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Independents' Day

Alison Lloyd

  • Mr Cameron, the NHS is not safe in your hands

    Alison Lloyd's comment 05 Feb 2016 11:02am

    Completely agree. These are the factors that made me leave early.
    Alison Lloyd
    Ex partner
    Cross Deep Surgery
    Retired completely at 55.

  • GPs should move away from 'mentality' of clocking off at 7pm, says Hunt

    Alison Lloyd's comment 20 Jun 2015 11:33am

    Anonymous | NHS Manager | 20 June 2015 10:26am


    I have taken the decision to leave at 54. I have no income whatsoever. No pension. No other income. Luckily I have a lovely husband and do not live an expensive lifestyle.

    Insults like yours will simply push yet more people to make the same decision. Lots of GPs are female and are quietly voting with their feet. I am not alone by any means.

  • What do you think of the 'new deal' for GPs?

    Alison Lloyd's comment 20 Jun 2015 11:27am

    What do I think about this"deal"?
    1. It is not a deal. Definition "an agreement entered into by two or more parties for their mutual benefit, especially in a business or political context." At no stage have I or anyone I know been consulted about this. No, you do not have a deal.
    2. There is nothing in this which will make life for a GP any better, nor retain GPs who might leave, retire or emigrate.
    3. Having resigned as a training partner from a great practice with great partners at 54 I am currently not working at all. The fact that I would prefer to have zero income than work as a GP says everything that I want to say.
    4. Every GP I know is currently working 12 hour days just to keep their heads above water, regularly staying until 9pm or so. The suggestion that there is a clocking off culture is utterly incorrect and insulting. The cameras were off at this point. Was this a slip or a manipulative and deliberate insult? You are either ill informed or deliberately intending to destroy general practice. You can get on with it withou me.

  • Half of GPs 'face weekly conflict with patients'

    Alison Lloyd's comment 16 Jun 2015 6:05pm

    Anonymous | Other healthcare professional | 16 June 2015 4:50pm

    What utter nonsense!

    Any patient can register at any practice they like within their area. They can change to another practice as and when they wish. We, on the other hand, cannot refuse any patient without good reason and have no choice at all.

  • 'It is vital that urgent action is taken on this issue'

    Alison Lloyd's comment 15 Jun 2015 3:56pm

    Alison Lloyd
    Ex GP partner and Trainer

    Well burnt. Left at 53.

  • Physician associates won’t save time for GPs

    Alison Lloyd's comment 29 May 2015 11:58am

    I agree with the sentiments expressed above totally.
    However, it seems to me that the intention is to change the way general practice in this country works to mimic the way it works in the States.
    We are increasingly being driven by exactly the pre-packaged, protocol driven processing hat you describe. QoF, "care pathways" and NICE "guidelines" do exactly this.
    We should have stood up to this formulaic method of treatment and indeed performance management years ago and those who supported it in the RCGP and BMA should take the blame for the direction of travel.
    This is the intention, not an unintended consequence and started with proponents of Keiser Permanante etc.

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Alison Lloyd's comment 21 Dec 2014 5:43pm

    Thank you for your work on this Clare.
    I really hope that grass roots GPs are listened to, and their opinions taken on pboard.
    I agree with Teresa Eynon's comment which is
    "While I support your intention in setting up these group analyses, I am concerned that this therapy gives too much responsibility to the victim and not enough to the perpetrators."
    In my view the culture has to change from the top and it is not fair or reasonable to expect those who are subject to unreasonable treatment to change so that they can cope. They should be treated reasonably in the first place.
    Please also understand that any one individual view, no matter how passionately held and how reasonably argued, may make some people feel even more vulnerable.
    One example is the statement that all GPs will become salaried. This may or may not be the right thing to do, but it leaves a whole group of partners with massive personal investments in their practices feel unsafe and vulnerable.
    There must be a discussion about the way forward which involves GPs and not a pre determined plan which will be imposed. This is a part of the problem and results in disengagement.

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Alison Lloyd's comment 21 Dec 2014 2:05pm

    There will come a point at which more doctors have killed themselves than patients were killed by Shipman.
    Will it then be time to reconsider?

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Alison Lloyd's comment 21 Dec 2014 1:28pm

    Sadly I think that these deaths while under GMC investigation are the awful tip of a terrible iceberg.
    Suicide, depression, anxiety, alcohol and substance abuse issues and marital failure all all high in doctors and it seems that the job creates at least some of these problems.
    Clare Gerada has done some fantastic work on this and claims that doctors are hard wired by the entire system to be cruel. We are not supported and are punished if we allow our emotions to show.
    Too many doctors are desperate, afraid and without support. They are struggling to cope and it is these doctors who are disproportionately referred to the GMC. To add the devastation of a formal investigation of that person's entire life, again with no support, is to risk their life.
    I feel very strongly that it is the entire system that must be challenged, not just the GMC. The department if health are culpable, as is Jeremy Hunt.
    The increase in suicides of those under investigation last year suggests that the situation is getting dramatically worse. Increased work, especially if the type which we do not buy into, less control over our working lives and decisions, longer hours, increased demands and non stop public criticism/ complaints, not to mention the fear of litigation and GMC referral will all increase the risks if being a doctor.
    I feel that the DOH and Hunt must be accountable.
    Personally I am no longer willing to risk my personal mental health. I have resigned from my ( wonderful) partnership and my mental health has never been better.

