This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

CAMHS won't see you now

Sensible Doc

  • The gender divide is a result of an inflexible partnership model

    Sensible Doc 's comment 27 Jan 2020 10:03pm

    The feminists lied to you. They told you could have it all, a career and a family and both would be equally fulfilling. The reality is that full time hours are a grind and children are demanding. No matter your intelligence you can’t juggle all these demands and be happy, it’s inevitable you will fail at one or another. The NHS has remorselessly exploited female agreeability and conscientiousness but the price is unsustainable and working for huge companies is likely to be far worse as they must also pay dividends. Returning to the 1950s model is far more sustainable for all in the long run.

  • Straight to detest

    Sensible Doc 's comment 10 Jan 2020 11:14am

    2ww was another tiresome scam that GPs stupidly accepted as an improvement. In reality it transferred all the risk of triage and diagnosis to us in an unmitigated fashion. This lead to all sorts of potential for legal profit when attacking GPs over 'missed cancer.' The same thing happened with sepsis and we fall for it every time.

  • Children rejected by NHS mental health trusts as criteria for GP referrals tightens

    Sensible Doc 's comment 03 Jan 2020 1:07pm

    The English absolutely hate children. The UK has the lowest age of criminal responsibility in Europe. Waits for ASD/ADHD diagnosis are often over 1y. We keep them inside on PlayStations and feed them until we have high rates of childhood obesity and even diabetes. Volunteer work is impossible with endless checks and long hours for adults and a general culture of mistrust. They are divided by class and the really unfortunate ones are packed off to boarding school and then we wonder why we see so many enduring mental health problems?

  • Pulse 2019 review: Practices closing in record numbers

    Sensible Doc 's comment 01 Jan 2020 7:29am

    All going according to plan then.

  • Higher GP funding associated with better CQC ratings, research shows

    Sensible Doc 's comment 10 Dec 2019 5:55pm

    CQC ratings were always proxy poverty and deprivation indices. It's the same with Ofsted which Labour have suggested replacing because these quangos simply increase social inequalities.

  • Genomic screening to take place in GP practice for first time in new study

    Sensible Doc 's comment 09 Dec 2019 5:53pm

    So what's this really about. A DNA database of every UK subject and risk assessment for genetic diseases, what could possibly go wrong? At least it'll make life on Tinder easier for the select few - boy seeks girl; has 6 figure salary, GSOH, Top 5% DNA...

  • British GP unable to work in NHS as GMC says laws are 'not fit for purpose'

    Sensible Doc 's comment 05 Dec 2019 4:15pm

    There is severe power abuse in UK medicine that's got far worse in the last 10y. It's causing suffering both for GPs and patients to the extent that we are now in a full blow crisis. The profession only has itself to blame though by standing by whilst we are pulled apart and suffocated by educationalist and regulatory red tape. The tragedy is that it's the patients that suffer at the end of the day.

  • Are there too many posh doctors?

    Sensible Doc 's comment 03 Dec 2019 8:17pm

    With the exception of a few orthopaedic consultants and niche interests, medicine is now such a low rent job that it might be good to bring the posh kids down a rungs by joining the rank and file of NHS doctors.

  • Only one in 20 GP trainees will work full-time in general practice in ten years

    Sensible Doc 's comment 02 Dec 2019 4:57pm

    The workforce is feminised now. This might be good or bad but either way, it's reality and not compatible with working longer hours. The historical model of work was one guy working himself into an early grave dying not long after retirement. No woman in her right mind would accept this and we'd all need the support of social services if you wanted to wind GP hours back to the 1950s or else have neither families or children.

  • 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.