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Reflection

  • RCGP withdraws invitation for Julia Hartley-Brewer to speak at conference

    Reflection's comment 31 May 2019 2:41pm

    And these were the original comments I posted to Dr Woodall’s article

    You are rightly angry about the label that was attached to you but do you not think there is a problem when you attaching a label of fascism to someone, when fascism is something we associate with Hitler and Franco, people who actually murdered millions.

    Do you think your article exhibits a certain amount of hate for someone and have you never said anything that Julia has said that you would be embarrassed about? There is much more to every person than one thing they have said.

    Hope that you are not this judgemental and unforgiving with patients.

    I get hurt frequently. That is what free speech is about, not just hearing the nice things.

    Finally if I was the RCGP, I would would invite you to this years conference to do a presentation and then questions and answers.

  • RCGP withdraws invitation for Julia Hartley-Brewer to speak at conference

    Reflection's comment 31 May 2019 2:37pm

    The end of freedom of speech. This is no different to the no platforming that is going on at universities.
    How many of the 700 signatures actually researched Julia’s comments rather than responded to what they were told about them by Dr Woodall.
    Good science is about listening to all voices and all the evidence and being a good GP is about not being judgemental.
    How does this fit in with your acceptance of large sums of money from someone who already believed in homosexuality (I call it love) being a criminal offence.
    Is this concern about the loss of membership fees.
    And finally what do the vast majority of the members think rather than the 700.
    You could have invited the petitioner onto the platform - that would have been fairer.
    And did you ask Julia to respond to Dr Woodall’s comments.

  • Why I'll leave RCGP if Julia Hartley-Brewer speaks at conference

    Reflection's comment 21 May 2019 2:53pm

    You are rightly angry about the label that was attached to you but do you not think there is a problem when you attaching a label of fascism to someone, when fascism is something we associate with Hitler and Franco, people who actually murdered millions.

    Do you think your article exhibits a certain amount of hate for someone and have you never said anything that Julia has said that you would be embarrassed about? There is much more to every person than one thing they have said.

    Hope that you are not this judgemental and unforgiving with patients.

    I get hurt frequently. That is what free speech is about, not just hearing the nice things.

    Finally if I was the RCGP, I would would invite you to this years conference to do a presentation and then questions and answers.

  • NHS 'losing a grip' on cancer screening as rates hit 21-year low

    Reflection's comment 13 May 2019 2:23pm

    When there are local contracts in place with general practice that ensure a personal follow up by a person’s primary care team, screening and immunisation rates go up significantly. It would also help for schools to require certificates of immunisation before entrance. Please note that a certificate obtained from a health professional could be signed for a conscientious objector.

  • Matt Hancock’s vision for IT is the worst idea I’ve heard in a long time

    Reflection's comment 23 Jan 2019 12:43pm

    It would be helpful to have hardware that matches what we have in our home life. Seeing two screen would be helpful and a microphone, loudspeaker and camera, rather than the basic dell that we get supplied with.

  • NHS England's flagship GP time-saving scheme frees up '120,000 clinical hours'

    Reflection's comment 10 Oct 2018 11:11am

    I work in a practice of 13,000 patients and am often on call for the whole practice on Monday and Friday morning. It is unusual to have more than one visit for the whole practice and I do virtually no paper work, repeat prescriptions or complex multi drug reviews. We never believed there would be 5000 more GPs and in fact the national focus on this reduced focus on coming up with other solutions. There are three things that have changed my life in the last 5 years. 1) a prescribing pharmacist that does most of the paper work and repeat prescriptions, 2) a nurse practitioners that leads a monthly multi disciplinary team meeting that proactively manages the top 5% of the practice population that are very frail and terminally ill and 3) the ability for me to see instantly all the important hospital information and for hospital doctors to see my notes.
    There is clear evidence that you could reduce the work of GPs across the country by at least 50% with new models of care and skill-mix, the focus on 5000 GPs takes energy away from solving the problem in other ways.

