“Pressure of general practice may be too much” - lets just forget about that though and carry on advocating a job that no one can face doing full time
What about other deserving groups in society- homeless, sufferers of abuse, the elderly, looked after children, domestic violence sufferers, the police, social workers, nurses, carers.........
Perhaps not sending soldiers to fight stupid wars would help
watchdoc agree. RCGP useless. The length of appointment is irrelevant, Its the fact that we cant cap the number of appointments. To be honest though its the rude, know it all, demanding nature of the clientele coupled with the toxic environment of GMC/CQC/NHSE bullying and overregulation that is killing us. Only answer is to go private because trying to reason with these organisations at present is, in the words of Winston Churchill (in the movie anyway) "you cannot negotiate with a tiger when your head is in its mouth"
What do all these people mean by "not for profit"? Do they just mean no shareholders but lots of people on nice big salaries.
Interestingly I met a retired Indian doctor who had friends who lived in the constituency run by Enoch Powell. When I quizzed him about how they had felt about him, assuming they would have found him abhorrent, they said he was an unfailingly supportive and caring man who never came across in any way racist.
Sounds like my getting fit plans.... I plan to get fit somehow in the near future. Hardly SMART is it?
I think the issue with having locums running the Primary Care networks is they might be considered not to have invested as much in being part of the local health service as partners so dont always understand or have to face the consequences of decisions they make. I'm a locum and didn't think for a second I would be able to aply to be head of a PCN.
Well said. Needs a fair but comprehensive enquiry with proportionate punishment for offenders. I know that doesn’t sound sensationalist but so be it.
Don’t get me started on noctors. I work at a walk in centre and have my cases restrospectively assesses by a clinical team including retrained paramedics. Apparently not doing a NEWS2 score on a child with impetigo will risk serious harm to them. I’m then called in to see them with a severely ill child with severe recession- yes having a temper tantrum because you’ve been dragged out of the waiting room with it’s toys will make you recess a bit.
We aren't your "partners". We're doctors who are only paid to do NHS work.
You're noble quest to improve safety will lead to less appointment time for sick people, do you want sick people to not be able to see their GP? Do you?
NHS partnership crap, NHS salaried crap
What word links the 2?
Lifeboat- exactly. We dont need more people ticking boxes then referring to the GP when they run out of options. However when your own leaders vote against defining safe workloads and insisting they are met then what chance do we have
Answers to not having enough GP's as above
"we're using nurses instead"
"We're having meetings"
"We are committed to safe blah blah blah..."
What REALLY would work would be a national health service where care was rationed by clinicians being able to say "Sorry I don't think you need that" and patients not being able to DEMAND treatment. Not perfect, but reasonable. We are so scared of patient demand and the threat of complaints we bend over backwards offering everything a patient insists on which is crippling the NHS. Proper rationing, and support for clinicians who say no to patients, would be the best answer.
Burst in through patients door who's happily sipping tea-
"Mr Bloggs, youve been identified as being at high risk of hospital admission..."
"But I feel fine Doc?"
"Too late for that- You need to start taking this combination of ramipril/atorvastatin/Metformin/Fluoxetine immediately and go on long term nitrofurnantoin"
"Are you sure? Actually while you're here could you have a look at my knee it really hurts...."
"Sorry no time my alarm is going off for Mrs Bates on Rodney Street her Qrisk has gone from 9.9 to 10.1"
Curious @ 8.54 Boom! Well done Sir/Madam
Don’t they realise that not all our patients are nice, reasonable people? Some are horrible unpleasant people whose “feedback” should be disregarded
Reminds me of Rimmer in Red Dwarf fighting the emotion sucking alien with leaflets.... FFS the only thing the government would listen to is all GP's simultaneously handing back their contracts to go private.
100's more people for each GP to have a detailed discussion with, lots of time for that
I remember learning about them for an exam, and the next week suggesting it as a differential for some abdo pain on a ward round. The consultant laughed and said "no one gets those"...