Man the lifeboats
Just send them to the local comprehensive - they won’t get in from there
It will be difficult to beat the prize dump of an ambulance crew turning up to bring me a patient to check over in the middle of a surgery!
They wanted me to drop everything and go to the car park into the ambulance to check the patient so they could eject him into our waiting room
I used the tried ant tested old passive resistance of carrying on the surgery and ignoring them until they got bored and drove off to A and E
Now we have total responsibility for patients in death as well as life !
Good to know NHS England cares -I think they have forgotten we are human beings too - if I am dead or dying my responsibility is to my family first thanks !
It should be coalface partners saying what will keep them in place and salaries saying what will tempt them to take on partnership.
I think there is some strong bargaining power to be used.
After all someone needs to carry the can !
Doctors will either quit or keel over - you might know what you signed up for but you didn't know at the age of 18 the impact of 30 years of constant stress on your body In permanent state of adrenaline overload .
Stopped working 1 year ago diagnosed with hypertension - blood pressure was up to 180/105 ....a year later 106/74 - no medication.
Jeremy you are a genius - how clever to pretend you are indignant about this case when you have been tightening the screw for the last few years.
You can smell the fear and panic... oh dear maybe we need doctors after all duh !
yep - the fact that I have been told I need 50 hours cpd even though I have now reduced hours to look after relative has made me decide to surrender my license this year .
It’s a shame as I could have carried on a few more years and practices are desperate - seems bonkers - why do we need annual mandatory appraisals after 30 years of medicine ?- we are not allowed a fallow year in case we forget 30 years of experience in 12 months!
Hmm I wonder if these GP partners are on the property lease -I would bet my last penny the trusts won't be taking over those .
I'll be gone by Feb
Leaving early too
things that would have stopped me
- limit to patients seen with overflow hubs
-reduce enhanced hoops and add to basic practice income
-Run a separate service to cover nursing homes
- dedicated community visiting service - these patients have different needs and need proper continuity by a community team
-Appraisal 3 yearly like nurses
- remove vindictive online trip advisor type ratings
and so on
I really hope the BMA and RCGP do something because I feel they are just as culpable for this sorry state we are in
The simple solution is that all early visit requests ( most come in after ten) can be done by suitably qualified paramedics and cut out the gp who is causing the problem !
Obviously we are just sitting on our backsides twiddling our thumbs waiting for these visit requests then ambling over after a few hours to asses them.
If you don't like how we work do it yourselves !
I never used to worry about the GMC but after a mild brush - i was terrified - the trivial complaint by a patient - (who kindly emailed them to say she didn't want to complain about me I was only on the release of records form) suddenly this snowballed into an investigation into all aspects of my clinical care .
This type of investigation although closed after 6 months can be deeply traumatising and can happen to anyone no matter how careful and safe you try and be.
I certainly wasn't prepared to go through anything like it again and I fear there are many other similar stories -
I cancelled my BMA membership - fat load of use they are
The Gmc is not concerned with regulation or safety . The tiniest complaint with no substance is blown into a full 6 month investigation worthy of hercule poirot - during this time a demoralised doctor throws the towel in . At this point the investigation is terminated after finding out.... quelle surprise it was a load of vindictive hogwash.
Bullying , Kafka inspired organisation hounding us all out .
It makes you want to weep .
When trainees see the avalanche of GPs scrambling to get out they know the job is a stinker! They need to retain the GPs in post to make the job attractive - throwing money at it in a shockingly desperate -" please anyone ??" attempt to attract new recruits makes it look even more crap !
Until there is a daily cap on workload the job is unsustainable and unsafe.
We have been screaming this ,but no one is listening - because we have carried on out of sense of duty.
We don't have time to be safe then we are persecuted for making a mistake - the vicious circle of General Practice.
This shows support for a short term salaried or locum model to prevent total collapse. There is no commitment to make GP partnership sustainable which would provide the value for money and quality in the service. Pressure will just continue to pile on individual practices.
Why can't they just make the changes now to stop early retirement and general partner exodus.
Unfortunately we are rapidly moving to a market driven two tier private system with all the terrible inequalities that brings .
It's pretty terrifying to anyone who won't be able to cough up.
There is probably a manager to manage the managers and they will have meetings about meetings!
Seriously what a farce !
The reason behind this is its well known to be easier to achieve 3 A s when there are only 5-10 people in your study group - plus the cost of tutoring private school children are more likely to afford.
Also people from private school can afford to take a year or two out of work and have connections to easily change career so they are dropping out because they can afford to.
The background of medical students should be more reflective of the community they work in .
The main advice I would give is take on what you are comfortable with .
Partnership does give more control and flexibility but can carry financial risk and burden of management.
People should do what they are comfortable with ,but don't stretch your personal finances or you will feel trapped and that is when the dreaded burnout strikes.
General Practice is not a high earning career so if money is honey to you chose something else.
People will only jump through the multiple hoops if the rewards are worth it - there used to be job satisfaction and rewards - anyone with an ounce of intelligence is going to steer well clear.
Impossible job/ high risk stress/ physical and mental health problems
Low rewards financial and job satisfaction
High risk of complaints leading to public humiliation posted on the Internet / Gmc hearings / risk of manslaughter
Risk of bankruptcy if u are a partner
It was never like this how sad
It's gone to far now we are at tipping point - don't get trapped