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Gold, incentives and meh

Doc

  • Antibiotic prescribing in primary care in Scotland falls to lowest level on record

    Doc 's comment 14 Nov 2019 10:29pm

    Hah hah- love it! Fab comment above. Don’t even read the articles; just the comments! Sane people are out there in this broken system- thank you!

  • Labour pledges £2.5bn for 'overhaul to primary care estate'

    Doc 's comment 14 Nov 2019 10:19pm

    Bollocks to that red flag-I’ve worked my arse off giving every ounce in me to the nhs for 25 years and am drained and depleted. Never mind the thousands I lose in tax, pensions as above. I’ve worked about an extra years in free overtime and more than paid my dues.
    No I won’t pay a “small amount extra” in tax to benefit the current calamity that the nhs is.
    It’s a total free for all, poorly run and managed and should be free at the point of need. not free at the point of WANT as it currently is.
    I’m done. You can’t bite the hand that feeds you this long without it biting back. Speaking of inequity; labour is so Anti aspiration and all about dumbing down to the lowest common denominator. Does not encourage striving, success or betterment at all.

  • How GPs are being buried under secondary care work

    Doc 's comment 30 Oct 2019 8:28am

    It’s the subtle unrecognised or acknowledged clinical dumping where out patient appts aren’t available and Cmht or A&E junior psychologist or CPN assesses and discharges “back to GP” after no active input......that’s what’s killing me.... drowning in it- feel my head is exploding- we have nowhere to send people too..... social prescribing-wot a joke! some community supports are great don’t get me wrong but it has no place in clinical practice for the patients we see ( social support CAB yes but they access this already)- these workers create more work for me........ and look to me for advice and support- they can’t cope with clinically unwell patients.... Am looking for my exit route ASAP

  • The consequences of an underfunded mental health system

    Doc 's comment 23 Oct 2019 9:21pm

    Huge assumptions from comment at 9.03
    Not all GPs need more training- but we do need more support - we are carrying and managing huge volumes of mental health Rita because the secondary care systems are so stretched.
    We simply don’t have the time ( 10 minute appts?) or appointment availability to offer this service- but we are carrying the can so we have to- care for the patient and their families / others involved when they are unwell.

  • No-deal Brexit could close down practices, says RCGP chair

    Doc 's comment 23 Sep 2019 6:23pm

    Echo Vinci Ho and NI GP
    Fed up of left with g RCGP agenda - claiming to speak for all doctors- they don’t and can’t - and do should shut up on such political matters! Not like they don’t have enough to do sorting out stupid PCNs and contract and CQC rubbish. Taking the biscuit.

  • NHS England appoints Dr Nikita Kanani as primary care medical director

    Doc 's comment 11 Sep 2019 9:48pm

    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!

  • NHS Health Checks to be reviewed under government prevention plans

    Doc 's comment 24 Jul 2019 8:36pm

    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......

  • NHS to investigate GP ‘fraud’ in retaining ghost patients

    Doc 's comment 12 Jun 2019 7:23pm

    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?!

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

    Doc 's comment 31 May 2019 2:50pm

    Agree with above ..... pathetic response from college and very sorry state of affairs ......
    Intolerant “ liberal left” reign!

  • 'Vicious cycle' of workload pressures facing GPs in deprived areas

    Doc 's comment 09 May 2019 7:03pm

    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!

  • A tribute to the 9ers

    Doc 's comment 08 May 2019 9:41pm

    Beautifully written- days it all! Should be in national press!!

  • Revealed: 11-hour days, 41 daily contacts and half of GPs working unsafe levels

    Doc 's comment 08 May 2019 9:36pm

    @angus podgorny
    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.

  • NHS App pilot had ‘no negative impact’ on practices

    Doc 's comment 12 Apr 2019 11:53am

    Or inappropriate bookings- eg appt with doctor for stitch removal or 10 minute appt booked expecting coil fitting?!

  • Dr Nikita Kanani: ‘This contract provides the beginning of a response’

    Doc 's comment 09 Mar 2019 5:57pm

    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!

  • Dr Nikita Kanani: ‘This contract provides the beginning of a response’

    Doc 's comment 04 Mar 2019 6:55pm

    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
    Load- madness.
    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.

  • Dr Nikita Kanani: ‘This contract provides the beginning of a response’

    Doc 's comment 04 Mar 2019 6:50pm

    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...,,

  • Our misery sponges are becoming saturated

    Doc 's comment 16 Feb 2019 8:09pm

    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

  • The life-changing magic of leaving general practice

    Doc 's comment 16 Feb 2019 8:05pm

    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!

  • The life-changing magic of leaving general practice

    Doc 's comment 16 Feb 2019 8:01pm

    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

  • My gut is certainly reacting to this new contract

    Doc 's comment 09 Feb 2019 2:15pm

    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?!