GP partner EoE
The trouble is that too many trainees having failed once rush into entering the next exam. Practice "textbook" cases with a ghetto of other overseas graduates and don't listen to their trainees saying what they need to change. I have seen it time and time again. It's often not their knowledge although the AKT results aren't fantastic often because nuances are missed and speed isn't excellent.It isn't their work ethic either which is usually excellent. However my experience is that if not passed by 6th attempt then often truly aweful
This is disgraceful. It's taken over 2 years for my own practice to be registered after a merger due to conflicting advice and incompetence of CQC. Some partners ended up having to do DBA checks 3 times. CQC really is not for purpose and be scrapped. They have had long enough to get their act together.
"THE "TIPPING POINT HAS ARRIVED".
THE BAND IS STILL PLAYING ON THE DECK BUT WE ARE NOW LISTING !
THE WATER LOOKS RATHER COLD DOWN THERE."
But surely Last Man Standing rearranging the deck chairs WILL work??????
Well knock me over with a feather, who'd a thought it! Well done Jeremy.
I think you guys are being a bit short sighted. So patient s blood comes back low vit D, do I need to see it? Not unless the result is abnormally low and they need a prescription. For others they can be marked normal by my assistant or sent a leaflet that tells them they need to get out more and if they insist buy some over the counter supplements. Equally most TFT results can be dealt with and if the Hb is low I dont want to see the patient until they have haematinics done. Believe me this saves a lot of my time
In fact 5% more will not fill all the training places it would be 3170 out of 3250
Its not over til the fat lady sings.
How many places are currently unfilled?
I am not interested in "the same stage as last year". What matters is bods starting training in August and even more the number of trainees with shiny new CCTs going into salaried or partnership posts. Nothing else helps.
How effective do they imagine this will be at stemming the tide of leavers and encourage new trainers delivering quality training. We don't do it for the money and we certainly wont do it for free. Neither will we pay trainees salaries even in part.
I would quit training if I weren't retiring in July if this were to come in
I hope Primary Care in Portadown falls over not because I want it to fail but because it would be a catalyst that might wake politicians up. I have every sympathy having started at 7:30 today and finished early at 19:00 whereas its usually 20:00; 4400 patients per WTE is not safe. I wish them well.
Currently PAs get paid between 60and 65K and cannot prescribe so they are like chocolate teapots in most traditional practices so a registered situation would be good then they could prescribe.
Absolutely marvellous. State the bleedin obvious and blame "The Department of Health" not Hunt or his predecessor. And that will have about as much effect as a slap in the face with a wet fish.I have 3 countdown timers on my phone..43 days to 55 y.o. 109 days to getting the keys of our new surgery that we have pushed for and sweated blood and tears for 10 years and 481 days to my retirement. Good old Osborne and "The Department of Health" guaranteed that I would retire then a) because working any longer is financially meaningless and b) I will be too knackered then
Agree re calling him Jezza don't think its Hunt either
Certainly not cuddly tactful sensible or politically savvy
OOH boycott and undated resignations are the only ways to go. (even then the OOH might get forced back onto us) Every other method gets us bad publicity. Bad publicity will kill our case and we arent in control of publicity. Maureen Baker helps by saying we are in extremis. Needs to be repeated though and it needs the other bits too recruitment crisis, need for 4 year training etc. Shows "them" we care got nothing to do with our pockets
I thought the GMC had rules about this sort of thing?
Everyone I know in research suggests we already have a perfectly adequat RCGP reasearch network covering over 5 million people getting on for 10% of the entire population.
We dont need big brother and I am opting out so how am I to convince my patients?
How does NHS England expect the outcomes to have any credibility? My faith in the Benny-Hill formula is unchanged.
Offer more same-day phone consultations for urgent patients to reduce burden on 'creaking' A&E, GPs told
"prompt" phonecalls..........so Mrs Jones you dont mind your consultation being interrupted by Mr Nosensewhatsover do you?
You cannot have continuity AND access both of which seem to be on the agenda to promise the unsuspecting public UNLESS there is an excess of resources in the system i.e. too many docs. In addition those docs have to educate to reduce demand very actively.
Training practices face paying part of GP trainee salaries in education funding shakeup from next April
Taking 2 trainees at a time, 1 x ST1 and 1 xST3 there is a slight advantage if a competent ST3 in the final 6 months its about 1 or 2 sessions a week.
I think we do a good job of course if we were to exploit them..........!...get found out be stopped from training or.....stop training because I am not sure my partners would find it worthwhile and I couldnt blame them. Frankly it would make life a lot easier.
As above "fuckwittery" not too sure about the language but agree with the sentiment OR.....does this only apply to ST4's?
So will the LAT pay more so that practices can stay open for the hours that are wanted rather than needed? Will CQC close down the LAT if it doesn't meet their expected standards?
I dont think so.
Is the CQC a QUANGO taking powers to itself that were never intended? Answers on a postage stamp. Fortunately as the person above I am within 4 years of intended retirement. I can work as a salaried doctor if needs be.
What a load of rubbish. This is sour grapes by those who cant pass the exam. Its clear the training period is 3 years and you have to pass the exam. Unfortunately those who havent been submerged in the UK culture for long enough say 6 years or so have a mountain to climb in 3 years. They have the same failure rate in the AKT and thats marked by a machine.Should we dscriminate in favour of them and dumb the exam down?
I may not always have agreed with the college but it has raised standards. We dont want to continue having hospital failures in General Practice. This exam is much more exacting than previously and I suggest not as subject to bias as the other colleges.
There will be failures. Otherwise dont bother lets just let everyone through and not bother with standards.