GP principal - 25+ years
Extra resources provided to prioritise minor/trivial illness.
Should we be looking at the bigger picture?
Back in the dim and distant past we were taught that diabetes was a diagnosis for life but that it could be controlled by weight loss. Now I see that the disease can be 'reversed' or even driven into 'remission' by calorie control. What a wonderful scientific advance.
We now have the somewhat paradoxical situation where a diabetic who diets can achieve 'a non-diabetic state', whilst an ordinary bloke can be labelled with 'pre-diabetes'.
Give me the old days when doctors just treated diseases.
NICE must have some of the best-informed, most well-educated fools in the country on it's panel.
It seems Dr Deveson has the inside track on Brexit. I thought no-none had any idea what will actually happen. Seems I must be ignorant.
I've beaten you to it Dr D. Exactly the phrase I used in the survey!
At last. Some software to hell me identify illness. Don't know how I've managed without it for the last 30 years.
The NHSE 'definition' of an MCP could succinctly be put as:
'to do what a CCG should already be doing'
...or am I missing something?
Jezza's great at promising patients more and more. His job is actually to help us to deliver.
If you are at the tail end of your career the pension scheme starts to look pretty woeful. You might get taxed each year on your contributions, taxed on your lifetime allowance when you take pension, and taxed again on your pension itself.
I think that this new edict from NHSE gives us, the profession, the perfect opportunity to say at last 'No. We're not doing that. And you can't make us because it's complete hogwash. What are you going to do about it?'
I'll do the medicals. £150 each. I can give up the day job and never be short of work.
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.