d in vadar, you should be our leader. Great stuff! fighting talk!
I referred a 65 year old lady with epigastric pain anorexia and weight loss and she had the STT response of a normal gastroscopy and discharge. a week later she went yellow and saw a colleague who sent her back and now she blames me for missing her pancreatic tumour. This is exactly the result predicted by the honourable copperfield.
I have read through the 5 specifications with a sinking heart. more paper work more MDTs and more data gathering which will only marginally help patients. Meantime we are struggling to provide just the basics. Are they deliberately trying to demoralise us?
this could happen to any one of us. Poor chap what a dreadful miscarriage of justice and prison for heavens sake. What is wrong with this country? No wonder no one can be found to do this job full time any more. Ultimately it will be the patients that suffer when then cannot get an appointment to see the GP because they have been driven away by the petty and vindictive authorities who work on a guilty until proven innocent agenda. Words fail me....
if you want professionals don't protocolise them.
the government created CQC and revalidation and all the various mandatory training and now its driving precious GPs abroad.
They need to lighten the regulatory load while some of us are still here.
I am full time and feel like a survivor of a bygone era...
APMS paid double the going rate. What a rip off and shows the private sector are less efficient than standard GPs. We give the best value service and those in government need to wake up and appreciate this and call off the aggro from CQC and appraisal and all the other nonsense ideas like 12/7 hubs and PCNs
get rid of it PLEASE. Locally OOH are struggling to fill their slots and this means a lot more patients are going straight to A&E at the weekend. It is spreading the available workforce too thin and all this just to fulfil a stupid promise from that wrecker Cameron.
semiretired - now that sounds like a good plan.
common sense makes a bit of a comeback. lets have more of it please.
Come on Pulse do your work and give us the required details to make any sense of this. What were the doses involved and what other drugs were being used.
his promises are barely worth reading. There needs to be an honest acknowledgement that one of our main problems now is the disappearance of full time vocational GPs. When practices want to replace a retiring partner all the applicants want part time or salaried work. You cannot run a practice without committed full time partners. End of.
having personal lists helps with this problem. Most of our patients are very cooperative and rarely ask for a home visit but then we are rather traditional with full time partners and no noctors. Our CCG has organised some visits by paramedics but I was rather shocked to learn that they average 6 visits in a 12 hour shift.
diconal, now there's a drug from the past. We used to call it the 'little pink darling' and patients with renal and biliary colic would have a few for emergencies. never had any addicts asking for it. It is one of those tablets where a drug company ramped up the price from a few pounds for 50 to many hundreds of pounds. Stopped using it then.
we front line clinicians need to fight back against the ever increasing paper workload. How about we start by all refusing to do the mandatory training? Even if only 10% of us do this they cannot possibly stop us working....
I see problems of spoilt children on a daily basis and have been involved in possible child safeguarding maybe once a decade.
All this mandatory training is manifestly NOT addressing the real need. It is a demoralising waste of time.
mid sized practices have evolved to be the most efficient and friendly. Why are we being forced into larger PCN groups which act as a time consuming distraction when all the effort and funding needs to go directly into the practices themselves?
The lack of new full timers is also a major adverse influence. you cannot run a practice easily with part timers. When will this truth be acknowledged ?
we have a new 2,700 house estate being built near our practice which is already bursting with 16,000 patients. this will add another 9000. How on earth are we supposed to cope with this and a tiny building designed to house 9000 patients originally. What other agencies are going to sort this out if we work with them.
What utter nonsense from the CQC...
our local private hospital (Gatwick Spire) has a 4 page proforma letter with the diagnosis or operation as a single line in the middle of page 3. repeated efforts to get them to make this safe have yielded no progress.
Where has common sense gone?
could pulse provide more details such as which system failed? This is poor journalism.