Joke of an appointment- same old small minded bunch of “meeting attenders” avoiding anything other than bare bones of clinical work.... congratulating each other.....
Contract was a joke- networks are a pointless nightmare and general practice is devastated! Why not get someone with real backbone who knows what they’re doing?! This is a tokenistic appt- she’ll do nothing but try and make a name for herself- doing nothing!
Ivan Bennett- though what u add is correct- “ health” doesn’t address this.... see Black report etc...... social changes do!!!!
Hence public health and health prevention- critical as it is..... should be separate from health care.....
Increased health input doesn’t reverse obesity, smoking, drinking etc etc - social changes do
Exercise in school etc etc.....
It’s a key point ; health care influences about 10% of population health
We have enough to do caring for sick people- public health and social changes should be preventing them getting to us....... that’s whats overloading GP currently- confusing all singing all dancing roles- emergency care, routine care, health promotion, It confusing for patients and impossible for doctors......
How about they pay us for the 3000 of our 17,000 patients that are not even counted or remunerated - we cover them for free- thanks to Carr Hill formula impact?!
Agree with above ..... pathetic response from college and very sorry state of affairs ......
Intolerant “ liberal left” reign!
Is shit regardless of deprives or not deprived..... we’re a very mixed population across 2 sites and consultation rates generally are sky rocketing regardless of patient numbers. Forgetting deprivation; Carr Hill means we are not paid AT ALL for more than 3000 of our not so deprived patients -( true vs weighted list size is shocking!) but they damn well present enough with complex medical problems and have to be cared for -so both ends of the situation are grim!
Beautifully written- days it all! Should be in national press!!
What codswollop - how can you talk about fairness or balance in the system ? It’s not capitalism that stokes the demand on the system- but socialism
and it’s not a cash limited system- it eats huge amounts of cash- it’s just used stupidly ;as per other examples above- chris grayling etc- politicians cant run jack shit!
It has run on doctors goodwill for years and when that was thrown in our faces, we voted with our feet and mass exodus follows.
Black report clearly showed increasing health input in deprived areas did not change outcomes. wider system changes needed and individual responsibility / accountability
- where’s Dr V Ho when u need him?
People abuse the system and expect everything from it with no respect. it can’t be all things to all people- urgent care, as needed access for anything and health promotion/ prevention.doing job of failing / overloaded secondary care clinics. It has run on good Will for too long.
there needs to be a clear acknowledgment we cannot go on funding things people WANT but don’t NEED - it was supposed to be free at the point of NEED! There is just no way of saying NO enough is enough.
3 partners leaving in July as they are literally paying to work thanks to pension tax and falling profits etc..... and the tax penalty is already crazy.
increase access and you increase demand.... it’s endless and corresponds to a total loss of personal control
and I clearly remember Labour started the decline.... PFIs and the like, appointment meddling- .they’re no better than current crap.
there should be no political meddling for short term gain in the nhs!
After 26 years I’m out as soon as I can plan an exit strategy
am drained and have nothing left to give.
Or inappropriate bookings- eg appt with doctor for stitch removal or 10 minute appt booked expecting coil fitting?!
N Grundy- we fund 30% of the additional staff- “to start” - will prob increase!
NHSE funding streams that used to go direct to practices will go to networks!
And have u seen the 7 statutory requirements for networks- ?? That’s just for starters- it’s the same old hoop jumping for money that used to be ours!
there is no free money!
CCGs openly admit this money is coming from our own other pots! We lose out of hours money - which is put into networks- instead of practices. it’s not free money- the additional access funds will go in there too- to work towards us covering it all! admission avoidance schemes, care home schemes etc..... all piling on us/. and it will grow!
2 of our partners have resigned after getting advice on the implications of this contract - this is not positive - but their spin has clearly worked!
Plus the worry is the more they pull in “cheaper than doctor” alternatives- the more heavy stuff piles on us!
There is nothing addressing the workload, stress and pressure - and the more I read- the more worried I am - whatever they give us with one hand is taken away in another guise!
I’ll have her e mail please!
Where’s this bit about “ Banning GPs from doing private work on their premises” come from ?!
Who is that helping?
“ you have to choose”- ok I’ve chosen- bye! Bot sticking with falling nhs funds and spiralling work
Was doing 5% private work but helped fund nhs..... worked well for small no. Of out of area patients wanting to be
seen ....... how dare they say we can’t do this?! All consultants do! It’s in our own time and a separate patient set?! She’s clearly not a jobbing GP so peddling this rubbish...... hastening the exodus.
