Thank you for your service. Thank you for your dedication. Thank you for your sacrifice. Rest In Peace our brother.
If someone is bothering to do the proper contact tracing with positive results then it’s worth getting the test to help prevent spread by picking out the asymptomatic wuhan virus positive viral shedders. Otherwise just self isolate if symptomatic and not dying. If symptomatic and dying go to hospital in case it is reversible. Simples.
It’s very hard for people to get a supermarket delivery slot. There are over 2M with one of these letters. With that many with letters, Without one there is little hope of ever getting a delivery slot especially from waitrose.
Only 20 people self declaring as high risk per 10000. What kind of out of touch with reality guesstimate is that?
...add to the list of conditions ...as new evidence ...emerges... (Evidence based medicine)
GPs and hospital specialists can add patients to the list based on their discretion. ( Wing it)
It would appear that the evidence based approach is so ropey that winging it is an useful adjunct.
I love millennials. Lol. Millennials Succumbing to moral injury. I love it. For the coming year let your first priority and prime directive be this: Do not die. The other stuff is less important.
The article is about individuals and that is heart warming and lovely. This boils down to hard figures projected though they be. The needs of the many outweigh the needs of the few. You don’t need a PhD in ethics for this one. Recently I heard that that politicians will be patting themselves on the back if the keep the death count below 20k and that is with the current and more stringent measures if needed. And it goes without saying that that figure will have been understated by the lack of testing with community deaths and nursing home deaths from “ pneumonia.”
Business as usual has the number of uk dead in 7 figures. This is a war. With war there is propaganda. The message they want you to hear. The politicians are fully aware of the various models and the true rate of deaths including the collateral deaths. It doesn’t suit the wartime narrative to beat ourselves down by having a true and accurate count. I’m sure someone will do a projection of that when the dust settles. The would have, should have, could have conversation is a bit pointless frankly. We got the NHS the people were happy to pay for. We have had several Tory governments. This is how democracy works. Those of us who don’t like it can go and live somewhere else. Too many of us lack the follow through. We just like to whine and wallow in our self pity. You want someone to blame look to your neighbours, friends, relatives and look in the mirror. The politicians didn’t do this to the NHS all by themselves.
Now that my license to practise has been automatically re-instated in case I wake up one morning with the sudden urge to martyr myself I had better make a concerted effort to be nice. You know just in case someone sees me being mean and reports me to the kangaroo court. Our overworked colleagues with their back office functions who must be so very overworked seem to have run out of common sense. Used it all up I guess. Or is it just a diabolical plan to kill off some of the most expensive patients to the NHS. 1/3 of those with an active SARS-CoV-2 infection are completely asymptomatic. GPs used as Trojan horses to take the plague to those who are too effectively protecting themselves.
There’s a screenplay in it.
How does this sort of thing accidentally happen? Clearly it was deliberate. Someone has seen the problem and had some new stickers made up and applied. They should have had some new boxes made up and repackaged the out of date masks. Counterfeiters at the local market do a better job. This just goes to show the utter contempt they have for doctors that they didn’t try harder with the concealment.
So what is the projection on how many GPs are going to be killed by this?
What are immunocompromised colleagues, pregnant colleagues, those who have had a baby within the last 12 months, those on ACEI, ARBs, smokers and generally anyone at increased risk above the mean supposed to do? We are not all 30 years old and fit & well with no co-morbidities. Don’t we have a union that is supposed to stand up for our interests and advise us about such matters? Have they issued any advice?
A flat rate of tax of 33% would stimulate productivity. The more you earn the more you pay because that’s how percentages work. The nonsense of an effective tax rate of 60% between £100k and 125k. With National insurance tax on top of that which all goes into the general taxation pot. What the hell? Similar issues with taxing the hell out of people’s pensions. The UK is one of the most overtaxed states. Despite that health inequality and income inequality are getting worse. Get out whilst you still can.
Letters for the insurance companies aren’t covered by GMS contract or similar. Being a bit anxious about travelling when that that is a reasonable response to the situation is not a medical condition but rather it is a normal response. I trust everyone is charging Private fees for private work that suitably renumerates you for your time. If not you only have yourselves to blame yet again.
Positive people who see the world through a different prism. We need more of them. Even with all the problems and the highly probable outcome that PCNs will fail acknowledged by the article it is still very positive. There is no point being depressed by something in your life that you don’t have the will to change.
It would make more sense to pay GPs to stay past retirement age for a few years for a bonus of 20k per year tax free lump sum. 5000 extra doctors- election promise delivered by the time of the next election. Much quicker than having to train new ones.
