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GPs go forth

Prashant Patel

  • GMC relationship with doctors ‘severely damaged’ following Bawa-Garba case

    Prashant Patel's comment 07 Jun 2019 9:11am

    If a banker destroys the global economy they get a government bailout.

    If a patient's life is destroyed an NHS employees life is destroyed.

  • Nearly 40% of Scottish GPs say they 'cannot cope' at least once a week

    Prashant Patel's comment 07 Jun 2019 7:16am

    Medical school is on the verge of becoming a slave market in the UK

  • Coroner criticises GPs for not following NICE guidance after suicide of patient

    Prashant Patel's comment 05 Jun 2019 5:32pm

    "If a coroner cannot understand that a 'guideline' is exactly that then surely he/she is not fit to practice themselves?"

    If the GMC cannot understand that Dr BG had no reason to be convicted or have her licence revoked then surely they are not fit to practice themselves?

    The NHS is an utter joke of leaders who think the customer is always right.

  • Coroner criticises GPs for not following NICE guidance after suicide of patient

    Prashant Patel's comment 05 Jun 2019 9:16am

    I'm a psychiatry trainee and can tell you for a fact people started on anti-depressants are definitely not followed up within one week.

    So please Ms Coroner person you are welcome to take the entire mental health services of the UK to court

  • Patients directed to 111 or 999 as 13,000-patient practice cancels all appointments

    Prashant Patel's comment 04 Jun 2019 9:54pm

    "1. CQC inspections too demanding in the context of funding cuts.

    2. Annual appraisals sold as a chat over tea and now extremely onerous and time-consuming endless unpaid paperwork with unpredictable appraisers from overly OCD to supportive if you are lucky.

    3. 5 yearly career ending revalidation, multiple the bureaucracy of appraisals by 5. As in 5 times complete audit cycles, 5 times multiple source feedbacks, 5 times patient surveys, clinical cases, CPD etc. When do GPs have time to see patients?

    4. Lack of GP workforce means no holidays, working overtime, no locums, burnout.

    5. CCGs now delegating what used to be outpatient clinical care onto GP’s laps so many feel out of their clinical expertise and fearful of the GMC if they make a mistake with treating a patient who should be under hospital consultant care but this is now called community care.

    6. 10 minute appointments when in Europe and abroad GPS get 20+ minutes to safely treat a patient. Interruptions and phone consults added in between 10 minute slots or added at the end of an exhaustive list,

    7. Seeing colleagues enjoy the best of both worlds emigrating to Canada or Australia to work safely as a GP.

    8. Pressure from CCGs to reduce hospital referrals, to cut expenditure on prescriptions, to deliver safe care without a minimum practice income guarantee, having to fire staff to make ends meet and watching single mums in tears as they lose their jobs working for practices.

    9. Fear of a GMC referral as investigations may take up to a year during which time the GP may be treated as guilty until proven innocent and God forbid the DM gets ahold of any investigation and publicly shamed a GP before he has had his right to a fair trial.

    10. Students are reconsidering whether medicine is a viable profession when other professions pay double, with free weekends and evenings to enjoy a life and are able to repay student loans. Training is so many years to be a GP. They ask is it worth it?

    11. When you know a GP colleague who has ended his or her life, you start to question whether it is time to retire early, emigrate or change paths.

    12. When you are fearful and anxious, as you may be referred to the gmc for a domestic squabble, raising a voice to a train conductor, drink driving, depression, a jealous colleague, an angry patient who does not get what he or she demands, and think if I were in any other job, I would not be treated like a criminal.

    13. When you decide you need to put yourself and your family’s well being first above the needs of overworking as a GP to an early grave."

    A company founded on the principle of goodwill/charity from its workforce refuses to compensate hard work....

    Unfortunately until people stop seeing medicine as some sort of calling from the heavens above (the sort Noah had) the NHS will continue to take advantage of hard working employees expecting them to bend down further and take it deeper instead of questioning why their hard work isn't being compensated.

  • The full story on how practices are closing in record numbers

    Prashant Patel's comment 04 Jun 2019 9:53pm

    "1. CQC inspections too demanding in the context of funding cuts.

    2. Annual appraisals sold as a chat over tea and now extremely onerous and time-consuming endless unpaid paperwork with unpredictable appraisers from overly OCD to supportive if you are lucky.

