Took Early Retirement
Having worked in the salt mines for nearly 34 years, I have grown tired of mendacious politicians of all parties constantly trying to make my life impossible, using the aid of their all-too-willing running dogs and lackeys in the press.
Currently keeping my head down and waiting to be called back to the colours, but only when I am offered massive sums of money and free indemnity. I may be gone a while!
GPs- PHE should shut the fcuk up until they can actually do a GP's job. Then they may opine.
Good- let it all fall apart.
Stupid. When you go to the checkout at Tesco, you pay for the items in the basket. Systems like that work in Germany and large parts of Australia I believe.
Well said, but nothing will happen.
What about people like me with a degenerate spine, who are intolerant of all NSAIs? BTW, weren't NSAIs regarded as a poison not so long ago? GI bleeding, renal impairment etc. And yet NICE IIRC tells us
that Paracetamol doesn't work for pain!
I've known lots of people- the overwhelming majority, in fact, who used things like Codeine or even MST for chronic unresponsive MSK pain in a quite responsible manner. Some were even able to continue to work.
So let's do the usual thing that we do nowadays; let a minority (I'd even dare to say often an irresponsible minority) override the needs of a responsible majority.
Watch the suicide rate rise from people with uncontrolled pain: early on in my career I saw two who died this way when we were told, "You can't given anything stronger than codeine or they will become addicts."
At least Dr Stokes-Lampard isn't falling into the usual RCGP self-flagellatory trap of saying "GPs should be doing more". Well done to her.
Funny, I remember when we had PCGs and ours, with 70k patients was "too small".
Frankly, as someone who also left early, partly because there were some pretty unreasonable expectations of what doctors can do, I don't give a tinker's cuss for what they patients think. Many of them don't think anyway. They will soon be dreeing their ain wierd.
Noooooo, Meg. Remember the mantra, "Privatise the profit, socialise the loss". (loved by the Tories since the dawn of time.
Sorry- showing my age, CCG, nowadays, which is something TOTALLY different. Like run by GPs, innit?
Were a PCT so unwise as to send me such a missive, my response would be:-
Verpiss Dich, or perhaps, even better Bog ti jebo. (Both EU languages!)
Why have a picture of handguns, Pulse? It is almost impossible to have one nowadays. (Legally)
I think they are fed up with Pulse continually producing the same picture of the strange-looking woman with the weird eyes,and are worried they will end up like her if they stay as a GP.
"‘Overall, the contract value increases by 1.4%, which provides practices with the confidence to be able to plan for the future."
The planning almost all GPs should be doing is to get your exit strategy sorted asap.
What planet does the BMA person live on?
Let's hope he dies in prison.
"There is no doubt that we have an epidemic of opioid use at the moment"- ridiculous hyperbole from the BMA spokesman.
In my career I saw two people commit suicide as a result of severe MSK pain when no one would give them anything stronger than DHC.
So, GPs stop using MST, patients commit suicide and GP will end up in the dock. You heard it here first.
I had several people with severe MSK pain on things like low dose fentanyl patches or MST, who use didn't escalate and who were able to live fulfilling lives, in some cases carrying on working.
And if there is such an "epidemic" then why are we using methadone for drug addicts- none of whom get off it, and almost all of whom don't work?
I know that local authorities have been asked about arrangements for temporary morgues. (I have a friend who works for one. ) What are the expecting? A mass-extinction event.
The chap with the IT problem needs to switch from Vision to System 1. For me that ran on rails.
Nothing will happen until so many GPs have left that people are unable to find one at all. Then it will be too late.
I heard about Cisalpine Gaul, but then I had a decentish education.