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Independents' Day

Vinci Ho

  • GPs to do further follow-ups with cancer patients, under new QOF proposals

    Vinci Ho's comment 07 Jul 2020 5:56pm

    While I can agree the part of immunisation is logical , obesity and cancer potential QOFs from these NICE recommendations are just ‘one size fits all ‘ once again .Politically correct but never touching the core problems.
    I would argue that unless you have an oncologist doing joint consultation with a GP in the community, these indicators are just another level of box-ticking bureaucracy. And remind me what had the college just said about bureaucracy in general practice , learning from Covid 19 ? Hypocrisy once again , old habit hard to rid .

  • How GPs have used the independent model to adapt in the pandemic

    Vinci Ho's comment 07 Jul 2020 3:55pm

    Correction
    Things are NOT what they seem.....

  • How GPs have used the independent model to adapt in the pandemic

    Vinci Ho's comment 07 Jul 2020 3:54pm

    Things are what they seem, comrades .....
    And don’t wish for something one realistically can not afford . We are only in ‘transition period’ . Remember this terminology from Brexit ?

  • How GPs have used the independent model to adapt in the pandemic

    Vinci Ho's comment 07 Jul 2020 12:50pm

    I will take the view of pros and cons , advantages and disadvantages in any choice one would commit.
    But without examining the circumstances( political , medical , economic and social ) , we can fall into our own trap of ‘one size fits all ‘ .
    Undoubtedly, the pendulum was swung too far to one extreme BEFORE Covid 19 and for some(our ‘leaders’) who were engaging the government with wishful thinking had only just waken up , recognising the deception , untrustworthiness and incompetence of this hierarchy .
    Not a bad thing , but this has come with a hefty cost .
    What is the future ? I am still conscious of ‘old habit is hard to rid’.
    But what do I know ? I am only the sad ba****d who is constantly moaning 😈

  • GPs should refer a quarter of all patients for weight management, suggests NICE

    Vinci Ho's comment 06 Jul 2020 10:44pm

    And I am afraid I had to say the college and NICE are in the same ‘pact’ , especially when the former singled out Covid 19 as a lifestyle disease and hence , GPs are ‘well placed’ to change these bad lifestyles while the government could either do f**k all or even the opposite to breed more obesity .
    Boris , you should know by now why you were ‘at higher risk’ and nearly died of Covid 19 !

  • There isn't a one size fits all approach to weight management

    Vinci Ho's comment 06 Jul 2020 10:14pm

    And I am afraid I had to say the college and NICE are in the same ‘pact’ , especially when the former singled out Covid 19 as a lifestyle disease and hence , GPs are ‘well placed’ to change these bad lifestyles while the government could either do f**k all or even the opposite to breed more obesity .
    Boris , you should know by now why you were ‘at higher risk’ and nearly died of Covid 19 !

  • There isn't a one size fits all approach to weight management

    Vinci Ho's comment 06 Jul 2020 9:59pm

    Weight management services are Cinderella services . NICE needs to get real and practical. What was the track record of percentage of obese patients realistically and religiously referred to bariatric surgery as according to previous NICE guidances ?
    The fact that these ‘experts’ could not find a way out of this well known national crisis of obesity , does not warrant passing the buck to GP under , once again , an ‘one size fits all’ tick-box exercise for the sake of presenting a ‘solution’ to the public .
    We saw how badly this old model failed during last 13 weeks of Covid 19 nightmare . But I always said ‘old habit is hard to rid .’
    Superficial and simply out of touch.....

  • GPs should refer a quarter of all patients for weight management, suggests NICE

    Vinci Ho's comment 06 Jul 2020 9:52pm

    Weight management services are Cinderella services . NICE needs to get real and practical. What was the track record of percentage of obese patients realistically and religiously referred to bariatric surgery as according to previous NICE guidances ?
    The fact that these ‘experts’ could not find a way out of this well known national crisis of obesity , does not warrant passing the buck to GP under , once again , an ‘one size fits all’ tick-box exercise for the sake of presenting a ‘solution’ to the public .
    We saw how badly this old model failed during last 13 weeks of Covid 19 nightmare . But I always said ‘old habit is hard to rid .’
    Superficial and simply out of touch.....

  • NICE publishes draft proposals for new £40m vaccinations QOF domain

    Vinci Ho's comment 06 Jul 2020 9:27pm

    Interesting
    Childhood immunisation is of the few matters where ‘one size fits (almost ) all ‘ except those who are still strongly campaigning against MMR

  • The coronavirus diaries: A GP's perspective

    Vinci Ho's comment 02 Jul 2020 10:21pm

    Thanks for sharing your stories
    Fascinating
    Perhaps Covid 19 is a nature call to make us , survivors, even more mature in a very short space of time .
    Introspection , rumination and awakening .....
    One ( and his/her) can only get stronger .

