GP principal - 25+ years
09:30 Bicycle commute
?double blind, randomised study. I suspect not.
If you wanted General practice to collapse tomorrow, you would remove the partners. We are the glue that currently holds the whole system together.
This clearly isn't a 'super-practice' is it. It is a collection of practices who share some back office functions. If it was one practice then surely the Hurley Group itself would need to be put in special measures.
This GP Federation has large cajones! All I can see is financial risk.
I guess that's 445 newly qualified GPs who are waiting for Crapita to allow them to practice!!
Further death of partnerships. We are not preparing registrars for that or even for salaried posts. We are preparing them for part time locums.
Capita couldn't organise a lively party in a licensed establishment. Simply not fit for purpose. Perhaps they could use that as their strapline:
"Capita: Simply not fit for purpose"
Well it's priorities isn't it? If you're not prepared to give up the fags for half a day, cancel SkyDaytime or cook instead of having that takeaway tonight, then the kids will just have to put up with earache.
This is a national scandal. Many practices are owed 5 figure sums. How on earth do they continue to get massive government contracts?
I think that this is an interesting reflection on the way things are going. We have tried to control demand for the last 20 years, and it hasn't happened. Rather than continue as King Cnut's perhaps we should all become 'Primary Care consultants' and devolve the day to day drudgery of repeat prescriptions, sicknotes, coughs and colds (and BP, QOF, minor illnesses etc) to lesser mortals in the 'Hub'.
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The Government is continuing to promote ONE message, and is shouting louder and louder to the public "Go to A/E if you want to see a doctor"
I agree wholeheartedly with some of your points, slightly less so with others. The biggest truth here is the drift towards over-investigation and over-treatment, not only in the hospitals but also in GP land. This is what is making the NHS unsustainable. The gold-dust resource that we are losing is that experienced clinician (more properly known as a risk manager) who knows when to do nothing, and who has lots of tricks up his sleeve to get the 'patient' to accept that.
Agent Hunt is looking for clever ways to encourage retention. I would suggest that removing the seniority bonus (which rewards not only experience but also partnership responsibilities) is not the best way to do it.
Great to have you back Peverley, and you're clearly back to full strength!
Capita should pay compensation to every single Dr affected by this shambles
Come on 'Steve'. Haven't you had the opportunity to 'reflect' upon your previous use of practice data and the effects of publishing it. Your reflection might remind you that it was a massive cock-up last time. Why are you determined to repeat your mistakes?
We're scientists aren't we? Could we stop talking about the 'winter crisis'. What we are describing is a prevalence of disease that has a cyclical pattern. Nothing odd about that. The 'crisis' is in the organisation and provision of services to manage that appropriately.
Continuity is not dead.
Some of us have clung on to the 'cornershop model' and as time goes on, we feel more and more vindicated in doing so.
There are only 3 GPs in my practice that a patient ever sees, only one nurse and 2 HCA's. We are familiar faces. We know our patients. Continuity is king. Long live continuity.
Working at scale is a solution to one problem, but generates more problems.
To rub salt in the wound will his pension be stopped?