I agree with Dr Ho!
Such desperate dilution and dumbing down of all nhs services- there are several hospitals I fo t bother refers g to as clinics consist of physio or nurse assessment..... then telephone follow up?!! No disrespect to these practitioners but you’re not eg an orthopaedic surgeon and it’s their opinion I referred for?!
why does the nhs just admit it can’t provide every service in preference to putting out shit ones and pretending it’s all ok?!
Then maybe people get the wake up call.....there’s no limitless supply?!
This contract is a kick in the teeth- nothing positive in it snd let concerns addressed. Undervaluing our work and getting cheap replacements.......fed up of being psychiatrist, gynaecologist and social worker in one as more and more dumped on us.
14 hour days, relentless demand and no gratitude- just constantly vulnerable to complaints send dissatisfaction...,,
Oh my god I have said exactly this in an essay for old style TTT- we are told to reflect and be resilient- all Rick biz rubbish as long as the onslaught of 10 minute appointment with concurrent overflow of all hospital cut backs ( most of my clinics are psychiatric level mental health but in 10 minutes to manage an securely disturbed teen and their family- no psych would tolerate that-) and council cut backs ( drug, alcohol, sexual health) fall on us!!
It’s like warfare!!!! PTSD
We also sift through 1000 results endless calls and 1 item not followed through speedily enough and the complaints follow- ignoring the hundreds of people who’s lives you’ve changed for the better that day....
Risk averse nhs scan says fibroids but mri to exclude malignancy ? Nurse ordered scan - but didn’t follow it through and unrelated issue now blamed on GP who never saw patient just filed the scan. Really in what universe mr radiographer is that a standard clause you’ve left us to deal with?! And now endless practice e mails.....our screens are overflowing with patients and calls when do we do the e mails and what happens if something gets missed - GP gets it though the system is at fault!
Totally agree- we give our all as GPs and are left drained and unappreciated. Packing in desperate patients- adolescent acute severe mental health ( patient and family ) in 10 mins as can’t get CAMHS appt, alcohol, drugs, sexual health, everything falls on the GP and in hospital they’d have more time and resources- etc etc-
Thankless soul destroying job.... drained the life out of me- am on the brink-
I feel for you too
Plus they snuck in banning private patients. Many practices have responded to falling nhs income by running a small private practice ( not for their eligible nhs patients- but others and fully separately run -in doctors own time).
With less than 6 weeks to go before this is implemented “further details to follow”-
This doesn’t apply to hospital doctors or Babylon ...
how can they dictate what GPs do in their own time? “You have to choose either nhs or private not both”
What do we dissolve our business now? Plus shoot your selves in the foot NHSE as my nhs runs at a loss that is covered by the private work... so I know which I’ll choose..... maybe that was their intention- drive more doctors out?!
Before anyone judges.... I go over and above in my nhs work- 15 hour days trying to do everything for everyone....because I care for our patients... but not at this cost! And 25% of appts blocked for nhs111? Accessis shite as it is.... I can’t deal with more patient complaints about not being able to book routine appts?!
This is saying- oh they haven’t made u pay for this, that and the other that they were gonna to claw from you so be happy..... yeah feat - they haven’t stolen our dinner money?!
The extra funding goes to federations and GPs- not us- we don’t see it! We like many in London had s small private practice with our nhs one ( separately run and only for patients out of area) - as our nhs finances dropped- this supported the practice... we never took a wage from it?!
We can’t run the nhs without it? How can they give us 2 months to close it? Hospital doctors work privately- why target us?
I can’t afford to continue my nhs work as a partner without that additional income stream - so am looking for employment elsewhere and suspect our nhs surgery will fail....so yaaaaay new contract- decimate general practice further!
Agree- most funding going to CCGs not direct to practices and to “alternative ( cheaper imitation GPs ) staff” army and CCGs for “creating” networks....??
No longer able to see private patients as NHS GPs( hospital consultants can????)- some may be against the idea but a small flow of private patients was the only thing that kept our NHS practice viable- it’s not worth my whole working 15 hour solid days for the nhs money alone.....
Looks like the end for us
Had enough to get appts for our patients already- now so many are “ blocked” for 111, A&E, “ 8-8”
It’ll be even harder? Bizarre disjointed thinking.......worsening accessing.....
Agree fully with yellow..... how do they calculate this “ cost”?
We see an average of “5-8 extras” in most clinics- so by the same logic we are owed 100 million extra to cover this?
To care of GP not toxare ?!