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
The underlying problem is a huge amount of frail people in the community and nursing homes at risk of admission at any time. In my experience good quality nursing and social care helps more than lots of doctor visits whose main benefit is stopping pointless medications. Keeping frail people active, fed, hydrated and stimulated should be the goal which is something we cant achieve ourselves.
Time for a new union. Replace the pathetic BMA with a union with guts.
Excellent guide many thanks
Just hand back your contract. You won’t be the last.
I guess it depends. I have no problem with straight to testing as long as the patient is followed up whether the test is positive or negative, by a responsible clinician. The stories above are obviously wrong but no point seeing a consultant for 5 mins who says “well have a scope and see me after”
"freely removed on the NHS"
The question is "Should people who believe their gender does not match their birth sex be eligible for taxpayer funded treatment to match their sex to their chosen gender?"
Hw far does this go? What stage do we need get people to where they are happy? Just a new penis/vagina? Or a fake Adams apple? Do we insist they get their fair amount of back hair?And if not, is this to be free for those men who don't want it as they want to feel a bit more womanly by having it removed?
And please don't use the insult that those who are making reasonable debate about a very contentious issue of being homophobic. The two issues are chalk and cheese.
Does removal from a book prove anything? Especially the DSM? If it’s not a mental illness, what type of illness is it? I have exactly the same hormones as men wishing to change gender to women.
Is funding for gender dysphoria more important than for, say, dementia simply because of the highly advocative nature of those affected? Or autism? Or learning difficulty? Is it an actual illness? If someone’s saggy boobs is making them sad do we pay for cosmetic surgery? Or their big nose?
What we should really be saying is “how is our health system so stupid that we are fighting NOT to have more patients under our care?”
Some older partners will thrive at the top of PCNs for a few years then go. No one will want to take over, and no one will want to be doing the relentlessly demanding 8 session F2F GP side of things we really need.
The training does. Actually running a marathon makes you ill and is linked to premature mortality. The idea of “more is better” is nonsense.
My accountant says he knows orthopods and opthalmologists on £1million a year.
Hello Mrs Sprott hows the dementia? Great see you in a fortnight....
Having moved on to working a lot in secondary care I see my colleagues there constantly still dumping on GP’s (“I’ve taken a swab today could you kindly chase the result and treat as needed” - completely true, and both clinically and professionally wrong). Some GP’s don’t stand for it, and why should they, they bounce stuff back and refuse just as they should. Don’t be pushovers because people will keep pushing.