British Medical Degree IS International!
Qualify and then Emigrate!!
I agree with Andrew Bamji!
This was predictable and demonstrates a toxic unstable danger,
Carr-Hill formula needs urgent review and GP Funding must change to reflect this new reality.
Excellent Editorial! No one unscathed! GMC and BMA both seen as Failing a Junior Doctor in a dangerous ill-supported workplace which is more common than acknowledged!
Hospital medicine needs urgent reform!
Primary Care is underfunded and under-resourced too.
NHSE are promoting a "model"of community care they think will be affordable,Accept a basic,emergancy care NHS for "the many"and an enlarging Private Service for "the few"! Not an advance!!
A damming litany of NHSE failures.
Sadly there is little frontline GPs can do to change that systemic cultural failure.
Workforce crisis will not be reversed currently.
NHSE has many fences to mend with Gps.
RCGP should loudly describe the funding instability that Matt Hancock is encouraging!
Patient concern is the only useful option that ?may concern Smug Politicians!
This "commitment" should be mothballed until Good Evidence demonstrates that it is excellent "value for money" and actively assists recruitment and retention of GP's!
fULLY CONCUR with Dr.Chand!
Place article in Daily Mail to Explain WHY General Practice is under Direct Threat by this "solution" to access and continuity of care.
No Vaccination-No State Support/Education
Herd Immunity matters!
Poor Parenting in this case Can Be Managed!
Politicians should "Man Up"!
A story of the "Times"!
Good Luck in Australia-It is a different Healthcare system.
This is a challenge that needs addressing or others will follow.
My patient remains in Broadmoor.
A Regional Health Authority Investigation and Report with 22 Recommendations was produced and remains "on file" somewhere!
Evidence is required that "Super Practice" model or Partnership "at scale" is superior to usual model! Until proven advantages can be demonstrated this is just an experiment or pilot of a theory.Patient safety and satisfaction need to be Independantly Validated-Not by CQC inspection which may have a hidden agenda!
Clare Gerada is correct to highlight issues and pressures. ReValidation is unhelpful and resources are inadequate and demands escalating.Workforce limitations will force model of care to change.Government must accept resposibility for current demands.As GP turnover and workforce diminishes their will be political accountability.
Early discussion of Advance Directives in Terminal Care are wise and useful. Futile CPR is distructive and upsetting for Relatives and Staff.BLS and ATLS/ALS Training for All Clinical Personell is desireable and certainly Life-Safeing in my case when I was stabbed in my surgery in Feb 2000 and needed resuscitation for a Left Massive Heamothorax.
GMC should reflect on this entire episode.
NHS is under-resourced and under-doctored-Systemic failings will continue-GMC role must adapt and improve.
I look forward to reading Dr Kanani's articles and contribution. Her predecessor caused significant harm and eroded trust! She has an uphill task to repair damage caused and restore trust.? a Poisoned Chalice!?
i agree with Michael Crow's comments and fears. Evidence shows that Contiuity of Care is valued amongst Chronic Disease,Elderly,Multimorbidity Patients. It is Not Valued by Young Adult Worried Well who demand Convenient Access over Continuity.HMO Model suits USA style Consumerist Market Force driven models of Primary Care Provision NOT Family Doctor model and "limitations" This Tension will not easily be resolved by NHS England or Dept of Health and Social Care. More Conflict ahead.
NHS England "Direction of Travel" is to "Encourage" 7500 GP.Practices to "Evolve!"into 1500 Super Hub Facilities offering Pharmacy/Paramedical/SocialCare and Primary Care Services "At Scale!" Evidence Values Continuity of Care in Smaller/Varied GP.Group Practice Settings!AWKWARD!!
Several weeks of “reading in” at least. At best he will listen to Civil Servants and CEO of NHS England. Social care not adequately funded yet! No further change over summer at least! Possible General Election in autumn! Await developments!
I agree that seniority payment loss and pension reductions (G.Osborne!) will be deciding factors for full timers over 50! So obvious that I presumed it was a deliberate policy to reduce “awkward” experienced senior GPs to “soften” the remainder for a salary based employee workforce which is easily controlled!