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Gold, incentives and meh

Vinci Ho

  • Should GPs stop doing home visits?

    Vinci Ho's comment 23 Nov 2019 11:25am

    PM and S
    You have nothing less than respect from myself 🙏😑

  • GPs vote for home visits to be removed from contract

    Vinci Ho's comment 23 Nov 2019 9:58am

    Vinci Ho | GP Partner/Principal22 Nov 2019 10:41pm

    Looking at the final result of this ballot, 54% versus 46% for the motion . This is a Brexit-like scoreline , isn’t it ?
    I would only say that I am humbled by this result , no matter what . As I wrote today , I fully understand that many would feel we had , perhaps , betrayed one of the traditional virtues of general practice . One of my local LMC colleagues even called this result shooting an own goal on ourselves. I disagree :
    (1) This is no longer about morality and virtues , it is down to terms and conditions. The culmination of year after year underfunding and underinvestment in general practice(with disproportionate workload)has convinced many of us that ‘enough is enough’ . That explains the early exit of many colleagues, hence the retention arm of the GP crisis . Many colleagues are burnt out needing help and our younger colleagues have chosen to work less than full-time-equivalent or elsewhere(other than frontline) to protect themselves. Totally understandable . That represents the recruitment arm of the crisis .
    (2) I am currently working six clinical sessions weekly ,plus one administrative(Sunday morning) for my practice and reluctantly takes on the Clinical Director for our PCN as my predecessor resigned for personal reason while absolutely no other colleague in our PCN is willing to step forward . I think there is the need for many of us to wake up and see the reality situation sitting right in front of us . Some colleagues up and down the country had to give up their beloved practices simply because they had no other choices .
    (3) As I wrote today , if this result could represent a benign version or virtual industrial action , so be it . I put this as a scorched earth policy where ‘enough is enough’ . And there is no better time to call this three weeks before probably the most important general election of the country for decades. Call me belligerent , otherwise .

    Now , I hope BMA/GPC will take this forward sensitively and intelligently onto the negotiation table with any forthcoming government , which undoubtedly needs our continual existence to score with their political football .

  • Should GPs stop doing home visits?

    Vinci Ho's comment 22 Nov 2019 10:41pm

    Looking at the final result of this ballot, 54% versus 46% for the motion . This is a Brexit-like scoreline , isn’t it ?
    I would only say that I am humbled by this result , no matter what . As I wrote today , I fully understand that many would feel we had , perhaps , betrayed one of the traditional virtues of general practice . One of my local LMC colleagues even called this result shooting an own goal on ourselves. I disagree :
    (1) This is no longer about morality and virtues , it is down to terms and conditions. The culmination of year after year underfunding and underinvestment in general practice(with disproportionate workload)has convinced many of us that ‘enough is enough’ . That explains the early exit of many colleagues, hence the retention arm of the GP crisis . Many colleagues are burnt out needing help and our younger colleagues have chosen to work less than full-time-equivalent or elsewhere(other than frontline) to protect themselves. Totally understandable . That represents the recruitment arm of the crisis .
    (2) I am currently working six clinical sessions weekly ,plus one administrative(Sunday morning) for my practice and reluctantly takes on the Clinical Director for our PCN as my predecessor resigned for personal reason while absolutely no other colleague in our PCN is willing to step forward . I think there is the need for many of us to wake up and see the reality situation sitting right in front of us . Some colleagues up and down the country had to give up their beloved practices simply because they had no other choices .
    (3) As I wrote today , if this result could represent a benign version or virtual industrial action , so be it . I put this as a scorched earth policy where ‘enough is enough’ . And there is no better time to call this three weeks before probably the most important general election of the country for decades. Call me belligerent , otherwise .

    Now , I hope BMA/GPC will take this forward sensitively and intelligently onto the negotiation table with any forthcoming government , which undoubtedly needs our continual existence to score with their political football .