  • NHS England denies direct involvement in Babylon's GP at Hand app

    Reflection's comment 29 Jun 2018 1:03pm

    20 years ago the system was changed so that GPs could not take a patient off their list, except in exceptional circumstances.
    Now we have a system that enables a practice to indirectly reject the majority of patients who have more than transactional needs.
    We now know that social determinants of health and continuity of care are critical but GP at Hand encourages a focus on the biomedical.
    We now have a practice, that to a great extent, ensures that to those who have, will have more.
    We have a great confusion between Babylon and GP at Hand, exacerbated by the company. Babylon and e consult and harry longmans systems brilliant and transformative to General practice and secondary care. On the other hand, GP at Hand indirectly discriminating against the vulnerable in society and reducing the support to patients to basic biomedical transactional medicine.
    Sad to see all those senior leaders attending the Babylon party not understanding the difference, the very leaders who have allowed primary care to fall and close across the country. Primary care is not perfect and needs transformation although On IT clinical systems the hospitals are way behind. If you lose the essence of service to small communities out of hospital, as you see in primary care, the cost both in holistic care, health outcomes and money will be immeasurable. The five year forward plan understood this. It expressed the importance of supporting patients to have and manage their care in the community and was as revolutionary as the 1948 Act. But then the Five Year Forward view has all but been abandoned by the very leaders who party with GP at hand.

  • NHS England denies direct involvement in Babylon's GP at Hand app

    Reflection's comment 29 Jun 2018 12:49pm

    Suggest you do FOI on when the leadership and directors of NHS have met Babylon in the last year and for notes of the meeting.

  • Oh Lord – why Darzi is missing the point

    Reflection's comment 21 Jun 2018 9:03pm

    Advisers to the Darzi review

    Lord David Prior (Deputy Chair of the Lord Darzi Review) – Chair, UCLH & former Parliamentary Under Secretary of State, Department for Business, Energy and Industrial Strategy
    • Sir John Bell – Regius Professor of Medicine, University of Oxford & former President, Academy of Medical Sciences
    • Dame Ruth Carnall – Managing Partner, Carnall Farrar & former Director, NHS London
    • Dr Clare Gerada – Managing Partner, the Hurley Group & former President, Royal College of GPs
    • Norman Lamb – MP for North Norfolk & Chair, Science and Technology Select Committee
    • Mark Lloyd – Chief Executive, Local Government Association
    • Joanne Roney – Chief Executive, Manchester City Council
    • Professor Geraldine Strathdee – Consultant Psychiatrist, Oxleas NHS Trust & former National Clinical Director for Mental Health
    • Dr Paul Williams - MP for Stockton South and practising GP

  • NHS England adviser in talks with HEE about five-year GP training

    Reflection's comment 20 Jun 2018 4:54pm

    The training is 5 years at the moment. I am not suggesting any lengthening of the time. My point is that 5 years should be based in general practice. We should train our GPs. This would also give enormous support to general practice that is struggling to recruit across the country while enabling junior doctors to have the option of living in one place and have the same trainer and team supporting them for 5 years. Many junior doctors, particularly those with family commitments, would value this choice. Best wishes, Sam

  • ‘600 practices will close’ without funding boost, warns BMA

    Reflection's comment 08 Jun 2018 11:07am

    We would all be very surprised if there is not an announcement of sustainable funding for the NHS on the anniversary in July of the founding of the health service. The question is how will this extra resource be spent? Do we invest in primary care and therefore intervention at an earlier stage of disease and in preventing people from getting ill in the beginning, or do we continue to focus resources on increasing hospital capacity. The five-year forward view in many ways held some of the inspirational visions developed by Bevan and Beverage. What is our 70 year view?

  • 'Deprived' practice to close as CCG fails to find APMS provider

    Reflection's comment 02 Feb 2018 12:44pm

    Not sure why it is not being offered to energetic innovative GPs as a PMS or GMS practice. There are GPs who would love an opportunity like this but the APMS process is almost impossible for them. Until we have a system that enables newly qualified GPs, full of energy and passion to take over these practices, we are missing an amazing opportunity. The test should not be can you spend week writing a perfect application form but do you have the skills and passion to run and lead a general practice team.

