Certainly not tackling the problem of retaining retiring GPs like myself. Mr Hunt pay my defence subs and exempt me from the tedium [ for minimal benefit] of an annual appraisal and I would consider carrying on part-time. But you best hurry as I am leaving in a month!
I am so lucky to be leaving all this c--p behind in 2w time! When you have the pressure of being a GP you do not need all this additional nonsense. When will the government get it and why are GP leaders not being more assertive?
NHSE have produced a very nice glossy magazine - how much did that cost? the remedy is very simple for general practice. Relieve the bureaucratic and regulatory burden , simplify our pay structure and stop moving goal posts so we have time to provide proper care of patients which frankly is quite hard work and stressful in itself without all the other c..p!
Either the government is incredibly incompetent [ and there are plenty of examples to suggest they often are] or they have a perverse wish to see the failure of general practice. 5000 more GPs by 2020 was never achievable [ except in la la land] I cannot wait to leave in June, have no intention of doing my next appraisal [ funny ,also due in June] so will be out of the UK medical workforce for good - immense relief!
There is an awful lot more than CQC that needs scaling back before I reverse my decision to leave medicine altogether mid next year. I don't suppose HMG gives an F and probably are quite happy to see the likely end result of a salaried service-but it will actually cost them more and patients will not get as committed and as good a service. Sadly it is the patients who lose out.
I find the support from our medicines management pharmacist very good. She is well-informed and hard-working and does most of the leg work involved in switching to cheaper and /or more appropriate alternatives. What she cannot do is prevent the non-availability of medication - this problem just seems to get worse year on year and affects all of us - docs,patients and chemists. Such a waste of our time and effort. It would be more useful if government could get a grip on that problem first then worry about 7 day access!
Another legal minefield to wade through - as though we have not got enough to do! How are we supposed to focus on patient care with all these distractions and legal pitfalls awaiting us? Despair!
" 1 million patients use the NHS every 36 hours " I have been forecasting this for some time - that the only way to cope with the constant change and re-organisation ,the over regulation and now demands to let every patient referred know about the CQC status of the local hospitals [ surely a pointless task again] is to change 24 hours into 36 hours - Hunt has just let the cat out of the bag!
Thank you GMC ! For emotional resilience read thick-skinned and insensitive. At last I can dare to be like my hero Doc Martin and the GMC approves.
One can only assume [as has often been suspected of the Tories] that this "New Deal " is part of their strategy to dismantle General Practice altogether. We shall follow in the footpaths of NHS dentistry or worse.
I believe those that deny GPs access to CT and MRI are guilty of negligence and should face the appropriate consequences. A newly qualified hospital doctor on the wards or in A&E or a hospital nurse practitioner can all order these. I have been a GP for over 30 years and yet am denied access - without jumping through hoops and begging [ which frankly I should not have to do] I should be able to order these as I do US scans and plain XRs. It would reduce considerably the number of outpatient referrals and make patient care more efficient as well as allowing for earlier cancer diagnosis.
Difficult one as presumably the sooner you start statins the sooner you reduce progression of atherosclerosis. I give patients the option citing current NICE guidelines , alternatives [ nothing so effective] and potential adverse effects. On balance most opt for the statins after a 6 month trial of lifestyle improvement has made little impact on their lipid levels.
I suspect the Scottish GPC see this as an option to protect GP incomes as the last few years have seen expenditure out stripping income.It may also serve to define their role as a GP as a time when we seem to be being delegated more and more responsibility and work. However it will cause fragmentation of the practice team which is a pity. Better to get HMG to fully fund practice staff expenditure , limit and/or reduce contract changes so we can all catch up, and allow us to focus on what we were trained for - medicine . Let the social services look after the social care we are increasingly being asked to undertake.
On the whole I would say yet another unimpressive bit of politically- driven development which fortunately has little impact on day to day care other than to cause further distraction to already busy GPs,managers and other staff. Just get off our backs I say and focus on doing your own jobs properly!
The more you give in the more that is taken. All my working life we have submitted to government and don't they know it. Had we had the backbone to challenge them some years ago general practice might be in a less parlous state. In the end I resigned from the BMA and no special offers [ currently free BMJs] will induce me to rejoin before retirement which mercifully is very near.
Well said Farah. Another bit of Hunt ingenuidioty! My advice to my colleagues is just carry on being good doctors - refer and investigate when appropriate and with the best interests of the patient in mind and just ignore these ridiculous government imperatives.
Sad but understandable that so many feel down. It is a combination of factors not least, initiative fatigue ,reducing status, pay, and pension, increasing regulation, and litigation risk. What seemed a vocation when I became a doctor now seems an increasingly arduous job. The same is true for many other professions. At least we are relatively well paid and are privileged to have a worthwhile, fascinating job and generally very appreciative patients. It is disappointing that the media and government are less appreciative - the latter as our de facto bosses should be more encouraging. In my 36 years as a doctor I can think of one Labour health minister who thanked doctors and health professionals for their hard work and Tony Blair supported our pay rise with the new contract. Not great management is it?
GPs hit with breach of contract notices after NHS England checks up on practices closing early over Christmas
I suspect "anonymous" patient and taxpayer [ as indeed we all are] is an employee of NHS England - may even be Jeremy Hunt for all I know. Time these anonymous cowards owned up! We are constantly expected to soak up more and more work. The population and their demands are ever increasing. Does NHS England or their political masters ever provide appreciation or encouragement? NO - just the usual petty vindictiveness. Time they all went on a CPD course on how to manage their workforce.
The GPC seem to be proposing a common-sensible approach to OOH care - which means that HMG are likely to ignore it completely! Not enough sound-Bytes for them. People seem to have forgotten that practices were in effect driven out of providing OOH care - the criteria set following the Carson report into OOH provision set standards of response to calls which were just not achievable by small practices. That and the ever -increasing ooh demand by patients [ partly the result of HMG- fuelled over-expectation] made it an absolutely no-brainer for us to continue.
If they cannot work this out easily they could not organise a p... up in and brewery. Which is probably why the NHS in England is so dysfunctional.