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GPs buried under trusts' workload dump



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  • Working Life: TEDxNHS

    DrRubbishBin's comment 20 Nov 2019 2:13pm

    I got as far as "my previous focus on research opened my eyes to how the NHS is a male-orientated system, in terms of careers and female patients’ care." I'm utterly sick of this kind of blatant sexism which is trotted out so frequently. Not only is it gobsmakingly sexist it's flys in the face of reality. As a locum everyday i go to practices where you'd be lucky to find a male anywhere except in the waiting room, The admin staff are female, the practice manager is female, the nurses and midwives are female , the phlebotomists is female, all the GPs are female and low and behold often most of the patients too! It seems to me great swaths of primary care are run by and expressly for the benefit of the female sex, it is utter nonsense to suggest it's all about men. That is utter crap. The author has come across men in numbers elsewhere it seems and takes this as evidence they are up to no good. Really?

  • White GPs have a role in calling time on racism from patients

    DrRubbishBin's comment 18 Nov 2019 5:25pm

    Racism is wrong. We should stand up to it and point it out where ever we can.
    Of cause Drs should be able to speak the language of the country they are practicing in to a level that enables them to practice safely - isn't this just basic common sense?
    This country is full of all sorts of objectionable people with objectionable options and behaviour, I quite often feel really uncomfortable with some of the people i see. Can i refuse too treat people who's opinions i find offensive? No
    This article is great.
    As always when the subject of racism is raised many of the comments are truly depressing. Openness and humility is what's needed to heal division. Is there a country in the world where bad people don't exist? Show me where and if i had to leave my country I''ll go work there

  • GPs' working conditions are 'lonely' and 'damage' patient relationship, warns GMC

    DrRubbishBin's comment 15 Nov 2019 8:58am

    "Professor West said GPs are exposed to different pressures than secondary care clinicians but are ‘no less important’.."
    oh thanks ..actually it's secondary care Drs that are "no less important" not GPs. I need to say that because we all know there's a common assumption that secondary care Drs aren't especially important and it really does need pointing out that this dreary bunch of hospital based Drs actually do some good work some times despite what you might assume. Yes those hospital Drs are indeed 'no less important' have as be we got that clear?

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

    DrRubbishBin's comment 14 Nov 2019 5:49pm

    another totally ignorant politician who thinks he might like to run the NHS, thinks making GP look exciting is what's needed, like everybody is leaving or going part time because they're bored. says more about his own particular biases and pre-conceptions than anything.

  • Little evidence that locum GPs pose greater risk to patient safety, study finds

    DrRubbishBin's comment 13 Nov 2019 1:51pm

    I'm not going to comment other than to say I'm not going to comment, and I'd like to add after an absolute abomination of a morning clinic in a failing surgery with too many patients and not enough Drs the suggestion that locums are over paid and possibly generally crap (as a locum) has me absolutely fuming and ready to punch someone. Good job i haven't commented then, and i'm not one of the patients booked into your afternoon clinic, because if i was i'd be giving you a gob full even though it's got absolutely nothing to do with you and is not in any way your fault

  • GP leaders to call for removal of home visits from contract

    DrRubbishBin's comment 12 Nov 2019 3:13pm

    great idea but no chance

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

    DrRubbishBin's comment 12 Nov 2019 3:01pm

    Patients don't care who they see because many of them don't know any different, unless they have experienced health care in a different country. i used to feel offended when patients from eastern Europe told me 'it wouldn't be like this at home' now i just nod my head and agree. 'yes' i say 'it is indeed crap' . Add to that the angry 20 something who's come in to complain they're no better after taking the antibiotics they were given for a 'presumed uti' via their video Dr. Where do you start? ' i think video consultations are a bad idea' , 'video consultations are a business idea not a medical one' - you need like an hour just to explain and you've only got 10 minutes to sort out the mess. 'yes it's shit isn't it ' is really all there is you can realistically say in the time available

  • Conservatives pledge 6,000 new doctors in general practice by 2024/25

    DrRubbishBin's comment 09 Nov 2019 5:43pm

    "and 3,000 trainees, who will be spending longer training in general practice that they do currently." ..and here was me thinking training was about training and not about staffing and covering rota's and clinics.

