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GPs buried under trusts' workload dump

Sensible Doc

  • GP leaders to call for removal of home visits from contract

    Sensible Doc 's comment 11 Nov 2019 6:16pm

    Patients have to understand that in the time it takes us to do a visit, travel, write it up and arrange things, we could see 3 or 4 patients. In an era where we are short of 6000 GPs, driving around town is a luxury.

  • DNA testing plans to 'brand' children at birth without their consent

    Sensible Doc 's comment 08 Nov 2019 9:30am

    The Tories finally realise their dream of the ultimate class system.

  • NHS Property Services was ‘set up to fail’, says public accounts report

    Sensible Doc 's comment 05 Nov 2019 12:28pm

    This hasn't been dealt with properly - the police should be involved. Taking over public property and then issuing service charges way over competitive market rates should be treated as financial crime because it has real world consequences for patients, it's not victimless. The whole thing has put extraordinary pressure on surgeries at a time of extreme distress in the system. We can only speculate if this was done by accident or malice.

  • A third of GPs have reduced their hours over the past year, says GMC

    Sensible Doc 's comment 24 Oct 2019 4:08pm

    IT can only get worse. The younger so-called 'snowflake' generation don't have the grit and resilience of their older peers. It's not the case that they won't work longer, they can't. Medicine in the UK has been deliberately reduced to just another sector of the service economy to be exploited for corporate greed. We only have ourselves to blame.

  • Primary prevention statins benefit 'may be marginal’ for healthy patients, says study

    Sensible Doc 's comment 19 Oct 2019 2:43pm

    Fascinating although I think most GPs have known this for some time. NICE encourages us to prescribe statins at a 10% risk threshold which puts GPs in a difficult position and uses up vast amounts of clinical time whilst waiting times for GPs are going up. What I want to know is why are so few people scrutinising the authors of these guidelines which inevitably become a legal standard the moment a complaint comes in?

  • NICE revises antidepressant guidance to warn of 'severe' withdrawal symptoms

    Sensible Doc 's comment 17 Oct 2019 10:50am

    Isn't this just scare-mongering?

    To quote NICE: "...there is
    a clear patient voice, as well as support groups, charities and organisations that have highlighted that adverse effects can be particularly
    severe and/or long-lasting ...
    While there is some published research showing that symptoms on and after stopping antidepressants can persist for several weeks and longer (Horowitz and Taylor, 2019; Fava et al 2018), there are limited high-quality data in this area."

    In other words a lobby group has successfully petitioned NICE to increase liability on GPs for side effects that are unusual. NICE has done what it always does and publish edicts on poor quality evidence which we will no doubt be measured against the next time a complaint comes in. NICE is past it's sell-by date and should be closed.

  • Lower GP practice ratings due to workforce and demand issues, says CQC

    Sensible Doc 's comment 15 Oct 2019 10:49am

    The CQC causes rising health inequalities. It makes its profits by harming poor people. Primary care budgets are fixed on a capitation basis so if you spend more money on governance you spend less on front line care. We know that the practices that have run into problems are those in poorer and more remote coastal regions. This is a national scandal.

  • Four in 10 GPs in favour of charging patients for appointments

    Sensible Doc 's comment 11 Oct 2019 3:51pm

    Almost every service in the country involves a charge at some level, healthcare is almost unique in the way it tries to hide costs from the user. Charging has benefits over taxation because it ring-fences money for health, something taxation can never do which is why we end up with feast and famine in the NHS.

  • RCGP chair: 'I advise patients to take photos of their hospital notes'

    Sensible Doc 's comment 08 Oct 2019 11:35am

    Why don't hospital consultation rooms simply install EMIS/system one and forward records via the spine?

  • Labour pledges to train 5,000 new GPs a year

    Sensible Doc 's comment 23 Sep 2019 9:38am

    This won't be possible until the MRCGP exam is reformed. At present the widely criticised CSA exam appears to be one of the main barriers of entry into the profession.

