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Gold, incentives and meh


  • NHS England agrees extra PCN funding for social prescribers to cover costs

    Michael's comment 28 Nov 2019 2:45pm

    Exactly right DT - one of the numerous reasons my practice didn't join the omnishambles that is PCN's. Why would you train to be a practice nurse with debts incurred after training grants were removed, professional responsibility and liability, multiple patient contacts daily working in partnership with disgruntled GP's when you can see a handful of patients to 'signpost' to various clubs and activities daily? In fact I think I might sign up - knitting circle anybody?

  • Hancock approves plan to pay GP pensions tax but warns of 'tax avoidance'

    Michael's comment 22 Nov 2019 10:55am

    I have no confidence in this solution and it certainly would not entice me to work any additional hours. The profession have been highlighting this pension issue and Capita incompetence for ages and I would not trust government on this issue at all. It isn't a solution, it's a fudge ...

  • Government report recommends breaking some tablets in half amid drug shortages

    Michael's comment 18 Nov 2019 5:59pm

    Forget breaking them in half - dissolve the last fluoxetine tablet in millions of litres and then distribute. Should work fine if taken with absolute conviction and consistent with the evidence based approach from this administration.

  • PCNs have been received 'incredibly well', says Hancock

    Michael's comment 18 Nov 2019 5:25pm

    Brass neck or complete ignorance and complacency?

  • NHS set for 'worst ever' winter crisis as A&E waiting times worsen again

    Michael's comment 14 Nov 2019 2:43pm

    Thanks for the warning BMA - didn't have a clue it was heading for this. I thought your wholehearted endorsement of PCN's and noctors was going to save the profession from implosion....
    Just remind me what you actually do to support the profession?

  • We must convince graduates that general practice is 'exciting', says Ashworth

    Michael's comment 14 Nov 2019 11:49am

    Wow, now I really feel valued. So valued in fact that the proposed Labour tax increase and the pension scandal (that is too complex for the honourable SHS to solve) have faded into insignificance. Workload dumping; chronic understaffing; CQC inspections; Healthwatch practice visits; PCN's; annual appraisals; convoluted referral systems; medication shortages; vindictive complaints suddenly don't seem so bad now that I have a new mirror mantra (works better if repeated 10x): general practice is exciting ...

  • LMCs call for GPC to reject PCN model in favour of new GP contract

    Michael's comment 12 Nov 2019 10:52am

    Bit late methinks... When the PCN proposal was launched, we raised our multiple concerns with our local LMC highlighting various contractual shortcomings that we were concerned about and the fact that we were being pressurised to join. The response was that of enthusiastic endorsement for PCN's as the way to 'save' General practice. We decided not to sign up despite this endorsement and remain convinced that this was the correct decision for us.

  • GPs expected to vaccinate schoolchildren as flu programme is delayed

    Michael's comment 07 Nov 2019 3:25pm

    Great, I have been wondering how to keep myself busy with very little to do as usual in General Practice over the last few weeks ....
    Will there be any sanction for breaching delivery dates? Didn't think so...

  • NICE reverses position on inhaled steroid doses in children with asthma

    Michael's comment 01 Nov 2019 11:08am

    So the advice is not to increase inhaled steroids unless increasing inhaled steroids works and see your GP to update your management plan that might include increasing inhaled steroids but probably not leaving no clear management strategy except hoping that good inhaler technique will prevent exacerbations ... brilliant!

  • Almost half of patients who miss first hospital appointment are sent back to GP

    Michael's comment 29 Oct 2019 4:12pm

    Our local referral process: see patient - referral decided as appropriate outcome (watching your back for CCG referral reduction targets whilst balancing the risk of clinical negligence and constant reminders that we are failing in early cancer diagnosis) - refer to referral triage - referral triage suggests appointment with chosen speciality - refer for appointment via C&B - referral password generated - patient returns to collect referral password - patient unable to make appointment as 'no appointments available' - patient calls surgery to state no appointments available - encouraged to continue trying - calls local trust multiple times to be offered appointment in many months time (no choice offered) - said appointment cancelled - patient calls again to book another appointment - appointment offered, only patient given incorrect information - patient receives letter saying original appointment missed, so if still wishes to be seen, go back to GP - start at the beginning because target times have been breached. Repeat
    Incident reported to CCG - investigated - many months elapse before any response - standard system excuses trotted out (system changed, new procedures, triage oversight, pro-formas, streamlining DXS procedures bla bla bla) - nothing changes - repeat. Help me somebody ....

  • A third of GPs have reduced their hours over the past year, says GMC

    Michael's comment 24 Oct 2019 11:41am

    Only a few years of this Kafkaesque triplicate box ticking nightmare to endure - roll on early retirement ...
    The NHS used to function on good will, but that is a distant memory.

  • 'Do not take us for granted', says outgoing RCGP chair

    Michael's comment 24 Oct 2019 11:30am

    'Gimmicks and vote winners' ..... May we present HSL, the new head of social prescribing.

  • Outgoing RCGP chair to head new social prescribing academy

    Michael's comment 23 Oct 2019 4:16pm

    Nice job if you can get it ... This proposed quango supports infantilizing our patients without any robust evidence base. Why do individuals require referral to reading groups, choirs, walking football etc? Of even greater concern is the potential effect funding for Social prescribers might have, with diversion of funding and personnel away from hard pressed occupations like nursing. The salary for a social prescriber in my locality £36k for conducting a few assessments daily and 'signposting' with zero clinical responsibility ....

  • Hancock pledges freedom of movement for medics from all countries

    Michael's comment 04 Jun 2019 10:56am

    So the plan is to 'nick' overseas trained Doctors from other countries, many of which can ill afford to lose their doctors. Brilliant coherence and long term planning and consistent with our imperial outlook ...

  • Practices 'hurriedly' trying to meet network deadline

    Michael's comment 15 May 2019 11:07am

    Why any GP would sign up to a contract that is open to unilateral alteration (see Clause 80)is beyond me. The increase in GP workload required for involvement in a PCN with responsibility for extra staff that I really don't desire in return for a pitifully small return that may well be swallowed up by administration costs really doesn't resemble the rhetoric that this is the great GP workload solution that is being marketed. Whilst we still have a choice, I shall exercise my right to stay well away from any PCN DES.