  • GP leaders 'have no faith' that networks will reduce GP workload

    Vinci Ho's comment 22 Nov 2019 3:52pm

    Interesting 🧐😄

  • GPs vote for home visits to be removed from contract

    Vinci Ho's comment 22 Nov 2019 1:59pm

    In a way , I can understand why this is pyrrhic. The truth is that this matter simply epitomises what I described before : we (GPs) have simply sleep-walked into a scorched-earth policy ( if you know what I mean ,the inspiration first came from HK protestors) as a result of the way successive governments have been treating us in the last decade . The government certainly needs us more than we need it .
    I fully understand those colleagues who felt that we might have virtually ‘betrayed’ one of the important virtues in general practice. But it is also ‘enough is enough’ in a belligerent tone . Of course , no political party will immediately take this on board but I will also see this as a ‘benign’ version of an industrial action . Phenomenally , more will come whether these politicians like it or not .
    Our battles go on .
    PS I am even more intrigued on the result of the ballot on ‘rejecting PCNs’ 😗😎

  • Should GPs stop doing home visits?

    Vinci Ho's comment 22 Nov 2019 1:20pm

    ''The pessimist looks down, and hits his head. The optimist looks up, and loses his footing. The realist looks forward, and adjusts his path accordingly."
    Quote from The Walking Dead

  • Hancock approves plan to pay GP pensions tax but warns of 'tax avoidance'

    Vinci Ho's comment 22 Nov 2019 12:47pm

    All I would say is : this is a f***ing mess and you wonder if Robocock would ever do this if there was no general election coming 🤔🤣🤓

  • GPs vote for home visits to be removed from contract

    Vinci Ho's comment 22 Nov 2019 12:41pm

    It is coming .
    I am not going to repeat my long comment ( previously under Jaimie’s editorial).
    The right thing at the right time and right place could easily become the wrong thing to do when circumstances had changed.
    The ‘system’ ( hence , government) simply cannot afford GPs to do home visits right now

  • LMC issues 'black alert' and commits resources to GPs after CCG cuts funding

    Vinci Ho's comment 21 Nov 2019 11:59am

    Treachery and travesty of justice
    What is the story of this CCG then ?

  • Coroner warns lack of guidance on co-prescribing oxycodone and amitriptyline

    Vinci Ho's comment 20 Nov 2019 9:39am

    Whether we like it or not , this issue of opiate/prescription painkillers crisis is spinning into swatches of authorities involved.
    It is an issue that needs to be addressed seriously by new resources, particularly time and expertise. GPs( PCNs) cannot carry on being the scapegoats for all adverse outcomes from this pervasive crisis .
    Merely talking about a guidance is falling well short of reaching any solution. The new government after the general election cannot hide itself away from this .

  • PCNs have been received 'incredibly well', says Hancock

    Vinci Ho's comment 18 Nov 2019 11:04pm

    Give him a break . Compared to his predecessor, Robo-cock is too explicit being a fawning adulator of his boss and hence , this election campaign. Lying is simply a desperate
    sign of panicking.
    Just watched Emily Maitlis interviewing Agent Hunt on Newsnight. From Hong Kong battleground to House of Commons to Russian interference on this election, you would probably understand why Tories should ‘miss’ him as the health secretary, ha ha ha .😂😆😈

  • Hancock: 'I'm in discussions with Treasury about removing pensions tax taper'

    Vinci Ho's comment 16 Nov 2019 10:27am

    Folks ,please educate my poor English :
    When we make a promise , we say ‘hand on my heart’ , right ?
    For the health secretary, what is the meaning of ‘ Hand on my c**k?’ I wonder 😈😂🤣😅

  • Hancock: 'I'm in discussions with Treasury about removing pensions tax taper'

    Vinci Ho's comment 15 Nov 2019 7:56pm

    The truth is this is not totally about GPs but to these politicians ,more importantly , the consultants refuse to work more as well. Of course , we are f***ing overpaid because we are not hospital consultants.
    Remember that quintessential, hypothetical dilemma about saving your mother or your wife ?
    Ask these politicians, which one would they save when both a GP and consultant are drowning?😈😂🤨😄😅👿

  • GPs' working conditions are 'lonely' and 'damage' patient relationship, warns GMC