  • GP practice sees service charges triple to over £100k in four years

    Sensible Doc 's comment 23 Sep 2019 9:35am

    'We encourage all of our tenants to sign up to an occupancy agreement which will regularise our relationship, clarify rights and responsibilities, and offer certainty to all parties.'

    It's a trap! Entering into a contractual arrangement with any company that sees fit to overcharge for services has all sorts of legal implications. Any practice affected by this should take legal advice ASAP. There should also be a criminal investigation into this over-charging because it has very serious repercussions for patients.

  • The noise around statins distracts from its real problems

    Sensible Doc 's comment 19 Sep 2019 1:09pm

    As usual, a certain generation only looks at itself and misses the bigger picture. The worst cardiovascular threat this country has is the alarming rise in childhood obesity, the consequences of which will outweigh any 'nuanced' debate on the pros and cons of statins in primary prevention. All this time and energy would be better spent on ensuring that children are getting the right nutrition and junk food is properly regulated. We already have interventions which improve child health and participation in regular activity so lets use them.

  • Complaints about GPs in England drop by 5% in a year

    Sensible Doc 's comment 17 Sep 2019 11:01am

    I suspect we're now close to 'peak entitlement' and the public are slowly realising that if they lose GP services they won't be replaced.

  • One in four adults prescribed addictive medicines, says PHE review

    Sensible Doc 's comment 10 Sep 2019 9:14am

    If you don't give out opioids, you can be subject to investigations by GMC, PAG, NHSE and the Ombudsman to name but a few. This crisis is was promoted by the medical regulators. I suspect extra NICE guidelines will only make this worse - breach them at your peril.

  • Lack of GP time and workforce shortages a factor in late cancer diagnosis

    Sensible Doc 's comment 05 Sep 2019 10:56am

    Cancer's just another money making machine now. All these guidelines support ever increasing medicalisation for less and less return on the investment. Meanwhile any GP who 'misses' cancer is ripe for investigation and legal redress. No-one is prepared to admit that often diagnosing cancer is hard, patients present with myriad symptoms and it can be very difficult to identify which ones matter. This is always judged in hindsight by people who work in ivory towers and are paid handsomely to promote ever more complex guidelines whilst further cuts are made to resources.

  • How artificial intelligence is changing the GP-patient relationship

    Sensible Doc 's comment 02 Sep 2019 2:28pm

    Sounds like AI is hopelessly unregulated. Driving GP use at this time of shortage is irresponsible. It sounds like there needs to be a special register of healthcare AIs like we have the GMC and their behaviour and systemic effects should be tightly monitored. Their proportion of their costs to the NHS should be paid for by a special AI tax to ensure they are operating on a level playing field and not being subsidised by the wider healthcare economy.

  • Fully qualified FTE GP workforce falls by 2% in a year

    Sensible Doc 's comment 29 Aug 2019 2:19pm

    Why don't we scrap the CSA? it seems to be causing a hole heap of problems restocking the GP population. RCGP needs to switch focus to more business skills that aren't taught in med school in order to make our profession sustainable.

  • We need to be more positive about general practice, says new RCGP chair

    Sensible Doc 's comment 27 Aug 2019 12:21pm

    Boosterism is the same strategy being followed by BoJo over Brexit but talking general practice up has been tried for the last 10y. It's not working and we need something new, preferably something that involves real increases in no-strings funding, relaxation of regulations and meaningful recruitment.

  • Have a (half) day off

    Sensible Doc 's comment 23 Aug 2019 10:28am

    Mario Kart sessions should be mandatory.

  • CQC increases number of criminal actions against medical providers by over 30%

    Sensible Doc 's comment 26 Jul 2019 8:43am

    This is part of the worrying trend of criminalisation medical staff that is being heavily promoted in the UK. No doubt it is very profitable but it adds very little to patient safety and is almost certainly harmful. As noted above, the CQC is very poor at preventing the outstandingly awful from happening, probably a byproduct of their 'tick the boxes and everything will be alright' culture.