I'm sorry, just to clarify the middle aged salaried Gp is myself!
Lol that is the most demented and delightful idea ever. I shall have to display your blog in our next in house meeting ....although I know it will be ignored..... No say for middle aged salaried GPs I'm afraid.
The statement is too general. If concerned then the cases should be looked at one by one to determine best management. It may be that her prescribing is justified. Create a local/practice protocol so that it is not just one Gp taking on the burden of such patients but a unified approach which will help all. Some Gps have more experience of treating chronic pain and are not scared of prescribing to help their patients.I can't understand why this article is about 'whistle blowing'. It ought to be about practice communications and clinical meetings.
The CCGs should have the right to employ services they think best for the area without putting up for tender. Unfortunately as I said above the GP divide has generated a workforce for private companies. hence the current situation. If all GPs were allowed partnerships the private companies would not have the strength they do now. Also some law perhaps created specifically for this situation so that services are not competed for unless the Gps locally are unable to provide it. (scrap the conflict of interest!)
@12:16 above Good points made. Also to Dr.Colvin's comment about salaried doctors not wanting partnership, that has been the excuse of partners since 2005. Unfortunately this has generated two big divides in general practice:partners and salaried/locum. There is a small group of newly quallified doctors who might prefer salaried posts at first. This dis-unity in general practice and the ongoing problem of 'conflict of interests' for CCGs means upcoming battles are unlikely to be won.
My view is that the GP profession has already been fragmented (divide and conquer) by the new GP contract and the resulting lucrative salaried GP contract in 2005. This (especially in London and outer London) had led to scarcity of partnership posts resulting now after 8 years in a large group of salaried gps by default. They are not recognised but constitue at least 3/4 of sessional or salaried Gps and perhaps 50% of the workforce. It is these Gps who will fill private companies posts and indirectly help the eventual disolution of independent general practice. Has anyone ever thought to equalise or do away with the division of salaried/partner?
One in five GPs already self-censoring what they record in patients' notes because of concerns about online access
First to Anonymous at 11:45 you certainly put the points across clearly and I fully agree. To Anonymous at 11:16 we are not in the US and are not (yet) a fully privatised health system. However to repeat, patients are not denied healthcare insurance or other insurance based on a GPs hunches. We get companies asking for this and the date they have actually been diagnosed with certainity is the date required for insurance purposes. We as Gps often write letters in support of patients espeically when insurance companies try and confuse their 'symptoms' with the date they attended or were diagnosed. Another important point is that we Gps are human and sometimes need to record what may be irrelevant or seem unnecessary to the patient to help us retrieve a train of thought next time we see them. It helps to save time in our 10 minute consultation. Recording notes for the benefit of anxious patients is of no use to us when we re access the notes and certainly of no use to our colleagues who may be seeing the patient next time. But then we aren't masters of our own profession are we? I say open the surgeries to 'help yourself buffet diagnosis and treatement'. Set up a giant screen with google, have patients walk in or better access the screen from homes and rather than just access notes, do the rest of the job as well......
Very true...more so even for Gps like myself who joined at a later age. Initially I was enthusiastic happy to be a generalist and looking forward to good teamwork and providing good patient care. 9 years later I realise my hard work was misconstrued as my selfish ambition and the promises of partnership always just outside my grasp were lip service. Now with a serious offer of partnership on the table I am hesitant and reluctant first and foremost because I realise I cannot identify with the current partners in charge. We have become a two or three tiered profession where going into partnership now feels like betraying one's own.
In response to Anonymous...I agree it seems in countries where you have to pay complaints are less But is it because of the wrong notion that anything for free is 'cheap' and not up to standard? Is it time we charged a fee? Anything even just one pound per consultation would make us worth something?
Fully agree! However to be fair 111 has only just started so it remains to be seen if it is effective.
Contrary to the description of a salaried Gp by Anonymous above I work far beyond the time I should take part in scripts paperwork home visits and yes answer calls and queries which the principal Gp can't take because he has no time. A lot of practices would fall apart without the salaried /locums dealing with everyday staff problems and patients.And yes did I forget to mention calling to cancel clnics last minute because someone else can see the patients After all that's all we locums know isn't it? Seeing to the sick?
Well said...it seems we have to do it ourselves. Form a new organisation to defend GPs. I thought having CCGs would be an opportunity to form such a group. The LMC are actually the only group standing by us now and could be given more power and standing....The GMC should be renamed the GPC (p for public) but as not all the public hate us perhaps renamed the GUPI (guilty until proven innocent) council
In answer to the above, most salaried/locum GPs I know including myself are so because of the lack of partnerships offered in the area. And not because of having no interest in the running of the surgery. After working for 8 years in my area I would very much like to be able to have a say and take part in local provision of services. Unfortunately the most some of us older experienced doctors can hope for is a salaried partnership in which we are not allowed access to the books or the running of the practice....So to Dr Vicky thank you for noticing us.