GP with no union
As far as I can see GP's are the dumping ground for work and risk of all other primary health workers , secondary care, and the CCG.
We need our union to use some leadership skills to organise industrial action quickly, or the whole of GP will collapse.We need a robust definition of what we will do and what we will not-without adequate finance and workforce planning.
The BMA is useless. They need to ensure that these costs are fully met by the governement. If not ,all members resign.If they had any leadership skills at all they could get enough GPs to resign to force the government to back down .
In fact I think the GP partner contract is so bad that no one should be a partner. The government know this. This is why most young GPs are salaried, and are on a much lower income than they should be .Government has already won, thanks to the BMA.
If we didnt have to monitor things for secondary care, see patients discharged too early from clinic, carry out their treatment plans etc, then we wouldnt need all these visiting services .Everything we are now expected to do incaeases our medocolegal risk. If you havnt got an adequately monitored recall service for the psa, and a patient defaults this will be partly deemed your fault if there is a delay in diagnosis and similarly for other work . If the ECP or nurse practioner makes a mistake, you have some responsibility.
Of course we should demand pay for all unfunded work .Of course there should be a cap on what the condract we have pays for.
pay per consultation, per 10 minutes- so the longer the patient takes and the more problems the more they pay.Also bill any time taken for results/ letters/ phonecalls. They can then work it out with the government about whether or not they can be reimbursed.Likewise any use of practice nurses etc should also be billed .This is the only way I can see that we will be paid fairly and not continually have worke shifted our way.
Until the conditions for GP partners change, I would never recommend this to any doctor.
It is not just about the pay, it is mainly about the enormous responsibility and financial liability.
In fact I wouldn't even recommend a young doctor stay in this country to work as a GP.
All of these services-for GP's to get advice -result in the GP doing more work.
I would say this is the final straw ,but that happened years ago, and I aleady have my exit strategy well underway, as i am sure most GP's have.
I also blame BMA and RCGP .We should never have been put in this position.
I plan to retire in 2 years, many years early. It will take a miracle to stop me.
I hope they can sort the mess out, as I would like to have a GP in my old age. One who has the time, and health , and skill , to look after me.
Our union should pay no attention to public/media opinion. It should insist on safe workloads and working conditions to both doctor and patient.The pay should be commensurate with our qualification, the importance and responsibility of the job.
It is the union and those of us who continue to support it, which is at fault, in my opinion.
Yet anotherreason to LEAVE as soon as possible
This is, of course, a pay cut.
Why doesnt the BMA stand up for us. Useless.
Blame the BMA. If they had robustly stood up for our terms and conditions we would still have a GP system we could be proud to work in. They bothered too much about what the rather ignorant public thought, they should have ignored any public or media opinions and consistently insisted that GPS had the correct pay, work conditions and resources to provide a GP service.
I believe the funding of a health care system is not Drs job to decide , only as far as we have vote in elections. It is for the electorate to decide.
We must simply demand the correct pay and conditions to do our job to a minimum acceptable standard. Who pays for it is irrelevant.
The NHS is currently not really fit to work in.We are not safe with the volume and complexity of work we have to do .Our union should simply state this and we should all refuse to work until this is sorted out.
The current system in which if you are unlucky enough to be involved in an error that causes significant harm to someone you can get a criminal conviction is, to my way of thinking, the last straw. I am definitely leaving.
I would worry about the intelligence/sanity of any GP partner who thinks our job is alright.
12 + hours of trying to fit 24 hours of work in, prospect of mistakes leading to a manslaughter charge, infection risk,trying to run a business with an unresourced and ever expanding workload over which you have no control, constant media cristism etc. The only GPs that I know who claim to enjoy there job spend most of their time being well paid for not doing it.
The BMA is useless. If it was any good it would have immediatly insisted all doctors work to rule, only seeing a fraction of the patients we do each day to give us a half descent chance of not making a mistake- and even then we obvioulsy will make errors as we are human. We should never be criminally prosected for making a mistake at work. The only reason I am not in Dr BW position is luck, not that I havn't made any mistakes.After this case I have brought my retirement forward to age 55, and am seriously considering bringing it forward even more. I might be poor but at least I will be free.
Different patients need varying amounts of time. Most GPs would accept some days being longer than others because of this variation , but the fact is that somehow our day is now 11-12 hours every day , and we are continually rushing, working too fast and not having time to reflect. The simple answer is we need about twices as many doctors.
I agree we need another union. No one should be convicted of manslaughter whilst working in a system with unlimited workload and limited manpower. We need a competitive salary for our work, but more importantly we need much better working conditions.
You would have to be mad to consider a job as a doctor in this country. I cannnot wait to retire. I am 52, was going to hang on until 55, but am reconsidering this.
All doctors should strike until she is cleared of manslaughter and back on the register in my opinion
It is the department of health who should be convicted . If they ran an Airline it wouldn't be safe to walk down the road in case a plane landed on your head.
We dont just need to reflect, we simply need more time with each patient and not to be doing 3 things at once ,our blood results after a 12 hour day and so on.
How we see patients has changed. You cannot see a patient in 1 minute if you are a doing their observations and examining them thoroughly, and if one of the patients deteriorates then it is now expected that there are observations recorded to prove this- or to prove they were ok when you saw them. This is defensive medicine, but in the current litiginous and blame culture , it is required.
So, this is why we can only see a fraction of the amount of patients.
Before I changed my practice- which has been a gradual thing- I could have seen more patients. I am not aware of a single patient who had suffered from my previous method- most doctors can tell at a glance which patients need a more thorough examination- but todays culture has changed. No one can predict which patient may get worse.
We are not allowed/expected to refer as soon, we are discouraged from sending to a+e- indeed many patients who have perfectly sensible reasons to go to A+ E now come to us to be assessed.
We can employ more clinical staff to help us, but then our income is reduced substantially and then when older partners leave , you get no one interested in the job.
What on earth is the BMA and the RCGP doing. I think we should all stop giving them a penny of our money, they are useless to us. In fact I think they are responsible for many of our problems.