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  • 'This is the beginning of the next phase of primary care'

    Curious's comment 25 May 2019 11:56pm

    Actually… Im just thinking….. no-one with half a brain who follows Pulse would actually dare to put such a daft article in…. If the author sincerely believes in these words then it would be deeply worrying about their comprehension of their colleagues situation, and I would certainly query their diplomacy skills…. But I am not convinced she could be so unaware of the depth of GP despair out there….. I wonder if this article was actually done for a laugh in RCGP HQ? Perhaps Helen, Clare and Nikita are having a chuckle at the readers ‘predictable’ (in their eyes) responses………..perhaps its a competition to see how may negative comments they can get…. Perhaps there a bottle of bubbly in it for the winner In Euston Square on a Friday afternoon?

  • 'This is the beginning of the next phase of primary care'

    Curious's comment 25 May 2019 10:34pm

    How about this for a statement.... "we know there are not enough GPs to do the job safely.....we have overburdened you with forms and made you responsible for non-medical social matters, such as incapacity forms etc wasting your precious skills on non medical matters.... you are at greater risk of being sued than any previous generation of doctors dealing with more complex patients who would have otherwise been dead years ago, who have insufficient access to specialist care (Probably because they're too busy in private practice making too much money to do extra NHS time) so the extra work lands on your shoulders...along with the blame.....I know the risk and I dont really want to be a GP, nor be responsible for those risks taken by those of you at the coal face.... so I will sneak sideways into management with an pay-packet that is actually inversely correlated to direct patient care, and much higher than regular GPs who don't do the important management thingy stuff......thus continuing to send out the message to the masses that what GPs are supposed to do doesnt really matter to us....despite what we actually type out...whats important is self ambition'. Agree with all the above commentators..... not that it makes the slightest bit of difference in Ivory Towers......why isn't there anyone who is actually realistic and objective up there? Re-organisations happen all the time.... reorganisations will make NO difference whatsoever if there simply aren't the resources.... when will they wake up and smell the coffee..... centralise, decentralise, the wheel of change goes round and around to no avail... the average GP can see it... but yet our 'top GPs' (Rolling my eyes) still seem to believe in it........ 'we care about your health and well being'... well actions speak louder than words.... stop talking and actually do something tangible that improves the lives of General practice.... and that does not mean another useless policy statement.... here is one simple job for the 'TOP GPs' get a flipping statute of limitations enacted NOW to protect the NHS and all GPs who see NHS patients to get NHS indemnity...... bet you can't do it...... and I bet all your hyperbole in the end accounts for nothing..... you have a job a higher paying pay-packet and hence you now have something to loose by going against the grain....... your job is merely to act as a shock absorber if you haven't worked it out cushion those above you...enjoy it......

  • 'This is the beginning of the next phase of primary care'

    Curious's comment 25 May 2019 10:13pm

    This is another example why I emigrated to Australia.... this week I dealt with a septic pneumonia, thrombolysed an anterior MI (Transfer time too long) popped on a couple of casts and got to play with helicopters..... doing exciting doctory things that actually help patients......things that we went to medical school to do....articles like this reveal far more about our (well ex for me) leaders than they realise.... and they wonder why huge swathes of us are cynical? Another leader who docent really want to see patients.... but wax lyrical at a keyboard telling us who great she is.... investing in nurses? what happened the bursary scheme..... training more Gps.. what for? management roles in public organisations????

