i'd be grateful if somebody could delete this profile. there doesn't appear to be the option in account settings. the 'debate' on these pages is over
moderated and intolerant. excluding the views of those you disagree with magnifies division rather than reducing it. enlightenment comes through openness not by erecting barriers. comments on this site are non representative and give a distorted view of real world thinking, comfortable maybe but not healthy
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watch as this loss making speculator funded tech start up goes spectacularly bust - cherry picking a few tasty big cities maybe - but roll out to the whole country? ...nasty flaming car crash, with a petrol injection from the U.K. tax payer
I completely agree with the sentiments of those who urge people to get involved, you can not moan if you're not prepared to actually do anything. The problem we have is a demoralised workforce increasingly disengaged from the process through relentless years of political incompetence. If you've stepped back from your career and are moving away from the core of practice, if you've decided partnership is a bad idea and are just about getting by as a locum whilst you try to work out wether you can stomach continuing as a GP, firing up your motivation to get into politics to fight what feels like a battle you can't win is the last thing in your mind. I think a large proportion of the workforce has given up. I say this because I am one of them and I don't feel any pride in saying it, in fact i can only say this because I can post anonymously and 'debating' here is mildly therapeutic. I think the combination of the kind of politics we have in the U.K. the kind of population (poorly educated and ill informed) and larger macroeconomic and societal factors out of our control, is causing the kind of changes we are all so unhappy about wether we like it or not. If i believed otherwise i wouldn't have left to become a locum. The decision to disengage happens at the point you leave the conventional career path, not after. too many people have done and are doing so that sadly i think we passed the point of no return some time ago. Those who remain have an increasingly atypical mental map of what is going on. The moaning you hear is a result of a feeling of hopelessness and yes it is very sad, and unfortunately the only positive and rational thing to do is leave and invest your energy in something more productive. There is a life outside of this depressing and grinding drudgery. That's where the hope lies, somewhere else.
..but there's two blokes in there, surely there's been some kind of mistake?
The situation with Capita is criminal, they've been screwing up since the very first day they took over. I find the whole pension issue thoroughly depressing, not least because after suffering from their total incompetence over a performers list change I found out they had our pensions! ..my god i thought , they'll be screwing that up too - and yes they absolutely were! The worst thing about it all is they are still at it and nobody outside medicine gives a f?!k
I don't think there's really space for a viable private general practice of any significant size in the UK. Not as long as the NHS exists. OK there's the odd clinic in large cities serving busy working types and there's Babylon (but then that's isn't actually general practice is it). We're busy getting rid of Drs in primary care in the U.K. I have to agree with the first poster, if you want to be a GP in any real sense, looking forward, you're going to have to emigrate.
I'd be interested to know what proportion of Drs and specifically GPs are actually members of the BMA
So this is the position of a U.K. organisation not an EU one.
i had similar issues moving from one city to another within England a few years ago. they were shite and are shite now. the fact tax payers are paying them for this shite and nobody in charge is doing anything about it is beyond me - it just smells of corruption. there's something about the people making money out of capita and the people awarding government contracts to capita that doesn't stack up
Angus Podgorny | GP Partner/Principal21 Jun 2019 8:06am
thank you - yes the NHS is not a business it's a 'model' . a model which Babylon is wastefully trying to replace with one which makes absolutely no sense in a resource limited tax payer funded health care system like the NHS
Ninjadoc | Doctor in Training20 Jun 2019 11:29am
Babylon is a company that makes a loss, it isn't making any money - and neither does Uber , it's a loss making business too. The only reason these companies exist is the weird post financial crash world we live in were governments around the world pumped billions into the financial markets, inflating asset prices and making people who owned these assets incredibly rich. There are mountains and mountains of this paper money washing around the financial markets desperate for somewhere to be parked - in step loss making 'disruptor' unicorns like Uber and Babylon, with over hyped share prices on business that are chucking money down the drain making a loss destroying 'yesterday's' business, businesses that were actually pulling in a profit, or in the case of the NHS not costing too much. What happens when the bubble bursts? When the investors finally wake up to the fact these enterprises are never going to make a profit and the share price is completely over valued ? They'll go bust, they'll crash and burn in the next big financial melt down, and they wont be leaving just a few bankrupt investors weeping , they will have destroyed perfectly sensible and/or money making models of business in an orgy of speculative investments fuelled by cheap credit and quantitive easing . that's you 'future' NinjaDoc , utter short sighted stupidity - but i guess your too blinkered to see beyond the tinsel on your iPhone cover. I hope you're not buying Uber shares that's all i can say
driven primarily by the needs of administrators and central government. as an end user of a GP data input system for the last 15 years i can honestly say the 'improvements' introduced over my time as a GP have resulted in a system which is significantly slower to use, more prone to random server related 'freezes' and 'crashes' with very little improvement in end user real world usability. EMIS LV was rock solid, rarely crashed and you could input a consultation summary in seconds. on EMIS web the same process is slow, with server lag highly dependant of the quality of the local internet connection and prone to freezing. Imputing a consultation that previously took seconds now takes minutes- that isn't progress , it's a pain in the arse. they went to the moon with the computing power less than the average washing machine. complexity does not automatically lead to improvement, more often in IT it leads to greater fragility, but it certainly gets the IT administrators excited and gives politicians opportunities for tightening central control - Stalin would defiantly have been a fan
..guess where he went to school? Eton and guess where he went to university? yes you've got it, Oxford. It's a club, and the vast bulk of you ain't members
Lord Young of Cookham, this is how our country is 'run, decisions made by Lords. unelected and in place as a backhand favour from some previous government. I'm sorry but our political system stinks, our lives ruled over by a comfortable clique of establishment figures who can't be got rid of who are basically unaccountable with a title and income for life. The more i look around at the mess of Brexit and the utter morons controlling our lives the more i see this country as a total steaming pile. Meritocratic? Absolutely not. Confused, layered with self perpetuating self serving cliques and set up to maintain the comfort of those who know better.
very informative, thank you
a loss making tech start up siphoning money from a cash strapped NHS - how very 'NOW'
..all headed up by an army of inexperienced part time portfolio GP locums expert in single consultant encounters with tip top training in make 'em feel good communication skills and little exposure to the realities of continuity of care, cause they rarely meet the same patient more than twice ..enough already
the future of general practice is not knowing any of your patients, continually firefighting half arsed treatment 'plans' set up by a series of unconnected health care professionals with no notes because they haven't 'merged' from the 'central spine' yet..the only coordinated care will take place in hospital out patient clinics and short hospital admissions with ridiculous and unrealistic 'follow up' requests being fired off into the electronic ether to be picked up by a fragmented and as good as non existent primary care service - who will no doubt still hold almost all the legal responsibility for coordinating care but have almost zero control and have probably never actually met the patient. want to work in this kind of system? i don't