    3. 5 yearly career ending revalidation, multiple the bureaucracy of appraisals by 5. As in 5 times complete audit cycles, 5 times multiple source feedbacks, 5 times patient surveys, clinical cases, CPD etc. When do GPs have time to see patients?

    4. Lack of GP workforce means no holidays, working overtime, no locums, burnout.

    5. CCGs now delegating what used to be outpatient clinical care onto GP’s laps so many feel out of their clinical expertise and fearful of the GMC if they make a mistake with treating a patient who should be under hospital consultant care but this is now called community care.

    6. 10 minute appointments when in Europe and abroad GPS get 20+ minutes to safely treat a patient. Interruptions and phone consults added in between 10 minute slots or added at the end of an exhaustive list,

    7. Seeing colleagues enjoy the best of both worlds emigrating to Canada or Australia to work safely as a GP.

    8. Pressure from CCGs to reduce hospital referrals, to cut expenditure on prescriptions, to deliver safe care without a minimum practice income guarantee, having to fire staff to make ends meet and watching single mums in tears as they lose their jobs working for practices.

    9. Fear of a GMC referral as investigations may take up to a year during which time the GP may be treated as guilty until proven innocent and God forbid the DM gets ahold of any investigation and publicly shamed a GP before he has had his right to a fair trial.

    10. Students are reconsidering whether medicine is a viable profession when other professions pay double, with free weekends and evenings to enjoy a life and are able to repay student loans. Training is so many years to be a GP. They ask is it worth it?

    11. When you know a GP colleague who has ended his or her life, you start to question whether it is time to retire early, emigrate or change paths.

    12. When you are fearful and anxious, as you may be referred to the gmc for a domestic squabble, raising a voice to a train conductor, drink driving, depression, a jealous colleague, an angry patient who does not get what he or she demands, and think if I were in any other job, I would not be treated like a criminal.

    13. When you decide you need to put yourself and your family’s well being first above the needs of overworking as a GP to an early grave."

    A company founded on the principle of goodwill/charity from its workforce refuses to compensate hard work....

    Unfortunately until people stop seeing medicine as some sort of calling from the heavens above (the sort Noah had) the NHS will continue to take advantage of hard working employees expecting them to bend down further and take it deeper instead of questioning why their hard work isn't being compensated.

  • Closures are a grim reminder of the state of general practice

    Prashant Patel's comment 04 Jun 2019 9:53pm

    "1. CQC inspections too demanding in the context of funding cuts.

    2. Annual appraisals sold as a chat over tea and now extremely onerous and time-consuming endless unpaid paperwork with unpredictable appraisers from overly OCD to supportive if you are lucky.

    3. 5 yearly career ending revalidation, multiple the bureaucracy of appraisals by 5. As in 5 times complete audit cycles, 5 times multiple source feedbacks, 5 times patient surveys, clinical cases, CPD etc. When do GPs have time to see patients?

    4. Lack of GP workforce means no holidays, working overtime, no locums, burnout.

    5. CCGs now delegating what used to be outpatient clinical care onto GP’s laps so many feel out of their clinical expertise and fearful of the GMC if they make a mistake with treating a patient who should be under hospital consultant care but this is now called community care.

    6. 10 minute appointments when in Europe and abroad GPS get 20+ minutes to safely treat a patient. Interruptions and phone consults added in between 10 minute slots or added at the end of an exhaustive list,

    7. Seeing colleagues enjoy the best of both worlds emigrating to Canada or Australia to work safely as a GP.

    8. Pressure from CCGs to reduce hospital referrals, to cut expenditure on prescriptions, to deliver safe care without a minimum practice income guarantee, having to fire staff to make ends meet and watching single mums in tears as they lose their jobs working for practices.

    9. Fear of a GMC referral as investigations may take up to a year during which time the GP may be treated as guilty until proven innocent and God forbid the DM gets ahold of any investigation and publicly shamed a GP before he has had his right to a fair trial.

    10. Students are reconsidering whether medicine is a viable profession when other professions pay double, with free weekends and evenings to enjoy a life and are able to repay student loans. Training is so many years to be a GP. They ask is it worth it?

    11. When you know a GP colleague who has ended his or her life, you start to question whether it is time to retire early, emigrate or change paths.

    12. When you are fearful and anxious, as you may be referred to the gmc for a domestic squabble, raising a voice to a train conductor, drink driving, depression, a jealous colleague, an angry patient who does not get what he or she demands, and think if I were in any other job, I would not be treated like a criminal.