  • Wales extends £20k golden hello scheme for GP trainees

    Reflection's comment 17 Oct 2017 12:34pm

    According to the Royal College of Physicians report on physicians in the frontline: The medical workforce in wales in 2016 only 30% of Welsh medical school undergraduates were welsh domiciled compared with 85% in Northern Ireland, 80% in England and 55% in Scotland. This might suggest institutional bias against school pupils in Wales by their own medical schools or possibly be related to fewer private schools in Wales. You are more than 6 times more likely to get into medical school if you go to a private school. Either way, if the welsh government want to tackle recruitment and retention of GPs in Wales, the “golden hello” needs to be their insistence that recruitment of those domiciled in Wales matches the percentage of those in Northern Ireland and English.

  • MDU announces it is halving cost of GP subscriptions from next month

    Reflection's comment 12 Oct 2017 12:56pm

    So what have they been spending the other 50% on up to now that they can afford to cut subscription by this amount!

  • Government to introduce 'state-backed' indemnity scheme for GPs

    Reflection's comment 12 Oct 2017 9:35am

    Very welcome and hopefully will encourage and support a more diverse workforce in primary care, the more immediate solution to the lack of GPs.

  • Practices forced to offer £130k salaried jobs in bid to attract GPs

    Reflection's comment 19 Sep 2017 2:22pm

    Pay scales for consultants in England
    The tables below list the basic pay scales for consultants in England for 2017-18.

    The full details are available to download in the 2017-18 pay circular.



    Consultants on 2003 contract

    Threshold £ per annum 1 76,761 2 79,165 3 81,568
    4 83,972 5 (4-8 years completed as consultant) 86,369 6 (9-13 years completed as consultant) 92,078 7 (14-18 years completed as consultant) 97,787 8 (19 years completed as consultant) 103,490


    Consultants on pre 2003 contract

    Level Consultant £ per annum Basic 63,733 1 68,293 2 72,855 3 77,415 4 82,616


    Clinical excellence awards 2016

    Level Clinical excellence awards £ Level 1 3,016
    Level 2 6,032 Level 3 9,048 Level 4 12,064 Level 5 15,080 Level 6 18,096 Level 7 24,128 Level 8 30,160 Level 9 or Bronze 36,192 Level 10 or Silver 47,582 Level 11 or Gold 59,477 Level 12 or Platinum 77,320


    Notes

    Levels 10-12 are awarded nationally by the Advisory Committee of CEAs (ACCEA).

    Local level CEAs for levels 2 - 9 are multiples of the Level 1 award (x2, x3, x4, x5, x6, x8, x10 and x12).

    Details of discretionary points, distinction awards and intensity supplements will be available in the 2017-18 circular.

    Hospital doctors at the top of the scale get an unconsolidated 1% which is also included in the pay circular.



    Doctors appointed before 2003 who are on new contracts

    This is available in the pay circular 2017-18, annex C table 1.

    1131

  • DH to launch crackdown on prescribing errors

    Reflection's comment 06 Sep 2017 10:24am

    Jeremy Hunt is not perfect but has been and is a champion for patient safety, something we should all be champions for. Question to OBI - if Jeremy Hunt is top of the list of the cause of the problem, what is your ranking on that list?

  • DH to launch crackdown on prescribing errors

    Reflection's comment 06 Sep 2017 10:17am

    "Reduction of unnecessary prescribing" .... which is why all GPs should have the option of social prescribing. Not just an issue of ensuring engagement with patients in what matters to them, but clearly a patient safety issue.

  • Hospital doctors to be given easier path to join general practice

    Reflection's comment 22 Aug 2017 8:50am

    ...which is exactly why newly qualified doctors should have the option to go straight into general practice and train there for 5 years........parity with specialist training the vast majority of who do no training in general practice.

  • CQC threatens criminal prosecution of practices who fail to register a manager

    Reflection's comment 09 Aug 2017 7:11pm

    Shoplifting and assault £1000 fine, failure to complete CQC paper work on time £4000 fine, criminal record and referral to GMC.

    Failure of CQC to complete paper work on time, nothing.