we have just been through the morale sapping time wasting expensive business of a CQC inspection which found us 'in need of improvement' in various areas and to look at the bald traffic light system they use it looks like we are not very good. Fortunately we are extremely popular with the local patients and so many are trying to join our list we are having to close it. We were found wanting exclusively for non clinical issues such as written references not being done on a couple of staff, ditto DBS checks and verbal consent instead of written. they also did not like us checking our own water temp for legionaires (the official who came to do exactly what we did charged £350) and we only washed our window curtains once a year instead of twice. All these failings were not important for patient care and positives such as having appointments on same or next day and all partners being specialised were brushed over.
The point I would like to make is that this box ticking nitpicking approach is exactly how NOT to motivate a workforce struggling under severe pressure and stress. We will survive as we have our patients support and we are confident in our service but how damaging is the CQC to struggling practices. There should be a concerted campaign to point out that the CQC are compounding the GP crisis and its also consuming huge amounts of time, good will, and money. CQC needs to stop their petty witch hunt. Any doctor working for them should hang their head in shame.
the manslaughter cases are the high profile end of the GP vilification but every day the miserable CQC are going about their petty business demeaning doctors by nitpicking tiny issues of paper work and business process. I know you have all suffered like I have and it is demoralising to have them play up such trivial issues when we are coping with severe stress and life and death decisions on a daily basis. Somehow we have to stop CQC from destroying what little job satisfaction is left. any ideas out there?
I must be a bit unusual but I absolutely LOVE being a GP. However I am 60, a male and can work quickly. I am not the best at doing the paper work and I don't use protocols much so will be at risk in this new environment where complaints are judged in hindsight. I often do 5 minute appointments and thus don't have a waiting list but so many consultations are for trivial matters it is quite easy to keep up.
I used to be a trainer but the endless reflection and paper sucked the fun out of it so I stopped. What my registrars and I enjoyed were learning by anecdote and individual cases. I learnt that way and it was fascinating and fun.
Could we steer things back to those successful methods?
Hooray for someone prepared to break the rules. Our lives are much reduced by the 'protocol donkeys' and we need to fight back!
sorry to disagree but I would be lost without the failsafe memory of my computer reminding me of allergies, and plucking results and letters from many years ago. Do you not remember trying to make sense of a thick bundle of lloyd george notes? then trying to get them back into the always too small envelope. Bad old days !
in my area pregabalin is referred to as the 'dustbin drug' because all the heart sinks with unresponsive neurotic psychiatric symptoms and unmanageable pain are on it. The minute you see a patient is taking it you know what to expect.
I presume this change is due to the fall in advertising revenue now that most of the drugs are generic. The main drugs that generate profits are specialised anti cancer and hospital ones little used by front line GPs.