Flabbergasted by the question asked of a GP Registrar by a GP partner who should know better. In fact anyone with an ounce of common sense should know that the question is inappropriate. I was a GP in Edinburgh and have now been an emergency physician for many years in Edinburgh and latterly Leeds. The “culture” I have come across is most certainly not being black for want of a better phrase. Anyway who decided that being black was indeed a cultural matter or a choice? Ridiculous.
This only reinforces the well known fact that appraisal is a pointless exercise. The GMC has gone all Donald Trump on us by telling us to present “alternative” facts. Not exactly professional of them or us if we follow that advice. I think my reflections in my SOAR online template should just say, “I have reflected, therefore I am”.
I suffer at the hands of these idiots (111) on a daily basis in the ED. They are beyond useless. Be afraid. Be very afraid.
What next? Whale noises in the waiting room. Tai-chi on prescription.
Give me strength.
I would probably have read him the riot act which I have done previously to fairly good effect in my ED. I've seen people go home with their tails between their legs then write a letter of contrition to the department after they've had time to think about things. Not that I woul expect that from our hopelessly out of touch Health Secretary.
I went to work in Australia as a GP in 2011 with the intention being that it would be a permanent move. I stayed on the GMC register (in case I decided to come back) but gave up my licence to practice. However life in Oz was not for me so I came home. Fortunately I decided to change to doing emergency medicine. Thank God!
Una Coales for GPC chair. Much sense spoken. I've left general practice now and could not face the prospect of going back just to be used and abused as everyone's doormat (patients, DOH, Daily Wail etc). It's a shame for a lot of the patients I used to enjoy seeing and helping. I've turned to the dark side of the force now and work 7 sessions as a permanent ED doctor. It's actually very rewarding and the way GP land is at the moment, I can't see me going back anytime soon.
PS - please add my name:
Dr Anthony S Matheson
Unscheduled Care Practitioner
Dumfries and Galloway Royal Infirmary
Okay so it's Scotland but only just over the border.
I cannot agree strongly enough. As a former military GP and occupational health practitioner who has personally required the services of an OH dept, I find it baffling that the NHS somehow thinks we are superhuman.
Call me a rebel but dare I suggest that the RCGP and BMA aren't particularly good at voicing the opinions of their grass roots members?
Commissioning was never intended to be a tool for the benefit of the NHS and its employees & patients. Call me a cynic but I see it simply as an (expensive) exercise/con by HMG. Its real purpose is to yet again demoralise and dumb down the profession, allowing HMG to say, "nope not our fault, all the fault of GPs as they hold the budgets". This will lead to further demonisation by Murdoch's attack dogs. The public will distrust GPs even more (if that's possible) and HMG will sense that the time is right to go for the jugular/carotid and privatise the NHS. So sad.
As usual I'll continue to ignore NICE guidelines and wait for SIGN to come out with what is invariably far more sensible, properly evidence based guidance. NICE is a servant of the state remember so I am always suspicious of their guidelines.
Totally spineless, useless and non-representative (my view but then they'll never know as they won't debate a contentious motion just for a change!) as per usual. Do we really expect anymore from this so-called trade union? I left in disgust over the MTAS/MMC farce a few years ago even though I was a fairly newly qualified GP at the time. Now that would've been easy to take industrial action over - do something like simply stop signing death certificates ( it worked in NZ a few years back I think). Striking about money per se, and in a very ineffectual way at that, was never going to be a smart idea in a country where the public already thinks GPs are overpaid and underworked. Industrial action needs to be taken emphasising the latter.
CCT in general practice.
I hear you but don't take it personally a la divide and conquer. It's what is commonly known as a statement of the bloody obvious. GPs have had more than just the past week being abused by Twunt & co and the Daily Wail etc. They've been given a right public flogging but the hospital specialties haven't unless I selectively switch off when GP bashing stops. The DOH isn't saying "Oh all orthopaedic care is shit!" but it is making similar assertions about general practice.
C of I - CCTV in general practice (but now working in secondary care)
GP contract set to change as Hunt hands responsibility for out-of-hours care back to general practice
It's interesting that when a useless organisation like British Aerospace (known in military circles as British Waste-of-space) runs ridiculously over-budget (the norm), it tells the MOD to jump. The response is always a resounding "how high". Why doesn't the medical profession, in particular the spineless BMA, have the balls to come out and tell DOH to sod off?
I understand where you're coming from but if that's the kind of service people want now, then I'm afraid it will no longer be "free". And taken to its logical conclusion you will end up with an American style system where those who can afford it get world class care but as for the poor, well tough. What would you prefer?