Or if one is feeling radical and not in the mood to pay for it. There is a national crisis extreme measures are required. Stop GPs retiring early by not allowing them to collect any part of their pension until age 68yrs. I’m really surprised they haven’t brought that in.
Agreeableness is a personality trait that is more typically feminine. General practice has become more feminine over the years, Changes to the training program have helped bring that about. We have seen and are seeing demographic changes with an increasing proportion of GPs being those who identify as female taking their place amongst the profession also.
Women on average earn less than men across many industries. So who is actually surprised that now General Practice is increasingly feminised that GP income has fallen. This was completely foreseeable for those of us with eyes.
I hear some colleagues still say they didn’t get into medicine for money. If they wanted to earn big bucks they would have gone into the City. Surprisingly none of them are working as missionaries or working for free in some other way. I suspect most of them wouldn’t actually survive in the world of high finance. It is however rather prophetic that incomes are dropping. I suppose this is of no concern to many of us as we didn’t go into medicine for the money. Those locum doctor types on the other hand must be cut from another piece of cloth, their incomes and their workloads are very different to the rest of us. Still mostly men in that cohort.
Why are we laying the blame on the surgeons? They are only passing on the message from their employers who in turn are passing on the rules laid down by the commissioners. Rather bad form to be criticising our hospital colleagues when they don’t deserve it.
BMI 30 isn’t that fat- or possibly isn’t fat at all if you happen to be a stocky rugby player type or a gym junkie.
Smokers are a possible health and safety issue for the poor anaesthetists breathing out Contaminated air from their lungs. Well anything is possible and if you need a justification to discriminate against these social pariahs it seems a reasonable enough excuse.
Clinical directors resigning! Things must be really bad. The Government has used those willing GPs fist through clinical commissioning groups and moving work from secondary care to primary care. Then used willing GPs in these networks. I take it that it’s finally dawned on them that it isn’t going to be less bad with them “helping” the government destroy primary care. The profession reaps what it sows. It’s unwillingness to be more militant and it’s pathological desire to be liked by the public has led it to this point. Soon ye shall all be more akin to salaried nurse practitioners following a protocol driven existence. The profession doesn’t have the guts or the will to demand the block contract goes and it is paid per item of service. Being paid for what you do. I’m sure that is a simple enough concept to sell to the public. But the government won’t want to pay what each service is worth. So you have to set rates. What is our time worth? We have to value ourselves. If we don’t appropriately value ourselves we can’t expect others to do so. If the government doesn’t want to pay the full rate then there needs to be a co-payment system. Throw out the current contract and start again. Worry more about what GPs won’t like rather than worrying so much about what patients won’t like. GPs are retiring early, reducing hours, emigrating and even suciding. The perspective needs to change. The current system is killing doctors it needs to change. These network proposals will kill more doctors with additional stress. Our language needs to change.
It’s good to hear that patients are still receiving world class care from the NHS.
If she is happy to fly to Brisbane I can squeeze her in into my appointments schedule this Friday morning. Australia has reciprocal healthcare arrangements with the UK. She just needs to pop into the Medicare office for a visitors Medicare card when she arrives. For a GP colleague I always bulk bill. So just the cost of the fares then.
BAME doctors born and trained in the UK are more likely to have complaints against and more likely to have a visit to the GMC than their white colleagues. You know, the ones that don’t even sound foreign. Rates are higher in those doctors that do retain an accent and aren’t white. I’ve had patients removed from the practice list for overt racism. The casual racism traditionally has been allowed to slide. We wouldn’t want our white colleagues labelling us as snowflakes now would we. Great article but I shalln’t be holding my breath on any significant changes. A grass roots uprising is unlikely to succeed without help from the top.
Appropriate complaints against doctors I have no problem with. Vexatious complaints don’t have appropriate penalties. Especially those where race is a primary factor. Not only is the existing culture within the wider NHS inexcusable in this regard but there are systemic organisational and systems issues. Politicians & leaders in peak bodies are mostly white. This is a problem for them for them to help address. You know that thing called leadership.
Whom at the BMA would like Copperfield to do their appraisals for them?
Sadly they will remain in their insular world and do each other’s appraisals. They were all great and anyone with a different view to them is dismissed as a complete moron and not worth listening to. This matter was completely unforeseen and unpredictable so no one is to blame and anyway they have a no blame, no responsibility culture. No one is responsible or accountable so we know where we can stick our blame.