  • Workload survey: 'We are working beyond the safe level'

    Curious's comment 13 May 2019 2:18am

    Why is it we are the only industry that isn't allowed to create safe working conditions by limiting workload, then have to take the blame when errors occur? The RCGP/BMA is failing here.... we are the professionals and should be advising the government what to do, not the other way around...... if I were in charge of the RCGP id want to know in confidence who had made the overtones and would encourage all GPs to record, covertly if necessary, all contacts regarding safety to clarify the picture here and ensure that if an error occurred after reporting of workload issued that the bodies, individuals who are trying to ignore these safety issues are publicly named and included in any litigation where error occurs. RCGP should be on the offence here, if they are responsible for GP standards as they say they do on their website, they're not supposed to be here to cosy up to other organisations.... ..... standards include safe working conditions for patients and doctors alike. If NHS England is making this impossible, then perhaps we should be taking legal action against them on the basis of knowingly creating unsafe working practices? We should insist that GPs withdraw their service from unsafe practices. Perhaps we need to enlist the aid of the media here, e.g. Panorama to investigate those in charge of these organisations and look at how their performance compares to other safety related industries. We have to up our game and become more media savvy, you can't make an omelette without breaking eggs.... if there is not enough resource to provide a safe service then the government needs to say so... and take appropriate damage limitation measures... e.g. statute of limitations..... is there anyone else out there who feel there safety concerns are being ignored? Another great area for Pulse to Investigate.....

  • The crisis in general practice is unprecedented

    Curious's comment 12 May 2019 10:11am

    'Just retired' where in the country are you? Do your colleagues maintain their RCGP membership? Be interesting to know what the true figures are. Whats the picture in General practice like where you are? It would be interesting to hear the thoughts of your colleagues too......Jaimie (Ed) can you do a map of the UK and get GPs to put feedback, both good and bad as to whats happening in their locality? It would be good if we could get a more representative picture from all the readers so we can all see more clearly the state of general practice across the country to look for regional variations..... is there a London/ everywhere-else divide? What are RCGP membership levels like? There must be plenty of GPs who still keep it on as well as plenty of those who have ditched it.... are there age/gender /geographical factors between members and non members? Id love to know more.....

  • The crisis in general practice is unprecedented

    Curious's comment 11 May 2019 9:21am

    Apologies QB Im supposed to be one of those negative doomsayers / conspiracy theorists etc in the eyes of the RCGP so I didn't mean to let my enthusiasm slip out there...... I nearly made it sound like you can enjoy being a GP again....... I'll stick to more negative comments in future :-)

  • The crisis in general practice is unprecedented

    Curious's comment 11 May 2019 9:15am

    Needless to say for me working salaried for Hurley Group is not an attractive offer..... I am my own boss here..... and love working alongside other 'own bosses' - and most people work collaboratively rather than subserviently, yes there are those who want you to work 'for them' rather than with them, but those are the types to avoid. I've found out about a few more interesting courses.... check out 'unconventional conventions' for your CPD! There is an enthusiasm for the job down here, more so in the rural areas. I've now a long list of places to go and work, Norfolk Island, King Island, Lord Howe...... you get paid to visit and work in some of the most beautiful, remote and ecologically interesting places in the world...... I can't think of any GP here who would go back to the UK unless forced to by family circumstances..... the schemes to attract GPs back are a complete waste of time....

  • The crisis in general practice is unprecedented

    Curious's comment 11 May 2019 8:56am

    Dear QB
    I am mostly in Tasmania but about to head up to WA for some rural and remote medicine. Tasmania is gorgeous... main barriers for new Drs coming down is the DWS restriction and a glut of their own medical students down here so you would need to move on this quickly . The advice I would give would depend on your own family circumstances. You ned to be wary of some unscrupulous clinic owners, stay away from the big cities which are over doctored. I would always do a short contract first to test the waters and dont move your family over until you are happy. Working salaried for a health board is a safe bet so you're sure of income and you can get accommodation provided - but these jobs entail a degree for ED work . If you are willing to go remote and work some antisocial hours then I am aware of GPs making in excess of $700k AUD / £375k GBP (£250k a year AFTER tax)but these will be in hot and dusty locations... and not great for a young family. Next week i will earn £6000 for a 6 day week..... but I finish at 3:00pm every day....indemnity is a lot cheaper down here, but you'll need the savings to pay for your medical insurance. Canada is also worth a look. If you are later on in your career New Zealand is fabulous, but pay not as good....