    Please do not take risks with your own health. There is life after medicine and it is a happy one.

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Alison Lloyd's comment 20 Dec 2014 10:20am

    I do not want to be trained to be emotionally resilient. I want to have my normal and expected emotions considered as normal and expected and to have doctors cared for.

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Alison Lloyd's comment 20 Dec 2014 9:01am

    Ps. I continued my " shift" until Monday at 7pm so a total of 84 hours with only about 5 hours sleep.
    Although these shifts have been outlawed, the effects have been permanent.

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Alison Lloyd's comment 20 Dec 2014 8:57am

    During my paediatrics house job I was looking after a very severely handicapped boy who had never made it out of hospital. At the age of about 10 months his condition deteriorated and he died. This was expected but very sad.
    I had been on call continuously since Friday morning, had been up all night on Friday and Saturday and he died on Sunday afternoon.
    After he died, his parents complained that I had not been sympathetic enough. I am quite sure they were right and I received a severe bollocking from my consultant on the Monday morning.
    However, no one asked me if I was ok. No one recognised the fact that I had been working for about 56 hours with only 2 hours sleep and no food except a couple of slices of toast stolen from the ward. ( I believe this is now not allowed!)
    I am quite sure that many episodes like this hard wired me to ignore my own physical and mental health needs and made it entirely clear to me that my needs did not matter to other people in the hierarchy.
    I have worked with some incredibly kind and caring people individually, but the system right to the very top at DOH is culpable for the disgraceful way doctors are treated.
    Money before patients before doctors.

  • CCG backs down on plans to withhold surgery for smokers and obese patients

    Alison Lloyd's comment 12 Dec 2014 5:29pm

    Pressure has been applied.

  • NHS chief suggests GPs should 'reflect' on damage caused by raising alarm over state of profession

    Alison Lloyd's comment 03 Oct 2014 6:00pm

    He should "reflect" on the damage his organisation and the DoH have done to general practice.
    I have left an excellent partnership because of their policies and could not, in all honesty, advise any young doctor to choose general practice as a career.
    How dare he blame those who have been on the receiving end?

  • More than 500 GP practices have closed in last five years, 'stark' Government figures reveal

    Alison Lloyd's comment 12 Sep 2014 9:26am

    You say that the number of practices in Manchester has gone down by 7 in the last 2 years and that this is mostly due to single handed, older, practitioners who should have left years ago.
    These (maximum of) 7 doctors should be very easily identifiable. If I were one of them I would be seeking legal advice. It is not acceptable to slag off your colleagues without stating facts and evidence. What's is your evidence, other than the fact that these were single handed doctors who did not fit your political ideology?

  • Health education chiefs call summit to tackle developing GP workforce crisis

    Alison Lloyd's comment 03 Sep 2014 9:14pm

    Partner, trainer, aged 54. Already left.
    I agree, it's all about retaining the existing people.

  • GPs must start saying ‘no’ to extra work

    Alison Lloyd's comment 30 Jun 2014 10:42am

    Our district nurses are wonderful and I have never had these issues in Richmond.

  • 'Be positive' about seven-day working, advises extended hours pioneer

    Alison Lloyd's comment 02 Feb 2014 3:24pm

    Dear Ivan
    I am a bit confused! You say that you are providing extra appointments for 6-8 on weekdays and for 3 hours on Saturday and Sunday. As the normal contracted hours are 8-6.30, this equates to 1.5 hours each weekday ( 7.5 hours a week) and 6 hours at weekends, total 13.5 hours a week of what is effectively extended hours. Considering that there is an extended hours DES which covers exactly the same times, apart from sharing it between practices, how is this different? This allows for ( if I remember correctly) 30 mins per 1000 registered patients. It would seem to me that you are doing considerably less hours than thisfor the total number of patients covered. Is this in addition to the extended hours DES and how much is being paid for it compared with the DES?
    Secondly, in general, the major problem is that the contract holders will be the partners and, if no other volunteers are forthcoming, it will be partners who will have to cover this time.
    Third, your version of extended hours is being seized on by the politicians as a step towards a 12/7 routine service. From what you have described it would seem to me that it is no such thing.

  • GPs to open until 8pm every day under £50m 'pioneer' programme

    Alison Lloyd's comment 01 Oct 2013 4:33pm

    This is less than £1 per patient per year. (England population 56m)
    With our list size of 10 000 that gives us <£10 000 per year to fund 10hours during the week and 24 at weekends, ie 34 hours a week
    Multiply this by 52 weeks, we have £5.66 per hour to provide the full range of facilities including reception staff, nurses and doctors.
    This is an over-estimate and even with federated groups I simply do not understand how this can be done.

  • Gerada set for NHS England role to 'transform' primary care in London

    Alison Lloyd's comment 06 Sep 2013 5:58pm

    While I have an enormous amount of personal respect for Professor Gerada, I cannot support her ideas about the future of general practice. Massive organisations run by a few partners with numerous salaried GPs are not my idea of good, personalised care.
    NHS choices list patient satisfaction for every practice. Of the 16 Hurley Group practices, 5 are below average, 10 are OK and none are above average. One is not listed. Only one scores higher than my practice.

    Perhaps those partners running the practices with highest patient satisfaction should be asked to contribute to NHSE?