Don’t do them, never done them, never will do them, don’t care about fee, don’t care about anybody telling me I “have to do them”, I will never be forced, even with a gun to my head.
Now go away.
“It’s easier to see the Pope!”
“Indeed, you are correct, if not particularly original. I saw the Pope in St Peter’s Square doing his weekly multilingual blessing, just walked in, no appointment, easy. I’m FAR harder to see than the Pope. Now, what seems to be the problem my child?”
In 2017, when the dire warnings on spiralling indemnity costs were everywhere, Hunt cleverly booted it into the long grass by putting off the decision until 2019. Now we are here it is obvious there will be no meaningful financial support. Is anyone surprised?
Tick, tick, tick..............
Partnership means more and more work for less and less pay, with the added bonus of unlimited liability bankruptcy when all your partners skidaddle. It is doomed.
Lost faith?? Most of us have been DDRB atheists for a decade or more already.
If we’re including verbal abuse, surely the figure should be nearer 100%. Myself and many colleagues I know suffer this several times a year.
In terms of physical abuse, a disgruntled 70 year old swung a punch at me once (he missed), various bored youths have thrown stones at me, and my car has been frequently vandalised, but most GPs I know have suffered far worse. Sadly it comes with the territory these days.
And yet if a GP accepts a free pen from a drug rep.......heaven forfend .
Once GP sinkholes open up, and GPs desert these areas, then no young doctor will want to join these failing practices. The only practical solution is to financially incentivise them to join and stay.
Let’s not forget the greatest heartlifter patients of all - the DNAs. God bless ‘em, every one.
Treating alcoholism properly is difficult and expensive, so requires a well funded dedicated service able to provide ongoing treatment, detox and rehab services.
But the reality is long waits to an inadequate underfunded service who rapidly dump prescribing and follow up on to GPs who have neither the time, the training nor the expertise to help these complex and vulnerable patients.
Bang on, Shaba, keep speaking out for our profession.
-homeopathy? Just say no, next please
- freely prescribe anything not blacklisted, you are duty bound to deal with the patient in front of you. If NHSE lack the sphericals to ban them from FP10, prescribe without fear until they do.
-bounce transgender requests to secondary care, far too complex for GP dabbling.
Not attending is a choice, admittedly a bad choice, but a choice nonetheless. It is the responsibility of the patient, not the GP. Don’t even think of trying to palm the blame on to doctors, we’re busy enough dealing with those with the decency to actually attend. This is still a democracy, people have the right to be wrong.
Hancock gives the game away here. All the “new” money will be spent on “primary care services”, not invested in GP practices (exactly the same as 5YrFV before). This has never made any significant impact on our workload in the past, why would it work now?
And anyone who has ever bid for 5YrFV money will tell you that there is a ridiculous amount of red tape resulting in a refusal letter. An utter joke.
Of course the real answer is to invest the money direct into GP surgeries, but after the 2004 contract we all know that will never happen again.
As bad as this is, it will be a picnic compared to the planned contribution hike to 20.6%, which will not only slash annual income, but also force people into receiving astronomical annual and lifetime allowance tax bills unless they bail out of this poisoned scheme pronto.
Re ZT- the “thriving practices” are situated in des res areas, best schools, high employment, low demand, CCGs in the black, good value quality contract, often dispensing....but even here applications for partnership are often single figure whilst 10 years ago they were deluged.
Meanwhile the rest of us in the sink areas are being squeezed by falling income and rising demand, and so a partnership is a poisoned chalice that only a lunatic would accept.
(Re IGDAF - double entendre intended, oo-er missus, Ivor biggen etc etc)
The final nail in the small partnership coffin. Mind you, there were plenty of nails hammered in to us over the last few years. It almost comes as a relief, to be honest.
And yet a 3 litre bottle of 7.5 percent Zeppelin Cider costs £4.25 from Bargain Booze, about 18 pence per unit.
Minimum unit pricing may be politically unpopular, but it really is the only answer, not the sticking plasters currently on offer.
You can’t just wish the recruitment crisis away. Patients already struggle to obtain GP appointments, and if we are forced to divert precious slots to trendy digital consultations (for the tech savvy younger worried well) then there will be fewer for older multiple morbidity patients who actually need to see a doctor.