  • GP gender pay gap 'far higher' than average at 33%, finds Government review

    Curious's comment 10 May 2019 12:52pm

    I married a non doctor so we don't have this argument at home! :-) Everywhere the NHS rates are the same and based on grade / speciality, not gender. If anyone can find an example of being paid less for the same job why are they not down at the solicitors preparing their case? In which case then it comes down to career choices and negotiations with their respective partners about childcare arrangements. Having children is a choice. Success, which I accept has variable definitions, but in a career sense usually depends on the amount of time and effort spent on it. If you choose to spend more time with your children and family (Whether male or female) then you have less time to spend on your career and Vice versa. I am aware of very high achieving individuals who have fancy cars, and a large bank account, but now quite estranged from their resentful children. There appears to be a socially media driven concept that you can have it all..... but i don't think you really can.... like any other resource there is a finite amount of time in your life, how do you choose to spend it? There's an old saying- if you want your children to do well spend twice as much time with them and half as much money. We all get to choose how we spend our time, but whats important to you when lying on your death bed? Interestingly the Marie curie nurses looked at this... there wasn't one individual who wished they had worked harder, and all said they could have done with less money.... the figures here are too shallow... are the ones earning more money working longer hours? Are they any happier? Perhaps they bought fancier things and are trapped by debt and having to work longer hours.......Men too feel trapped by being stereotyped to be the 'bread winner' perhaps they feel inadequate comparing themselves to the lucrative incomes of private surgery and are trying to close the gap a bit so it doesnt look quite so bad for them..... there is also the psychology of success, its often driven by fear and a feeling of inadequacy and for some there can never be enough...... these statistics are a non story and the figures are out of any meaningful context..... at some level we all choose.... blaming others for our own choices is merely taking on a victims mantra. The rates of pay are the same, if you want to spend less time with your family and more time on your career fine, more money does not equate to a more satisfying life..... I think above £50,000 per year there is little evidence that beyond this point increasing income increases your happiness. I wonder if these statistics were just another clever ploy to divide our already disjointed profession?

  • Telephone-first approach not a solution to GP workload, says study

    Curious's comment 10 May 2019 12:16pm

    Well said Paul C!

  • The crisis in general practice is unprecedented

    Curious's comment 10 May 2019 5:54am

    I think the conversation here sums up the current state of UK practice. There is a huge gulf between the GP leadership/management and grass roots/ coal face GPs. There is a lack of faith that our leaders will achieve anything, and all GPs are seeing on the ground is everything getting worse, despite a string of constant policy announcements, reorganisation, funding tinkering- its all very reminiscent of Neville Chamberlains negotiations. Whether true or not, we perceive too many self-interests at the top and too many cosy relationships. Basically as grass roots GPs 'we aint buying' the message from our 'leading GPs' a term that makes us scoff here at the 'bottom', I hope that doesnt offend anyone. I left the UK as I could see the road ahead. I cannot see a future there. You will not be able to negotiate and meaningful change in terms and conditions with a softly softly approach. The best negotiation methodology in my opinion is to simply say nothing, stop talking, stop training more victims, and for us to quietly pack up, hand over the contracts and slip away. Let the politicians sort out the mess they are responsible for. A meaningful response from the government would be a 'statute of limitations' for the NHS to cut out the ridiculous legal fees, full government indemnity at no cost, and a 10% immediate uplift in the global sum with no strings attached..NONE.........if this pre-requisite wasn't met I wouldn't even bother responding and continue the exodus. The UK needs us more than we need them. I cannot see our RCGP leadership doing any of the above.... We need a Churchill type figure at this moment in time....and I don't see one so I'll stay down here where I am self employed, control my workload, my hours, I can charge as I see fit and I don't have to work with anyone I don't want to, and no I am not a plumber..... I also locum and I don't feel isolated or lost..... my phone has GPS...I'm in Canberra for training this weekend, Melbourne next weekend for another course, and excited about the next couple of years as there are numerous opportunities for keen and motivated doctors around here (None of which involve medical politics- its all clinical)....but sadly none of my UK colleagues with whom I remain in contact feel the same about their futures, they are all just counting down the days or looking for a way out. Given these people are some of the most intelligent and talented people in the UK this is a very sad state of affairs indeed.