    Vinci Ho's comment 15 Nov 2019 6:51am

    OMG
    Mr Crocodile, are you crying ?
    Mr M , should you have resigned by now ? I wonder what your reflection in your home mirror is like these days?🤔🧐🤨😅

  • We must convince graduates that general practice is 'exciting', says Ashworth

    Vinci Ho's comment 14 Nov 2019 7:53pm

    Calm down , folks .Let me try to decipher his encrypted message (1)He said: ‘We’ve got to convince medical graduates that general practice is really exciting. ‘
    Punchline:Convince is another word for ‘lie to ‘😂
    (2) ‘Given that it is going to be such a focus of mine as health secretary, really putting wellbeing at the heart of our policy agenda, I hope we’ll be able to show from a national level that general practice is the place to be. I’m not able to deliver my health inequalities agenda unless I’ve got general practice fully part of that.’
    Punchline: If I go down as the health secretary who fail to deliver , you guys go down with me 😈
    (3) ‘From my point of view, I hope we’re sending a message that general practice is hugely rewarding. We respect you and we want more of you.'
    Punchline : hugely rewarding never means in financial terms. 😗
    (4)’A big capital investment has been announced today of £2.5 billion to upgrade facilities but I know things are going to take time after ten years of squeeze of budgets and cutbacks to turn things around.’
    Punchline: do not blame me if it takes another ten years to turn things around but please keep voting for Labour 😃
    (5)’I hear it from GPs all the time, and consultants in the provider sector. Of course, the way in which the tapering applies where you do an extra shift and you’re hit with a tax bill, we need to review it. If I’m honest, if I came up with a solution from my back pocket now, you wouldn’t believe me. This is very complex.'
    He added that Labour, if elected, would 'look at this urgently'.
    Punchline : It is indeed something very complex and I can only keep looking at it . Boom ! Oh no , it is exploding and I have to distance myself away from it now but I am still looking at it 😅🤣😂

  • NHS set for 'worst ever' winter crisis as A&E waiting times worsen again

    Vinci Ho's comment 14 Nov 2019 7:18pm

    Of course , for those protagonists for seven-day opening of GP surgeries would say that is the life-saving solution for A &E . Thanks for their wonderful ‘vision’ ,we will be the ‘saviours’ .
    Certainly , extended access DES for PCNs to take on from next year is already putting us(GPs) on the spot !

  • Home truths

    Vinci Ho's comment 13 Nov 2019 5:49pm

    (1) Undoubtedly, the time spent on visiting one patient can always be used to see at least , several patients in surgery , fact and common sense . In terms of ‘productivity’ in economic terms , home visit is not a favourable commodity .
    (2) Then it is the ‘type’ of patient who can genuinely ‘qualify’ for a home visit . Deep down, we all know who they are (totally housebound , terminal care etc).
    But the question is who and how to justify the qualification of any home visit being requested ? Arguably , this can be something potentially ‘abusable’ . I suppose every single case can be debated whether the patient really could have come to our surgeries to see us or not . Means of transport is one major factor .
    (3) History does not help because it has created expectations . In the ‘old , good’ days , one can say we have enough resources ( time and manpower ) to satisfy these expectations. Yes , continuity of care(COC) is important. But it was then , this is now . General practice can barely survive under this current retention and recruitment crisis . The ‘right’ thing to do could have become the ‘wrong’ thing to do at the wrong place at the wrong time . Morale amongst our colleagues is so low that we must save ourselves before saving others . The fact we are moving towards working by scale sacrificing COC ( something I always fight for ) is arguably and already a form of capitulation. Let’s be honest to ourselves . Perhaps , home visit is just another ‘virtue’ we have to give up to endure our survival. Of course , politicians would not let this happen easily for their own sake ( Since when would they really want to care about ‘overpaid’ NHS GP?).
    Clearly , if the total number of GPs available drops below a certain threshold, some items of GP service automatically becomes ‘luxuries’ . Put it in a simple term , the government and the country cannot afford to have GP home visits.
    xxxxxxxxxxxxxxxxxxxxxxxxxx

    I would be more than interested in the outcome of this ballot on 22/11( as well as the one about rejection of PCN) .
    The irony is PCN DES has included paramedics in the extended workforce deal , who can potentially do home visits for us. But we have to foot 30% of the cost at PCN . And we all wonder where the hell can they recruit these paramedics without destabilising the already precarious ambulance services ?

