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 !
if you were a martian flying over the uk, and saw what was happening with the pension fiasco, you'd turn round and piss off back to mars !!
the hospital should give the patient a med3 to cover "expected time off work", not just to cover their time in hospital. all hospitals have been told this, several times. explain to the patient they have been misinformed by the hospital/consultant/ward/sho/hospital porter/whoever looked after them. send them back to the ward, with a snotogram from you reminding those responsible of their responsibility. explain, carefully, to the patient that you CANNOT give them a med3, because the hospital haven't told YOU the details of what THEY have done. when those at the other end phone the surgery to have it out with you, explain to receptionist (beforehand) that you cannot talk to them - you are too busy. i had one stroppy hospital doctor who simply wouldn't cooperate - until i asked for his gmc number and threatened him with the gmc, when he rolled over. all rather unpleasant and unnecessary - rather like a lot of the donkey work that is dumped on us !
the hospital should give the patient a med3 to cover "expected time off work", not just to cover their time in hospital. all hospital have been told this, several times. explain to the patient they have been misinformed by the hospital/consultant/ward/sho/hospital porter/whoever looked after them. send them back to the ward, with a snotogram from you reminding those responsible of their responsibility. explain, carefully, to the patient that you CANNOT give them a med3, because the hospital haven't told YOU the details of what THEY have done. when those at the other end phone the surgery to have it out with you, explain to receptionist (beforehand) that you cannot talk to them - you are too busy. i had one stroppy hospital doctor who simply wouldn't cooperate - until i asked for his gmc number and threatened him with the gmc, when he rolled over. all rather unpleasant and unnecessary - rather like a lot of the donkey work that is dumped on us !
our local health board is trying to close our local surgery. it has arranged a "consultation" process with local patients which has been very poorly advertised, at very short notice. it is taking place in the form of a "drop in meeting" with local health board goons, and is running between 2pm and 7pm - when everyone is either in work, or has just come home from work. when it is poorly attended, they will then say "nobody came - so they can't be that interested". thank god i got out in time.
well well - fancy that !! come to locumland where all is sunny, you control your hours, fees, holidays, days off etc etc etc etc............
i get the PATIENT to ring the secretary/outpatients/the ward etc etc. if WE ring them x times a day, they think we're a bloody nuisance. if they get x calls a day from separate patients (who take longer to sort out because they don't know the score) they soon get fed up and realise there is a problem. it also makes the patient realise what a marathon and how time consuming it all is. the hospital HATES this - but doesn't take long to fix it. give them the secretaries direct number.
I was in a meeting some time ago. The speaker made a comment that a high dose “wobbly statin” would prevent so many deaths etc etc etc. She continued in this way until one of our local consultants stood up and reminded her that “you can’t prevent death”. At this point the whole argument fell apart - as it should have done. Very good example of tunnel vision.
i'm waiting for them to bang out the old mantra again "we must make gp's more efficient"!!
if you really want to see an example of an inefficient, outdated, archaic system, look at the houses of parliament !!
i mean - the man at the top has no clout unless he is wearing a wig and a pair of tights !!
you couldn't make it up !!!
this has happened to me a few times. i reply telling the refusenik that 1) i have been qualified 40 odd years 2) i have seen the patient and they have not, 3) i have advised the patient that THEY have refused to see them, and i have given the patient THEIR phone number, and advised the patent themselves to ring them for an explanation. they love trying to call the shots and bully us, but they absolutely HATE having any contact with patients ! (this also helps the patient understand the time consuming and bureaucratic garbage we have to deal with day in and day out on their behalf), this ploy hasn't failed yet - if it does, i have another ploy up my sleeve ! remember - a man with a brain who can use it, will always beat one who doesn't or can't !!!
don't any of you have boats to paint, gardens to dig, houses to maintain, cars to fix etc etc etc ? surely you have other things to do besides sitting in surgery ? if so, reduce your hours - and your tax bill - by taking time out and doing them ! explain to patients the ridiculous situation in which YOU HAVE BEEN PLACED - IT IS NOT YOUR DOING AT ALL. if lots of you do it, and joe public is inconvenienced, and a/e gets overwhelmed IT IS NOT YOUR FAULT. those at the top will soon get the message. they will certainly NOT get the message (or they will not act on it) if our leaders send hand wringing letters to politicians explaining what "might happen" if they don't address the problem THEY have created!
for the sake of clarity i have to admit this does not affect me - i am 69, have taken my pension, and now work two days a week as a locum.