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Gold, incentives and meh

Anonymous101

  • Trust declares black alert and directs patients to local GPs

    Anonymous101's comment 11 Dec 2019 3:15pm

    Surely the problem is not where these patients should be seen it's that these patients don't need to see anyone. What are they going to get from the health service with a flu like illness or D+V?? Nothing apart from advice to drink fluids and take paracetamol which they can find on the internet. The problem is that the great British public can't cope with any discomfort or illness at all on their own

  • ‘We want the CQC to be seen as a critical friend’

    Anonymous101's comment 01 Nov 2019 8:05pm

    Perhaps she could explain how to be a modern Schrödinger's GP. Simultaneously reduce referrals but refer 100% of cancers at first presentation. Have excellent patient satisfaction scores but reduce antibiotic prescriptions (hint - they love antibiotics) etc etc...

  • GPs requesting ambulance will have to provide a score for level of emergency

    Anonymous101's comment 02 Oct 2019 8:38am

    I don't really understand the vitriolic response to this. If a patient is unwell enough to ask for an ambulance transfer for a patient surely you would know their pulse BP RR sats conscious level and temp so it's not time consuming to add up a score. It's not like the ambulance crews are all sitting around drinking tea. They need to be able to triage and use their resources I. The most effective way and anything that helps standardise communication is surely helpful . A deteriorating news score will help prioritise your patient - it's harder to argue with than 'they look sicker to me'

  • What are younger GPs’ real career intentions?

    Anonymous101's comment 04 Sep 2019 4:37pm

    Errr sorry Dr Hunt we did want to be partners in the years following 2004 but the GP partners the time did not want us sharing the cash! Don't patronise my generation of GPs we were there! - the 2004 contract split the profession and now it's come back to bite the partnerships. Everything you say is true but it was GPs who decided not to expand the partnership model with the extra cash in 2004 and created a 2 tier workforce, and now we have the consequences.

  • What are younger GPs’ real career intentions?

    Anonymous101's comment 03 Sep 2019 8:45am

    Mandy Dingle completely and totally agree - GPs didn't want to take on more partners after the 2004 windfall - there were very few partnerships advertised, it was all salaried posts when I qualified so that's what my cohort took and what we came to expect. Then 10 years later when the money wasn't so good, people retired and the remaining partners started whining that no one wanted to be a partner anymore - well no you couldn't keep it to yourself in the good times and then expect us to share the burden when it got tough! If the partnership model is on the way out GPs are partly responsible for this.

  • Pharmacists are just as capable as us at negotiating useless contracts

    Anonymous101's comment 25 Jul 2019 9:08am

    Pharmacists only increase work for GPs - 2 patients go to pharmacist to try to self manage, first to buy some antisan stuff for insect bite, pharmacist says 'oh I can't sell you that it's infect see your GP urgently'. It wasn't infected. Secondly mum wanted cough syrup for snotty child 'oh he has green snot so he needs antibiotics - see your GP urgently'. He didn't need antibiotics.... This will be a disaster, it just opens up a suggestion to see a GP to a bigger audience!

  • Hospital sepsis admissions more than double in three years

    Anonymous101's comment 22 Jul 2019 7:19pm

    Not entirely surprising when any infection is now sepsis, however minor....sepsis is a very specific condition defined as life threatening organ dysfunction caused by a dysregulated host response to an infection. ie it is not just someone poorly with a UTI or a chest infection.

  • Practice in GP crisis town launches formal objection to 'unmanageable' new housing

    Anonymous101's comment 12 Jul 2019 9:14pm

    Perhaps Wales should ban all non Welsh students from studying medicine at it's universities?? That should sort the problem right out.

  • I'm too expensive to perform the tasks I enjoy

    Anonymous101's comment 26 Jun 2019 11:37am

    If you want more a more practical job then remote and rural Scotland is ideal - we don't have enough practice nurses to do all this stuff so the GPs do it themselves, plus there are community hospitals with non bypass A+E departments all run by GPs!

  • The barriers faced by trans people

    Anonymous101's comment 11 Apr 2019 9:22pm

    Why are we being repeatedly lectured on this?? Pulse why 2 articles telling us off for not doing stuff for trans patients that we aren't even contracted to do for anyone else? Everyone should have access to sexual health screening but it's not GPs fault they don't.

  • We must improve cancer screening for trans and non-binary people

    Anonymous101's comment 16 Mar 2019 11:00am

    Why must GPs do this?? Screening is national. The whole campaign to saving general practice is to push back against making everything the default problem of GPs. Why should we make an exception for trans patients?

  • ​GPs asked to provide Brexit plan and practice lead in case of no-deal

    Anonymous101's comment 05 Mar 2019 1:39pm

    Ha ha ha ha ha!! No

  • 80% of GP antibiotic prescriptions for respiratory conditions 'are too long'

    Anonymous101's comment 28 Feb 2019 7:58pm

    They just sodding come back!!! Prescribing 3/5 days instead of 7 just leads to an increased workload for the GP practice or the OOH service, so that's why we do it PHE or whoever is moaning about GPs this week....

  • RCGP drops gender dysphoria course due to 'unrealistic expectations' on GPs

    Anonymous101's comment 08 Feb 2019 10:02pm

    It's pretty disgraceful that basically the RCGP took a bribe from a pressure group to help bully GPs into taking completely inappropriate responsibility for managing a complex specialist issue - when they should have been protecting GPs from this expectation

  • RCGP launches GP training on low carb diet for diabetes patients

    Anonymous101's comment 20 Jul 2018 3:21pm

    Yet still the official NHS advice is imploring the great British public to base their diet around starchy carbohydrates, it's crazy how long dietary advice has taken to catch up with the evidence. And still diabetes nurses are telling people to go low fat....

  • GP's should act as 'physical activity role models' says PHE

    Anonymous101's comment 22 Jul 2016 10:09am

    If PHE are really serious about people getting 150 minutes of exercise a day they need to be lobbying government and business for a change in working hours/long hours culture. Have they actually read their own advice - how can you possibly work full time and exercise for 2 1/2 hours a day, plus see your kids etc??? unless they want everyone to work as park rangers something has got to change and it is not a GP's responsibility it is a societal problem!