  • Patients must be told safety is at risk due to GP workload

    Curious's comment 09 May 2019 1:21pm

    Can I ask all the readers out there..... who do you think better represents our views...RCGP or Jaimie???? I have to say that I vote Jaimie.... he seems to be more in touch with the grassroots members and understands and articulates how the profession is feeling.....

  • Does RCGP really represent who it claims to?

    Curious's comment 09 May 2019 1:15pm

    100% agree with this article.....

  • A tribute to the 9ers

    Curious's comment 09 May 2019 1:09pm

    Shaba I agree with you... its the coalface 9 and 10ers I support and respect. I agree with your observations about our leaders.

  • GPs told they must have 'active' RCGP membership to become a trainer

    Curious's comment 07 May 2019 11:43pm

    Perhaps the editor could do a quick poll on this issue???? Please Ed!

  • GPs told they must have 'active' RCGP membership to become a trainer

    Curious's comment 07 May 2019 11:35pm

    Perhaps we needs a "Pulse" academy for the NON- RCGP Believers. We need somewhere to congregate......I still think Scotland should take the lead and have its own GP training. We need competition here. Australia has a population of 20million and has two colleges, we have a population over 60 million in the UK , yet just one college to choose from.... Surgeons can choose- why can't we???

  • GPs told they must have 'active' RCGP membership to become a trainer

    Curious's comment 07 May 2019 2:06pm

    it would be interesting to know how many UK GPs have dropped their RCGP membership.......and how many are 'active' members. If most trainers are members why has this 'issue' arisen? If many aren't members why aren't they? Surely understanding why GPs dont see the benefit of membership would be a more useful exercise that trying to figure out how to coerce them into being one.

  • GPs will be required to collect annual patient feedback under GMC plans

    Curious's comment 06 May 2019 11:46pm

    Its interesting, in industry many of the best / leading companies stopped using KPIs (Key performance indicators) because research showed they were100% altered/ manipulated.... thats right 100%.. because if you didn't you would be seen as falling behind. Customer feedback is only useful in those industries which are trying to capture money paying customers to ensure they give them what they want. It has a much more limited role in our line of work where our job involves declining what we feel to be inappropriate, and we are dealing with all walks of life. An acknowledgment and understanding of this from GMC would be useful....that 'bad' feedback can actually mean the GP is doing their job, but all we get from RCGP in our portfolios is how we must reflect on how to 'improve our performance' in response to negative feedback, which is then in turn used by the legal profession against us... which is one of the many reasons I left General Practice in the UK. We are far too conditioned by the current system and objectors to it are not welcome. I agree with most of the comments above , and mass resignation I still feel is the only pragmatic option left. Why dont we have a statute of limitation by now? At least cut the blood sucking legal profession out of their lucrative fees. It is an absurd system, but then again too many of our leaders in various organisations are doing well out of the current system. We need equity in our profession, not the George Orwell 'some are more equal than others' that we currently have.....Insurance is a lot lower in Australia here and wages higher.... life is generally a lot less stressful down here, theres not much reason for me to come back, I still care about the NHS, and the principle of equality healthcare, but it seems the NHS/the powers that be in the UK don't care about us as a least thats what their actions convey

  • A dummy's guide to colic

    Curious's comment 05 May 2019 3:22am

    Agree! Over medicalisation of a normal process that kids grow out of.

  • Why I chose to be honest in a GP job ad

    Curious's comment 05 May 2019 3:19am

    Good to see someone calling a spade a spade..... good luck!