I'm sure her heart is in the right place. Its just that she sees it from the part time 'dabble doctors' view point where continuity and vocation are no longer at the heart of the career. I personally find this trend sad
A brilliant article that gets right to the most critical issue we face. Heartily agree with everything you say. Patients often worry about trivia and giving it 10 mins attention is encouraging dependency. !0 mins are fine for my generation of GPs if there is a mix of long and short cases.
the real fun starts when a shared employee gets injured or sues for some wrong and who then carries all the employers responsibility. PCNs are a recipe for confusion and conflict. I wish we could opt out and say just get 50% of the funding. Individually we could really control what we do and spend it wisely.
I'm glad you got the all clear promptly- waiting is very soul destroying. In my own case my neck gland in feb was squamous cell cancer and I am now in the final third of very heavy radio chemotherapy with a chance of cure. i'm well looked after by gps and hospital staff.
however as a traditional GP my recurring worry is that young GPs are too protocol driven and slow as a result. the public bring us any amount of trivia and to cope we need to be confident enough to zip through this work. 10 mins is an eternity for a sore throat or simple viral illness. if we hive this stuff off to nocters we end up with surgeries full of demanding neurotics that exhaust us. that is the route to perdition. the family doctor if practicing in the traditional surgery should be able to provide continuity plus ready access. this is timeless general practice which for me has been by far the best job EVER and i have thoroughly enjoyed 35 years so far and hopefully more to go.
brain fart. thats a good term bob. will add it to the idiots lexicom
I suspect there will be a high signing up to collect the initial joining payments but it will then peter out. Our practice is VERY tight on space 16,000 oatients in 500m2 so no room for noctors etc. Fortunately we don;t as yet need them.....
as a 9er I thank you for that Shaba. I'm glad you flag up the issue of nocters creaming off the easier bits so making our lists even harder to bear. I believe this 'nocter' direction is wrong and in my surgery we avoid it and fortunately still find the work load bearable but we are a fast vanishing traditional practice.
I take my hat off to you guys keeping your patients safe despite pathetic support from the government. The Daily Mail should be ashamed of their GP bashing over the years and the public seem to be finally realising that they need us desperately. I still love the job and there is nothing else I would rather do but am totally fed up with PCNs appraisal and CQC all of which are wasting our time.
A major issue is where a GP has to cover a team of 'noctors' meaning the responsibility rises without pay or support. Who would volunteer to work like this when we are trained to simply do our coal face one on one type work. Those in the colleges who campaign to have GP 'consultants' or to make GP another 'speciality' are barking up the wrong tree destroying the job as it should be practised. This wrong direction of travel is being promoted by a lot of misguided colleagues.
the curious thing about infant colic is that it just stops one day with no change in diet or other explanation. I have always taken this to mean that the infant has got used to the tummy pains and now ignores it. A thorough search of the literature produced no cogent explanation for colic apart from normal gut pains due to peristalsis. When I started as a GP 30 years ago merbentyl syrop cured colic instantly. Then it had a rare side effects so was withdrawn. Our main task as a GP is to keep colic as colic and not let the hospital docs overdiagnose it......
Don't worry Copperfield. Its reckoned that you start as a GP with 90% clinical knowledge and 10% bedside manner. After 35 years drop that clinical base to say 30% and the other 70% is bedside charm which is what patients love and I am sure you have it in bucket loads despite your heroic attempts to prove the opposite!
they are probably hoping to outsource video consultations abroad where there are more doctors.
not sure patients will be impressed, though compared to 111,anyone with medical knowledge and common sense would be an improvement. has anyone else noticed how rarely patients actually use 111 unless truly desperate? it started with promise but patients are not happy to be 'guidelined'when they can get this themselves on line.
OOH cover is the canary in the coal mine.
In leafy sussex the service is dangerously thin. Why would anyone want to be the only GP on call surrounded by noctors seeing all the simple stuff while struggling with 8 hours worth of heavy duty cases. Plus being responsible for any errors on the shift. It will get much much worse.
how much more responsibility will they dump on us before we collapse completely?
We are not far off a domino run of closing practices where the senior partners decide enough interference is enough and retire.
Time we had a mass boycott of PCNs
To-morrow, and to-morrow, and to-morrow,
Creeps in this petty pace from day to day
To the last syllable of recorded time,
And all our yesterdays have lighted fools
The way to dusty death. Out, out, brief candle!
Life's but a walking shadow, a poor player
That struts and frets his hour upon the stage
And then is heard no more: it is a tale
Told by an idiot, full of sound and fury,
its happening everywhere. Who thought it was a good idea to force GP surgeries into big blocks? The history of General Practice in the UK shows that medium sized surgeries are the best unit for both patient and doctor satisfaction. This whole PCN idea is taking up huge amounts of valuable doctors time and with the current political uncertainty is it all going to be changed again in a year or so?:
Its more 'deck chairs on the titanic'.
I quite agree. We all need to defend traditional general practice which has evolved over 70 years and is efficient and works well for both patients and doctors. Getting in an army of noctors will turn us into GP 'specialists' with a very heavy surgery load and lots of responsibility with little to lighten the load.
I have seen the effect of this locally and the GPs following this route have had to cut their surgery sessions as they are so onerous.
I think thinning out some of the useless paper work would be far better for morale than adding further noctors.
15 minute appointments and a maximum of 60 patients a week! what planet are you living on...
that's like being a geriatrician and has nothing to do with traditional general practice.
sorry but no thanks.
I have been advocating short courses for the last 30 years and its gratifying to see the authorities finally catching up. the trick is to give 7 days and tell pt to stop as soon as they are better and keep the rest for the next episode. this saves a further appointment and patients love it.
any support for a mass boycott of this new deckchair arrangement....?