    13. When you decide you need to put yourself and your family’s well being first above the needs of overworking as a GP to an early grave."

    A company founded on the principle of goodwill/charity from its workforce refuses to compensate hard work....

    Unfortunately until people stop seeing medicine as some sort of calling from the heavens above (the sort Noah had) the NHS will continue to take advantage of hard working employees expecting them to bend down further and take it deeper instead of questioning why their hard work isn't being compensated.

  • Is the GMC serious about mending relations with doctors?

    Prashant Patel's comment 04 Jun 2019 9:52pm

    "1. CQC inspections too demanding in the context of funding cuts.

    2. Annual appraisals sold as a chat over tea and now extremely onerous and time-consuming endless unpaid paperwork with unpredictable appraisers from overly OCD to supportive if you are lucky.

    3. 5 yearly career ending revalidation, multiple the bureaucracy of appraisals by 5. As in 5 times complete audit cycles, 5 times multiple source feedbacks, 5 times patient surveys, clinical cases, CPD etc. When do GPs have time to see patients?

    4. Lack of GP workforce means no holidays, working overtime, no locums, burnout.

    5. CCGs now delegating what used to be outpatient clinical care onto GP’s laps so many feel out of their clinical expertise and fearful of the GMC if they make a mistake with treating a patient who should be under hospital consultant care but this is now called community care.

    6. 10 minute appointments when in Europe and abroad GPS get 20+ minutes to safely treat a patient. Interruptions and phone consults added in between 10 minute slots or added at the end of an exhaustive list,

    7. Seeing colleagues enjoy the best of both worlds emigrating to Canada or Australia to work safely as a GP.

    8. Pressure from CCGs to reduce hospital referrals, to cut expenditure on prescriptions, to deliver safe care without a minimum practice income guarantee, having to fire staff to make ends meet and watching single mums in tears as they lose their jobs working for practices.

    9. Fear of a GMC referral as investigations may take up to a year during which time the GP may be treated as guilty until proven innocent and God forbid the DM gets ahold of any investigation and publicly shamed a GP before he has had his right to a fair trial.

    10. Students are reconsidering whether medicine is a viable profession when other professions pay double, with free weekends and evenings to enjoy a life and are able to repay student loans. Training is so many years to be a GP. They ask is it worth it?

    11. When you know a GP colleague who has ended his or her life, you start to question whether it is time to retire early, emigrate or change paths.

    12. When you are fearful and anxious, as you may be referred to the gmc for a domestic squabble, raising a voice to a train conductor, drink driving, depression, a jealous colleague, an angry patient who does not get what he or she demands, and think if I were in any other job, I would not be treated like a criminal.

    13. When you decide you need to put yourself and your family’s well being first above the needs of overworking as a GP to an early grave."

    A company founded on the principle of goodwill/charity from its workforce refuses to compensate hard work....

    Unfortunately until people stop seeing medicine as some sort of calling from the heavens above (the sort Noah had) the NHS will continue to take advantage of hard working employees expecting them to bend down further and take it deeper instead of questioning why their hard work isn't being compensated.

  • Halving pension contributions 'not enough' to avoid tax charges

    Prashant Patel's comment 04 Jun 2019 9:51pm

    "1. CQC inspections too demanding in the context of funding cuts.

    2. Annual appraisals sold as a chat over tea and now extremely onerous and time-consuming endless unpaid paperwork with unpredictable appraisers from overly OCD to supportive if you are lucky.

    3. 5 yearly career ending revalidation, multiple the bureaucracy of appraisals by 5. As in 5 times complete audit cycles, 5 times multiple source feedbacks, 5 times patient surveys, clinical cases, CPD etc. When do GPs have time to see patients?

    4. Lack of GP workforce means no holidays, working overtime, no locums, burnout.

    5. CCGs now delegating what used to be outpatient clinical care onto GP’s laps so many feel out of their clinical expertise and fearful of the GMC if they make a mistake with treating a patient who should be under hospital consultant care but this is now called community care.

    6. 10 minute appointments when in Europe and abroad GPS get 20+ minutes to safely treat a patient. Interruptions and phone consults added in between 10 minute slots or added at the end of an exhaustive list,

    7. Seeing colleagues enjoy the best of both worlds emigrating to Canada or Australia to work safely as a GP.

    8. Pressure from CCGs to reduce hospital referrals, to cut expenditure on prescriptions, to deliver safe care without a minimum practice income guarantee, having to fire staff to make ends meet and watching single mums in tears as they lose their jobs working for practices.