  • Labour pledges £2.5bn for 'overhaul to primary care estate'

    Vinci Ho's comment 13 Nov 2019 8:30am

    I stick to the simplicity of my spinning slogan in this general election :
    ‘Treat GPs like shit , you don’t get elected !’
    😈🤓

  • GP leaders to call for removal of home visits from contract

    Vinci Ho's comment 12 Nov 2019 8:57pm

    Again I deliberately waited until you guys had expressed your well respected opinions and they indeed constitute mixed reactions :
    (1) Undoubtedly, the time spent on visiting one patient can always be used to see at least , several patients in surgery , fact and common sense .
    (2) Then it is the ‘type’ of patient who can genuinely ‘qualify’ for a home visit . Deep down, we all know who they are . But the question is who and how to justify the qualification of the home visit ? Arguably , this can be something potentially ‘abusable’ . I suppose every single case can be debated whether the patient really could have come to our surgeries to see us or not . Means of transport is one major factor , I suppose .
    (3) History does not help because it has created expectations . In the ‘old , good’ days , one can say we have enough resources ( time and manpower ) to satisfy these expectations. Yes , continuity of care(COC) is important. But it was then , this is now . General practice can barely survive under this current retention and recruitment crisis . The ‘right’ thing to do could have become the ‘wrong’ thing to do at the wrong place at the wrong time . Morale amongst our colleagues is so low that we must save ourselves before saving others . The fact we are moving towards working by scale sacrificing COC ( something I always fight for ) is arguably and already a form of capitulation. Let’s be honest to ourselves . Perhaps , home visit is just another ‘virtue’ we have to give up to endure our survival. Of course , politicians would not let this happen easily for their own sake ( Since when would they really want to care about ‘overpaid’ NHS GP?).
    xxxxxxxxxxxxxxxxxxxxxxxxxx

    I would be more than interested in the outcome of this ballot on 22/11( as well as the one about rejection of PCN) .
    The irony is PCN DES has included paramedics in the extended workforce deal , who can potentially do home visits for us. But we have to foot 30% of the cost at PCN . And we all wonder where the hell can they recruit these paramedics without destabilising the already precarious ambulance services ?😈👿

  • Conservatives pledge 6,000 new doctors in general practice by 2024/25

    Vinci Ho's comment 09 Nov 2019 10:49am

    Yawn
    Every election is the same BUT this one differs from the others in the fashion that none of the other issues on their manifestos would appeal to more than half of the voters ( well , we all know the split between Leave and Remain anyway).
    So as I wrote before , NHS is the only territory which ‘guarantees’ some trustworthiness and hence , political appeal to those voters , at least , in the centre ground ( if centre ground still bloody exists ). NHS is even more appealing to climate changes in UK as far as battlegrounds of general election is concerning. Let’s be honest on this .
    Whether these politicians really believe what they are saying in front of voters about NHS is no longer important, it is politically suicidal if any party does not have a go on NHS in this most extraordinary general election .
    Is it any ‘good’ to us (GP) realistically from this circumstances? I do not want to be judgemental from the outset as the story is unfolding. And one day of politics is too long .
    Yes , probably nothing constructive is going to happen ? We will be still the dumping ground for secondary care’s ‘unwanted’ workload . But it is the political narrative(s) which set an ‘opportunity’ for those who wanted to represent us . Whether they really would go belligerent exploiting this parody.
    If one remembers history well enough of how we had been treated by government(s) so far , I suppose there is no other ‘better time’ ( gosh , I hate this term) to seek revenge.
    So, adding to my old slogan ‘ the new government needs us more than we need it .’, this is the second election slogan
    ‘ Treat GPs like shit , you do not get elected .’