  • Avoid no-deal Brexit and invest more in general practice, warns RCGP

    DrRubbishBin's comment 07 Nov 2019 1:05pm

    so the RCGP is a political party now?

  • DNA testing plans to 'brand' children at birth without their consent

    DrRubbishBin's comment 07 Nov 2019 1:02pm

    keep politicians out of clinical medicine

  • Do you want to be stranded at the top of your licence?

    DrRubbishBin's comment 07 Nov 2019 12:57pm

    "but every now and again we have to delve deeper, and we only know when to do this because we’ve given out so much reassurance in the past."
    really really really good article. you need to know what normal looks like to be able to spot what isn't . This isn't talked about enough and is basically one of THE most valuable skills a GP has. The absence of this ability is why specialists can sometimes totally miss the point. If we only ever see the ill we will forget what ISNT important, and everybody will be worse off

  • RCGP chair: 'It takes 17 minutes to log on to my surgery on a Monday morning'

    DrRubbishBin's comment 29 Oct 2019 6:55pm

    yes it's an issue, as for rebooting your computer mid surgery due to some random IT freeze event - that's two appointments in the bin ( or rather 20 more minutes running late)

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

    DrRubbishBin's comment 29 Oct 2019 6:51pm

    Michael | GP Partner/Principal29 Oct 2019 4:12pm

    that's exactly it - repeated up and down the country. On a back of the fag packet guesstimation basis I recon something like 20% of GP work load is eaten up by this kind of shite

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

    DrRubbishBin's comment 29 Oct 2019 1:36pm

    This is a massive issue, millions of GP appointments every day are taken up by patients told to see their GP to get re-referred for something they've already been referred for because the patient missed the appointment or (quite often) the hospital screwed up in some way. A template isn't the answer when they've already wasted an appointment. It's a TOTAL waste of a GP appointment and benefits NOBODY. I guess the only thing it doesn't it help produce a little more turn over in the hospital waiting list where ANY excuse to get a patient off the waiting list is a ruthlessly exploited. It's a policy to benefit the pen pushers - NOBODY else gains

  • Record numbers of GP training places accepted

    DrRubbishBin's comment 25 Oct 2019 9:30am

    If everyone is going to be working part time, because the work is so intense and the risk of burnout so acute, you need to count each trainee as half a GP if you really want to get an idea of how many GPs you are training

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

    DrRubbishBin's comment 24 Oct 2019 8:09pm

    When you reduce your hours as a result of unacceptable work load and work intensity there are those who view this as a sign you are lazy with too much time on your hands. This position is wide spread and even recently expressed to me by the editor of this very publication.

  • NHS trusts ask GP practices to identify overseas patients when referring

    DrRubbishBin's comment 23 Oct 2019 1:49pm

    This comment has been removed

  • NHS trusts ask GP practices to identify overseas patients when referring

    DrRubbishBin's comment 22 Oct 2019 2:56pm

    I can't see this is a problem, it's not compulsory and it's quite clear the buck stops with secondary care. It's perfectly reasonable that people from overseas who aren't resident should pay for their medical care. The tax payers of the U.K. aren't funding a health care system that's free to access for the entirety of the 6 billion soles living on the plant., what's the problem in pointing this out if you get the chance, and not if you don't ?

  • We are everyone’s house dogs

    DrRubbishBin's comment 18 Oct 2019 4:22pm

    'reading' not 'trading' - no idea why you can't edit or delete your comments within a reasonable time window on PULSE.

  • We are everyone’s house dogs

    DrRubbishBin's comment 18 Oct 2019 4:20pm

    I totally agree with you, I'm a little confused why anyone wouldn't. But then again trading comments like "Back in the day of course we would see 30 patients a surgery, two surgeries a day" like this ISNT pretty much on the low side of today's standard.