and chronic illness patients with polypharmacy that have been through every speciality and now dumped on us
"PCN Dashboard"- vomit.......
If we keep letting ourselves be slowly eroded we will lose. Quit on mass and suddenly they will find the funds to help.
I tried to respond to the article as well- wrote a reasonable piece that I spent some time over and then when posted it disappeared? What a waste of my time...
I guess I am someone who should be getting targeted by these changes. I work minimally in general practice, working more in my area of special interest which pays less but means I go home not feeling depressed. However I do enjoy the work of general practice, and under the right circumstances, would love to be a full time GP. I’m not greedy, but I won’t do a job which makes me ill. All I can say is that the initial draft made me wonder if it was a deliberate attempt to destroy general practice. It clearly wasn’t written by anyone who had a sentiment that general practice needs SAVING. I talk to dozens of other GPs locally who are of similar thoughts, which if multiplied nationally, means there are thousands of GPs put off doing more sessions or becoming more involved as the situation at present is so diabolical. NO OTHER EQUIVALENT COUNTRY TREATS ITS GPS THIS BADLY. Major changes are needed Best Wishes
So pharmacists and paramedics have exactly the same knowledge that means medical school can be shortened like this?
Whilst specialists deal with conditions, GP and ED deal with DEMAND. This is rising incessantly and killing us.
And there needs to be a guarantee of being able to leave on time. Otherwise everyone with kids chooses less sessions just to cope. Same with the pension fiasco, work is made inherently unappealing despite spending so much on training.
A case of missed sepsis can easily be traced to a single GP who is then shafted. Deaths due to anti microbial resistance in 20 years time can’t be easily traced to Individual prescription happy GPs. So we keep prescribing....
Hope they don't catch me yawning or scratching my nuts