GP principal - 25+ years
This is an interesting development and seems to highlight the gradual erosion of GP's functions over the last 20 years.
It seems that modern medicine is all about protocols and medicines management, and the expertise to be able to diagnose and treat disease is being gradually sidelined.
I am white.
I am male.
I was from a middle class background and privately educated.
Am I meant to feel guilty or something?
Never lose sight of this - if a 'consumer' does not value a service he/she will abuse it.
GP consultations are free to the punters. I'm cool with that for all manner of reasons. But I still want Joe Blob to have to go through a process - 'do I need to see the GP?', followed by making the effort to book an appointment (online is great for this bit), followed by actually having to travel to the surgery, at an agreed time, and to interact in a kind of humany way with the bloke who's trying to help him.
OK, I'm guilty too of being one of the 'me,now' generation. By which I mean I order my Chicken Balti on Just Eat and wait for the minimum-wage bloke to deliver it. But I don't think that model fits the non-commercial (and slightly more serious) world of general practice.
Skype is for speaking to your gap year offspring dowm under, not to further harass Dr Grumpy who's already up to his elbows in the Slough of Despond.
I think that the danger is to further foster the belief in GP registrars that they are 'learners' rather than 'workers'. We are all learners, even after 25 years at the coalface. A GP registrar (who may be 4 years post-qualified) needs to provide a service firstly (to justify that salary) and then to take the opportunity to learn from that job.
I am also concerned about continued dumbing-down of new GPs. If you have not admitted acute abdomens at midnight and spent the small hours assisting in their laparotomy, will you be as capable of recognising an infarcted bowel or a pancreatitis?
Or are we saying that the need now is to train GPs to do repeat prescriptions, fitnotes, and treat URTI, but to refer everything else to an expert?
Oh dear Prof. Lampard, looking at these comments your statement seems to have fostered some GP negativity. The worst I've seen in fact.
Leadership is not about running down your colleagues.
Thank you NICE, but I am still able to think for myself, evaluate evidence and experience, and to give a balanced clinical opinion.
Is this perhaps a wake-up call to those who chant the 'work at scale' mantra, without any clear evidence that it will strengthen the infrastructure of the NHS?
This article hits the nail on the head regarding unsustainable demand for primary care appointments. Our politicians are too concerned with buying votes to have this conversation. The profession needs to regain control of primary care. The RCGP needs to extract its collective heads from its collective arses and start to work for the profession rather than brown-nosing the politicians in pursuit of personal gratification and a gong.
We need a little more militancy and a lot more backbone.
How long do you wait to see a dentist, or optician, or bank manager? We've had it once the academics think that routine medical care should be part of the instant gratification culture that we have fostered in society. The bigger scandal is all those who visit their GP needlessly, exhausting resources for those who do need advice or care.
Come on Copperfield.. you haven't fooled me by putting that young female photo on your blog. I'd recognise your sardonic humour anywhere. PS How is the wife?
I'm going to Ladbrooke's to lay a bet that what GMC states will be simpler will in fact be even more perverse and time-consuming. I don't expect good odds.
He said: ‘For patients it’ll mean easier GP appointments, modern A&Es, and better cancer and mental health care.
Mrs Jones to the supermarket once a week on a Friday. She has to buy the family groceries, but every week she exceeds her budget. She has looked at the problem analytically and has realised that there are 3 potential causes:
1. She doesn't have enough money in her household budget.
2. Everything she buys is too costly.
3. Her family eat too much.
Thankfully she has a solution - she is going to urgently trial going shopping on a Wednesday instead, to see if that cures the problem.
You've obviously sorted out one DEN - how to find those foreign characters on a keyboard!. Bang it in your appraisal folder Tony. And send your 360* assessment to those doctors in Vilnius!
Give us the vital piece of info... NNT. Presumably in those with a risk of 1% this is going to be some multiple of 99. Do you think treating, say, 500 patients with a bisphosphonate for 10 years to prevent one fracture is the way forward?
"But, at the time, the BMA's GP Committee criticised the CCG for taking a cost-saving approach to its medicines optimisation scheme."
God forbid that we might take a cost-cutting approach to healthcare! Isn't that what every government reform and initiative in the last 20 years has been???
Lets dumb down the NHS. That'll work!!!
Thank god for experts! Otherwise how on earth would we know that we don't have enough time to do the job properly?
I'm a GP and proud of it. Those who aspire to become 'consultant family physicians' do, I suspect, want to do a little less consulting and a little more supervising. Stay connected with your patients.
Collecting stats for the DH is not a job for a GP.