This site is intended for health professionals only

At the heart of general practice since 1960

pul jul aug2020 cover 80x101px
Read the latest issue online

Independents' Day

Just Gone Part Time

  • What is the future of the GP home visit?

    Just Gone Part Time's comment 23 Dec 2019 8:54pm

    So ... Poled up for the usual "can't get to the surgery " visit (its 400m away).
    Lady with poor vision is on the doorstep... all dressed nicely..
    Oh , sorry Dr , I thought you were my taxi to my hair appointment ...... please do come in , can I get you a cup of tea .
    Its not malfeasance , its just they don't get it !
    Its a hangover from a bygone era of the Dr and his "rounds"
    Remove home visits from the contract , and we suddenly have 4 hrs in our working day for appropriate work... go do the math

  • Sorry, I won’t go south at this time of day

    Just Gone Part Time's comment 24 May 2019 9:06am

    Or what about ..... A chess clock. Pts have 2 hrs preloaded annually. Click at start and end of consultation. Once time up - gotta re-register. Most will never get close , a select band will be 3 strikes and out !

  • GPs required to take pictures of lesions before skin cancer referrals

    Just Gone Part Time's comment 08 Apr 2019 5:45pm

    So , Leeds CCG , been doing this for about 1 yr now . CCG provide the dermatoscope , and ipod , the training is c 10mins long
    Its really easy to do. Clinical responsibility lies with the consultant - if they feel they can be sure its benign , then they inform the patient directly and the 30% of 2WW referrals in Leeds that were for Seb k's don't even need an appointment
    And yes , to those who might refuse , if I send it in "on the back of an envelope they will triage the patient to face to face within 2 weeks

    Really sorry , but I just don't see what is not to like. Not everything new in GP is rubbish , sometimes they are improvments

  • The white elephant in the room

    Just Gone Part Time's comment 12 May 2018 4:58pm

    Personally ... our practice has and no doubt will continue to have excellent colleagues from different ethnic backgrounds .
    If you had applied to our practice .... I suspect we would have been quite intimidated by x2 royal college memberships , with distinction, and extensive leadership roles.... coming in a a junior partner.
    You might not have been a "good fit" at our practice.
    I am not saying , at all , that racism is not rife in our country ,and sadly our profession , but sometimes there are other reasons for non-appointment, and to play the racism card might not be it.
    Just my 2 pennyworth ... you may or may not have been appointed out our practice (as we obviously have never met!) but I guarantee you , failure would not have been due to the color or your skin

  • Should all GP referrals be subject to peer review?

    Just Gone Part Time's comment 07 Oct 2017 5:29pm

    Of course soddin GP referrals have stopped going up , now that secondary care no longer send us "please refer on 2WW pathway for suspected angina" stuff

  • Health secretary wants LESs to take forward GP 'one-stop shop' plans

    Just Gone Part Time's comment 05 Jan 2017 9:48pm

    Same old Same old

    Luckily for me I am old enough to get out before it becomes really 5H1t...

    Feel really sorry for any fool mad enough to embark on this a career for the next 25 yrs like I did

  • Closing the gate before our role has bolted

    Just Gone Part Time's comment 05 Jan 2017 9:39pm

    I think Dr Copperfield has eruditely set out the current dilemma....
    In my view it is not quite that simple...
    Whilst agreeing wholeheartedly with the sentiment expressed , I would add that this is also exacerbated by the fact that within the 10 min consultation , when we could , in the past have easily dealt with examples 1,2 & 3 above without the need for referral anywhere else ....we are now also expected to deal with problems 2, 3 , & 4 that the patient has brought with them, as well as problems 5 ,6 , 7 & 8 that comprises the Qof , the Quip , meds management software, etc , AND problems 9,10 & 11 relating to issues from secondary care ... appointment not received / good enough , my CT scan result the hospital did please Dr , and "GP to chase results"
    Is it really any wonder the default option is "refer" .. .next problem please