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Gold, incentives and meh

Doc

  • We can’t base public health policy on one MP’s experience

    Doc 's comment 26 Sep 2018 8:58am

    Key point is spot on.... too many MPs and “celebrities”- think -their experience- is -everyone’s experience- and they appoint themselves “ experts”.....

  • More than two thirds of GPs work less than full time, says official data

    Doc 's comment 20 Sep 2018 5:49pm

    That’s because- My one 1:2 day is actually
    7am-5 pm solid- not even time for a wee?!
    Hence most of my colleagues are “ part time” ( misnomer)- as full time is minimal 14 hour+ days and not sustainable these days! We’d crack up!!!!

  • Putting GPs in gyms is a fantasy – and a fallacy

    Doc 's comment 12 May 2018 11:26am

    Really well written and comprehensive article! I’d never really rated Dr Cannon ( only seen daily mail stuff and was a bit dubious)- but this is excellent- I now hold u in high regard and can see why you’re in the daily mail- for a sensible voice to get the nesssge out to the many - wee fine- keep going!

  • First 36 GP practices sign deals with 'Uber-style' private GP company

    Doc 's comment 11 May 2018 10:54am

    Plus basic eg
    We no longer have cryotherapy - (not funded)- so we refer dermatology ( waste of money and time) or send patients to a private Skin clinic which charges exorbitant amounts- why can’t we charge a nominal fee to out nhs patients ? Cheaper- they’re happier..... same for minor ops, LARCs etc......system is mad.... and throwing money at the broken system without addressing idiocies inherent in it will never work. Same day access destroyed continuity- surprise???????!!! You can’t lump emerge y appts and routine / preventative care in the same appt system? Madness- people are leaving in droves- wake up......

  • First 36 GP practices sign deals with 'Uber-style' private GP company

    Doc 's comment 11 May 2018 10:50am

    The last few posters are living under a rock- there are vast numbers of private GPs with people wIlling to pay far more for speed and convenience and good quality care- it is bloody hard to get an nhs appt
    IVe had patients go privately to numerous specialists for speed/ second opinion/better experience.....One of my nhs patients told me “ I
    Paid more for my hair cut than my private appt- which is more important?”
    The nhs works on goodwill- I break my back to give my patients a top class service and time ( you can’t do a holistic thorough job in 10 minutes???) and am rewarded with lengthy waiting lists and High demand and extreme stress?! A colleague does “in and out consults” and no one wants to see him- but he finishes on time and is chilling...... the plan to limit contact numbers is foolhardy all contacts are not equal! Why are people being so holier than though and high and mighty! Damn good for dr dinesh- he’s helping more people than the last few sanctimonious posters! There is no demand control in the nhs coz we suck it all up at the expense of ourselves.....someone has to value our service.....

  • Preparing for new data regulations – GP practice check list

    Doc 's comment 27 Apr 2018 10:23am

    Is it correct that insurance companies and patients can now request entire copies of notes and we cannot even charge for photocopying etc?
    Surely the LMC need to review this! Why are we responsible for funding their requests and financially penalised ? More lunacy!

  • We need to stop prescribing antidepressants in primary care

    Doc 's comment 24 May 2017 11:22pm


    Those calling for more can't access- also miss the point- you cannot ignore the quality abd dkills if the therapist delivering the psychological intervention- if you think 6 sessions with a trainee cuts it long term...... hah!!!! Yes good quality care costs- but it's still with people who actively utilise it 8 y later and are grateful for it - don't get that from your basic CBT- stuff this CBT for all and keep good quality psychological interventions to suit ( i.e. Individualised - (none of this cbt 1 size fits all) for those who really need it!

  • We need to stop prescribing antidepressants in primary care

    Doc 's comment 24 May 2017 11:19pm

    20 years in psychiatry and GP- overprescribed nsybe- but enhanced placebo- no bloody way! Hundreds of people too ill to respond to psychological interventions -are able to move forward when medication is also brought on board! It's life changing and I find this 1 sided piece quoting sources only to suit- totally unhelpful- I pity your depressed patients!

  • GP funding to be boosted under Labour, reveals leaked draft manifesto

    Doc 's comment 11 May 2017 6:50pm

    You can't pour money into a system without addressing the fact it is supposed to be there to cover NEED not WANT!
    Currently it is ill thought out and abused and we can't say no to anyone...... I'm not sure working my arse off to fund more taxation for more of the same!!!!shaba Nabi talks sense as always- the political drivers in the NHS have wrecked it.......

  • Hey Capita, a tiny word you are going to hear from me A LOT

    Doc 's comment 21 Jul 2016 7:04pm

    As a healthy doctor- I rarely see my own GP...... When I fell pregnant unexpectedly in v complex circumstances - I needs support in how to proceed and what my options were.......tried to book an appointment only to be told I'd been "struck off from my GP's list as they'd no recent contact with me" ......
    In my hour of need ( and after doing so much for the NHS for so long) I couldn't get seen-
    referred myself to BPAS ( I work in gynae- so didn't want my colleagues to be involved) who arranged a termination - no counselling - no support -
    followed by enormous regret and depression for me......

    I take full responsibility for my actions and my part -
    but so should the NHS- how many other "ghost patients" will effectively be punished and denied healthcare when they most need it?! Punished for be unhealthy and not demanding- when u need it it's not there.......

  • Brexit could spell disaster for general practice

    Doc 's comment 20 Jun 2016 8:00pm

    Agree with anon GP commentator - reject an democratic eu with no opposition or checks......unanswerable, too large and destined to fail as it widens its reach ever further and increases the burden of "entitlement".
    Single market and Eu are 2 very separate issues-
    I'm fed up of political gesturing by medics- its personal don't bring the NHS into it! And before I'm also accused of being racist or UKIP- I'm Asian so get real and wake up!

  • GP 'resilience' coaches to persuade burnt out colleagues to stay on

    Doc 's comment 04 Mar 2016 2:12pm

    Hah- only NHS England could consider that a cohort of highly resilient high functioning individuals when overwhelmed by unreasonable demand- stressed and unwell ... Have brought it upon themselves???? They don't need to be more resilient- the work load needs addressing and NHEnglands incompetence and ill conceived ideas and strategies- when will they be made more accountable for the ness???

  • How we reduced appointments by a third for socially isolated over-75s

    Doc 's comment 05 Feb 2016 9:28pm

    £50 per head of target population??
    That's a lot!
    It's £78 to fund GP care for a whole year?!
    were confounding factors eliminated from comparative data the year before?!
    I agree it's a very important area, vulnerable, needy and complex group......and social prescribing everywhere is big news!
    Surely these patients could be identified and this work done more cheaply and I'm dubious about the 3.1 million savings extrapolation! Dragons Den would have this for dinner!!!!

  • How we reduced appointments by a third for socially isolated over-75s

    Doc 's comment 03 Feb 2016 6:38pm

    £50 per head of target population??
    That's a lot!
    It's £78 to fund GP care for a whole year?!
    were confounding factors eliminated from comparative data the year before?!
    I agree it's a very important area, vulnerable, needy and complex group......and social prescribing everywhere is big news!
    Surely these patients could be identified and this work done more cheaply and I'm dubious about the 3.1 million savings extrapolation! Dragons Den would have this for dinner!!!!