    9. Fear of a GMC referral as investigations may take up to a year during which time the GP may be treated as guilty until proven innocent and God forbid the DM gets ahold of any investigation and publicly shamed a GP before he has had his right to a fair trial.

    10. Students are reconsidering whether medicine is a viable profession when other professions pay double, with free weekends and evenings to enjoy a life and are able to repay student loans. Training is so many years to be a GP. They ask is it worth it?

    11. When you know a GP colleague who has ended his or her life, you start to question whether it is time to retire early, emigrate or change paths.

    12. When you are fearful and anxious, as you may be referred to the gmc for a domestic squabble, raising a voice to a train conductor, drink driving, depression, a jealous colleague, an angry patient who does not get what he or she demands, and think if I were in any other job, I would not be treated like a criminal.

    13. When you decide you need to put yourself and your family’s well being first above the needs of overworking as a GP to an early grave."

    A company founded on the principle of goodwill/charity from its workforce refuses to compensate hard work....

    Unfortunately until people stop seeing medicine as some sort of calling from the heavens above (the sort Noah had) the NHS will continue to take advantage of hard working employees expecting them to bend down further and take it deeper instead of questioning why their hard work isn't being compensated.

  • GP pensions to be 'more flexible' to improve retention

    Prashant Patel's comment 04 Jun 2019 9:05pm

    A company founded on the principle of goodwill/charity from its workforce refuses to compensate hard work....

    Unfortunately until people stop seeing medicine as some sort of calling from the heavens above (the sort Noah had) the NHS will continue to take advantage of hard working employees expecting them to bend down further and take it deeper instead of questioning why their hard work isn't being compensated.

  • 15-minute appointments are the ‘future of general practice’, says RCGP

    Prashant Patel's comment 22 May 2019 11:36am

    Dear RCGP,

    15 minute appointments are not the future but the present day for many developed countries.

    Please join the 21st century.

    Yours sincerely,

    The United Kingdom

  • 5% of doctors are alcohol dependent, research says

    Prashant Patel's comment 16 May 2019 8:53pm

    Yeah but the staff of Pulse are supporting doctors for free and have yielded tangible results.

    Contrasted to the BMA who request payment

  • Trainee GP takes on clinical director role within primary care network

    Prashant Patel's comment 16 May 2019 9:45am

    Oh dear

  • Prime Minister hopes to recruit 5,000 extra GPs 'as soon as possible'

    Prashant Patel's comment 16 May 2019 7:31am

    The fate of Middle Earth (General Practice) rests on hope

  • GPs more likely to work 10-hour shifts at larger practices

    Prashant Patel's comment 09 May 2019 2:21pm

    Unfortunately Tony Canada can afford to, it's GDP per capita is $51,546 whilst the UK's $45,565

  • The dreaded words: 'Mum, I want to be a doctor'

    Prashant Patel's comment 02 May 2019 10:55am

    "Frankly shocking and irresponsible"....Hmm you do realise employees of any other company do the same and have been doing the same for decades. They move to wherever is best for them.

    Why should NHS employees be any different just because they are doctors...or nurses...or physios...? They are only protecting themselves from the emotional hardship others not as lucky as themselves have fallen victim to by way of suicide.

    The degree gives them the ability to practice medicine, it is not a chain and ball to keep them in this country.

    If that is your aim then HMG should make all medical students work a 10 year contract forcing them by law to practice in this country. The only problem with that is no one will apply to medical school then.

  • GPs will be required to collect annual patient feedback under GMC plans

    Prashant Patel's comment 01 May 2019 2:48pm

    The GMC have no clue how to improve things for either doctors or patients but need to be seen to be actively doing things.

    This is an example of that

  • The dreaded words: 'Mum, I want to be a doctor'

    Prashant Patel's comment 30 Apr 2019 1:25pm

    If he does decide to go to medical school you must support him by helping him research training posts outside of the UK whilst he is at university.

    Most do not leave the UK until after F2 but you can actually leave after F1 once gaining full registration.

  • GPs will be required to collect annual patient feedback under GMC plans

    Prashant Patel's comment 30 Apr 2019 11:39am

    Sweet lord in heaven leaving GP training was a good life choice

  • The dreaded words: 'Mum, I want to be a doctor'

    Prashant Patel's comment 29 Apr 2019 4:27pm

    This comment has been deleted