fine - not our problem in that case. send EVERYTHING that might be contagious off to a/e (who ARE equipped to deal with it). if challenged, explain that they have been given all your PPE facilities, and you don't have the equipment. see how they manage with all the crap that lands daily on our doorstep !!
perhaps we should demand value for money from him and all his pals ? just a thought !
just a thought - presumably there will be a fee for providing this non-NHS carbon monoxide certificate ? and what if you prefer to spend your hard earned cash on special brew instead of a smokerlyser ?!
DO NOT FALL FOR IT - IT'S A TRAP !!
DONT FALL FOR IT - when the government come up with "a good idea" you have to ask "who for". the kneejerk response, os default position for the profession shuld be "no thanks - i've got plenty to do already". NO EXTRA MONEE - NO EXTRA WORKEE !!
have i read this correctly ? willing to pay more tax in order to get a pay rise ? has it not dawned that the cost of running the whole shebang will be hived off what extra tax you pay long before anything extra comes out the other end ? you'd be better off putting it in a savings account - even at 0.5% !!!
some years ago i bought an ambulatory bp machine - i think it was the first in a gp surgery in wales. i offered to hire it to the local health board as the local cardio unit had a massive backlog, for a lower price than they charged. it was exactly the same machine. the local health board weren't interested, so i used it on my own patients (single handed gp), and it stayed in the box for 90% of the time. this was when ken clarke was trying to rearrange the deck chairs. another unused and untapped resource.
NO EXTRA MONEE - NO EXTRA WORKEE !!!
come to wales and deal with our health minister if you think yours is bad !!!!
come to locumland where all is well ! work however many days you want. work like hell when you are there, it isn't your problem if you're not there. if more people did it, those tw.ts at the top would soon realise the need to address the issue.
i have had to phone for an emergency ambulance on several occasions from various gp premises (locum gp). i start by saying "i'd like a blue light ambulance etc etc.. i'd like it here withing 8 minutes, and the time on my watch now is x.ox hours - for the tape my name is ......, and i'm a gp with 40+ years experience" this reinforces the fact that YOU know how the system works (or not), that YOU are keeping a record for the coroner's inquest, and that YOU have seen and assessed the patient and they have not, and that you are fully aware it is all recorded. all rather over the top, and potentially unpleasant, but it really does galvanise them into action. remember - deficiencies in the system are NOT YOUR FAULT. keep accurate records, including names of witnesses or patients, get one of the staff to jot names etc down, so that when it hits the fan, the ambulance service can't hide behind the fact they are a bigger (and therefore better) organisation than the solo unsuported practitioner.
come to locumland - work regular hours, get paid on time, holidays when you like............and no interference from cqc, ccg, man-in-the-moon, wiggleewoo or anybody else. see patients, then go home ! simples !!
don't touch this mad scheme - even with someone else's barge pole !!! you'll end up paying somewhere along the line. THERE IS NO SUCH THING AS A FREE LUNCH - SOMEONE PICKS UP THE TAB AT SOME POINT !!! the sad thing is that after a few weeks without doing extra shifts you realise you are not any worse off, and it's quite nice to take a walk/wash the car/play with kids or grandkids etc etc etc and you don't want to go back anyway ! this means a massive backlash for the nhs in the weeks/months/years ahead - all because some idiot thought we could be stitched up !!!
similar problem in wales. when i resigned in 2012 they decided my single handed dispensing village
practice was "not financially viable" in spite of the fact that two new housing estates were being built at the time!! at the time i had three houses, ten classic cars, a hovercraft and an aeroplane - sounds fairly viable to an outsider !! case of "shipman syndrome" perhaps ? i now do locums two days a week, and i'm as happy as a pig in shit - no admin, no silly calls from nhs managers telling me what to do, and i'm driving and fixing my cars to my heart's content !!
fool me once - shame on you. fool me twice - shame on me !!!
here's a good one ! patient goes into local hospital for gynae procedure, and has anaphylactic reaction to (unspecified) drug given during anaesthetic induction. procedure abandoned, patient resuscitated, kept in 24hrs, then sent home (without procedure). letter arrives a few days later from anaesthetic department saying what has happened and asking gp to refer to clinical immunologist (only local one is 60 miles away, outside area). when we phoned up to tell him "do it yourself" anaesthetist has left the hospital a few days earlier and gone to work abroad !!!
not made up !
why is everyone stressing ? you have three choices
1 - stop moaning, carry on as you are, and suffer the financial consequences of a treasury edict you cannot change
2 - reduce your hours to avoid the penalty of 1 above.
3 - get out altogether, come to locumland where all is wonderful, you can go on holiday when you like, work when you like, no night work, no heavy lifting, set your own pay, refuse to have any dealings with ccg, cqc, pct lhb etc etc etc, and have as much free/family time as you like.
i did 3 several years ago, and i now ENJOY (seriously) going to work !!
very nice chatting to you all, but i must go - i'm not working today (tuesday), and i have a 1939 wolseley 10 that i am in the middle of restoring !
stuff a broom up my arse as well, and i can brush the floor at the same time - thereby saving the cost a cleaner !!
no extra monee - no extra workee !
goodwil ?? that went out of the window in about 1990 when ken clarke uttered the immortal words "i want to see gp practices run like small businesses"
resign - preferably en bloc in the same surgery. come to locumland where all is rosy. none of this shit. work flat out when you're in work - then go home. limit your hours to whatever you are comfortable with. i did this in 2006 and it saved my sanity !