I'm relieved to see there are others thinking the same thing. We are victims of our own success and have become unused to death which is a tragedy in the young but often a merciful release in the old. Too often we are treating relatives not our patients for fear of litigation. We have lost all sense of perspective and resources are poorly targeted. I'd like to think things might change post Covid but I doubt it.
For a government that believes in market forces there is a very simple answer to this problem - ££££££££££££. This won't happen until it's too late & the system completely collapses at which point greedy GPs will get the blame.
Agree re epipens, surely much more economic and safer to have supply of devices always in date rather than go looking for a specific child's pen in an emergency. Costs over £50 per child.
Why not just make extra sessions non-superannuable?
MPs don't need to worry about this, they have already voted themselves a wad of taxpayer cash to support their own scheme. Retiring next year & thinking of moving into politics as don't seem to be any qualifications necessary other than overwhelming self interest.
Post-truth Practitioner is correct. Greedy doctors desert NHS and take large pensions. Politicians say "collapse of system not our fault". That's been the plan since at least 2004.
I asked one of my registrars how many of his contemporaries would enter general practice if they were paid £250,000 per annum. He said "all of them". Governments have destroyed the vocational element, sadly only hard cash will solve this now.
David Banner - what are you playing at? You're liable to find yourself appointed Health Sec & expected to implement your suggestions. 4-8 are quite possible, 9 is sensible & 10 is the long term aim of both main political parties.
Classic GP dilemma, don't treat & you'll miss it & be sued later, treat all tick bites as not everybody gets a rash and you're over treating.
You rather miss the point, seek out good practice & share it.
What's wrong with looking at the top & bottom 5% of prescribing, referrals & death certificates? There will be simple explanations for most outliers but both good & bad practice might be revealed.
I asked one of my registrars how many of his contemporaries would be doing general practice if they were to earn £250,000 a year. He said "all of them".
Well said. Have you considered becoming President of the RCGP, Chairman of the BMA, PM or possibly all three as there seems to be a great deal of sense in your article?
Looking forward to filling in feedback forms about the GMC & BMA....
I suspect politicians will be rather pleased. It allows further dismantling of the system because patients are seen to be dissatisfied with current arrangements. Salaried service for everyone then sell it all off - result!
I agree, our scheme was in profit, what has changed? Why have the BMA not made the financial position transparent - isn't that what they're there for?
Frankly anyone who thinks an interest free loan is an incentive to enter general practice might also be willing to send me their bank details as I need help transferring money currently trapped in my accounts abroad.
There is an obvious solution. When MPs were in a similar situation they voted themselves a taxpayer funded injection of cash to top their scheme up - seems good to me.
I thought the GP Pension Scheme was effectively in profit. Anybody know if this is not the case?
Indeed there is a lot of truth there. Not a conversation that I'm brave enough to have very often with my patients.