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A faulty production line

End game

  • We need to tell the time wasters to bugger off

    End game's comment 25 Feb 2020 2:01pm


    Well said.

  • NHSE dilutes PCN care home plans and agrees £120/bed as it delays two services

    End game's comment 07 Feb 2020 4:56pm

    As above. Throwing small change to us doesn’t value us. We are being left behind other professions ( and our Consultant colleagues) when we look at true hourly rates. For those that that find this acceptable, good luck! Seriously!!! - £120/ bed of very complex and time consuming complex care PER YEAR!!! When we see how much even a single outpatient appointment is valued at! ....or an ambulance call out or A&E visit etc etc. If we accept this we get what we deserve. Glad I’m out of my partnership and nearly out the door of General Practice.

  • Nine in ten GPs work extra hours every week as a third cut clinical time

    End game's comment 18 Dec 2019 2:13pm

    @The cavalry isn't coming

    Sadly we all do it because we think its the right thing to do. Of course it may not be, and the unintended consequences are that many, including myself leave partnerships and General Practice altogether. I worked out for the 30 years I have been a doctor, I have given about 25% of my "contracted" time for free. Thats over 7 years of unpaid work! It doesn't do our future young GPs any good accepting these conditions.

  • Your dilemma with Dr Cardigan and Prof Candid

    End game's comment 17 Dec 2019 4:44pm

    F*****g hilarious! Prof Candid lives in my head but unfortunately is not allowed out. Prof Cardigan has never existed. Prof "Dowhatyouthinkisbest and have an exit strategy from this sinking ship" gets a good airing.

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

    End game's comment 05 Dec 2019 3:09pm

    A good friend of mine who trained in the UK and worked in the Middle East for 3 years tried to return to UK NHS General Practice last year. So many barriers resulted in her working as a GP in the private sector in London. A narrow escape for her.

  • Number of GPs in Scotland increases by 55 in a year

    End game's comment 04 Dec 2019 8:19pm

    “There has been a slight increase in the number of GPs in Scotland over the past year”

    Come on Pulse, what does this actually mean? GP partners only ? Partners and Sessional GPs combined? Does it include Trainee GPS etc etc

    At ground level it seems like a deteriorating situation.

  • How can practices fight unfunded transfer of work?

    End game's comment 30 Oct 2019 5:21pm

    I acted on the template letters time after time, I ensured the rest of the practice team had access to these templates, I contacted my local LMC repeatedly. It took a lot of effort and time in addition to the day to day relentless demands. All that happened was an increasing frustration on my part, at a system that didn't respond to my efforts, nothing changed and other workload factors worsened. In one fell swoop I cleared my frustrations. left my partnership and voted with my feet. Best decision I made.

  • 96% of patients have confidence in their GP, NHS England survey shows

    End game's comment 11 Jul 2019 2:12pm

    "More patients 'struggling to reach GP on phone'" is the BBC health headline with regards to the same survey. The media love a negative GP bashing story.

  • Patients to access health information through Amazon Alexa

    End game's comment 10 Jul 2019 1:42pm

    Do these people seriously think this will help? Are these the same people that think a GPs job is simple and linear in decision making? People have access to NHS choices already ,I agree it may help some patients. However the worried welll are significantly increasing in numbers over the last decade, through many media driven scare stories, and as a result will only read advice and increasingly action subsequent "you can't be too careful" appointments. I had someone today making an appointment for a DRY throat for the past few days. Her sore throat 4 weeks ago had settled.She heard an article in the news about throat cancer and decided "to get checked out"!

  • Patients directed to 111 or 999 as 13,000-patient practice cancels all appointments

    End game's comment 29 May 2019 5:58pm

    Totally agree with @copernicus

    My first thoughts are that the strain on the partners must be untenable for such action. Wish them all well and that they are all in a better situation very soon.

  • Pulse opens nominations for most influential GPs

    End game's comment 21 May 2019 1:59pm

    Totally agree with the above. Every time I see this ridiculous annual event I just cringe. Influential?..... don't make me laugh....or cry!

  • Thank you and goodbye

    End game's comment 27 Mar 2018 1:37pm

    Thank You Nigel and very best of luck with whatever is next for you.

  • Negotiate Scottish GP contract changes into English contract, GPC told

    End game's comment 10 Mar 2018 3:17pm

    Agree with @RLE GP
    Watch this space, the imminent Scottish Contract is not going to address the ever increasing workload placed on us. The allied health workforce is non existent and certainly not willing to taken the responsibility needed of them.

  • Rural and deprived area GPs quit the BMA over new Scottish contract

    End game's comment 22 Feb 2018 4:37pm

    The new Scottish GP Contract is not going to address spiralling workload demands because there are no pharmacists, physios,ANP etc etc etc waiting in the wings to help out. Everywhere has rota gaps and this BMA lauded contact isn't worth the paper it is written on. The BMA is self serving and out of touch.

  • 'The GMC treats BME doctors differently and harshly'

    End game's comment 30 Jan 2018 11:58am

    Here here. These essential questions need answered for the fairness and safety of both patients and doctors, no matter what colour we are, but especially for those of us who have increased melanin in our skin!

  • I feel your pain, I just can’t deal with it anymore

    End game's comment 15 Jan 2018 1:38pm

    You have someone that brings you tea and biscuits?!!!!! I can only dream of such a world!

  • GP numbers decrease by more than 1,000 over past year

    End game's comment 21 Nov 2017 2:52pm

    "This latest fall in GP numbers demonstrates that the government needs to work with organisations like the BMA to ensure we have a coherent workforce plan that gives GP services the capacity to meet rising levels of patient demand."

    Both the government and The BMA have no idea, or wilfully choose to take note of what grassroots GPs need in order to function. Both are significantly out of touch!

    Oh and add another to the diminishing list in 2018.....

  • Almost two-thirds of GP practices will see funding boost from new contract

    End game's comment 13 Nov 2017 6:04pm

    in my experience PNs and additional Primary Care staff just don't accept responsibility and need to persistently involve GPs. Health Board Pharmacists in our practice work quietly in their rooms once a week, with limited tasks and at the end of the day the remaining tasks are passed back to the GPs as they don't have the time to finish everything!

    This new contract of ours isn't going to address this, and as in an aforementioned comment we have waited patiently so very long for this contract to find that we need to tread water for another 3 years to receive the "help" of a risk averse and limited abilities of support Primary Care teams! We are drowning at this moment!

  • Scottish GPs to access NHS-run 'treatment rooms' for procedural tasks

    End game's comment 11 Oct 2017 5:16pm

    Waiting in anticipation. Sounds good lets see what happens in reality. The Scottish Government are acutely aware how much its costing them to provide a service for practices they have taken over. It will be interesting to see how much they have listened and how serious they are about stopping the decline and imminent implosion of Scottish Primary Care.

  • How can my practice bid for an overseas GP?

    End game's comment 22 Aug 2017 1:12pm

    Dr Madan,this is too funny! Actually Laugh out Loud funny!

    It smacks of desperation and delusion (Australian doctors!!!) , and despite that only certain practices can apply, I bet the application process will be onerous. They have to fund it themselves. They will have to deal with the language barriers. They will have to deal with cultural barriers. This will take up a lot of time from struggling practices and finally when the realisation occurs of what these poor doctors have got themselves into they will leave or locum.

    Its not going to work.