  • Two areas set to pilot call-before-you-walk A&E model

    Vinci Ho's comment 02 Jul 2020 8:15pm

    Well, this is well cooked politically . The fact is , we had an A/E consultant asking the question during daily update session about when GPs would return to ‘normal‘ seeing patients face to face . NHSE was absorbing the pressure and prepared this ‘solution’ . Patients will be shuffled around .

  • GPs in Covid-19 lockdown area told to stop routine services

    Vinci Ho's comment 02 Jul 2020 10:41am

    (1) ‘Stories’ in Leicester(and the areas with higher incidence in Covid 19)will provide important references to rest of the country . Cannot trust the government to have the totality of the big picture locally . Colleagues in Leicester are welcome to share your stories on this platform
    (2) 135 per 100,000 in incidence is really bad( 50-100 per 100,000 usually in a bad flu endemic )
    (3) PPE supply , arrangement(s) to deal with red(hot) patients and efficiency of testing etc are vital . Jaimie , Pulse can report with updated and accurate information.
    I am concerned of a second spike in Liverpool because of the inexcusable behaviour of some LFC fans , against the backdrop of celebration ,winning the premier league title .

  • RCGP criticised for 'all-white' board in open GP letter

    Vinci Ho's comment 02 Jul 2020 8:08am

    And for the college , I am afraid that it has fallen into the same category of GMC as far as unconscious bias is concerned . In many other aspects , it also lost credibility in representing your members ( not me) with ambiguous telos. Otherwise , as an ‘examination authority’ to pass or fail and certify GP qualification to work , it is yet to re-establish reputation since the dispute over CSA ( involving a judicial review) a few years ago .
    Furthermore , I would , again, like to quote Michael J Sandel for his definition of justice :
    ‘'Arguments about justice and rights are often arguments about the purpose, or telos, of a social institution, which in turn reflect competing notions of the virtues the institution should reward and honour .''

  • RCGP criticised for 'all-white' board in open GP letter

    Vinci Ho's comment 01 Jul 2020 11:25pm

    There are several points for my ruminations:
    (1) I guess that is always the caveat of identity politics : ‘them against me or us with no justice ‘ and it is time for reversal of fortune and even revenge’ . I have interpreted the George Floyd phenomenon in two dimensions : disproportionate targeting on black people but also inhuman police brutality . They are fundamentally two distinctive issues .The latter was demonstrated in the twelve months peaceful-turning-violent protests in Hong Kong last 12 months and they were arguably precipitated by police treating captured protesters same way(kneeling on the neck was only one example )virtually every day for few months . It was not about skin colour.
    (2) I suppose there are two types of discrimination: Actional and Inactional. The former refers to wilful and inimical actions towards those one considers as ‘different’ . And the latter is about deliberate omission and exclusion of their rightful opportunities in our societies. The former is conspicuous while the latter is clandestine. We may not see so much direct confrontation as across the Atlantic(exception is perhaps the racist chanting in football matches ) but undoubtedly some people were excluded at all levels because of their identities. Yes , the interesting question is if these people are then offered ‘new’ opportunities, will they step forward and stand up?
    (3) Then it is about these numerical changes and quotas in representation. Inevitably, it reminds me of Hegel-Engels-Marx’s dialectic materialism where one ‘famous’ argument was : changes in quantity leads to changes in quality . Are we really going to wipe out racism by changing the numbers with the potential risk of generating tribal conflict ( in contrast of class struggle in Marxism ) ?
    Fundamentally , we are dealing with the weaknesses of human beings( seven sins , five giant evils etc )and I would presume all human beings are equal from this perspective.........

    If materialism and utilitarianism is about introducing changes from ‘outside to inside ‘ , Idealism and spiritualism is about making changes from inside to outside instead ......

  • Mis-sold PPE

    Vinci Ho's comment 01 Jul 2020 6:10pm

    Today is a sad day for me as I witnessed the annihilation of the social contract of ‘one country , two systems’ in Hong Kong by the unjust imposition of the draconian National Security legislations by CCP .
    So much is what I believe as political ethics ..............

  • Mis-sold PPE

    Vinci Ho's comment 01 Jul 2020 5:45pm

    I think the verdict is stark ( after all evidences presented ):
    We have a government which had failed to deliver and save lives in the most serious public health crisis so far in 21st century. The social contract of ‘ I protect your life but you must follow my command and control ‘ was breached . Loss of trust and credibility will further erode the contract in a vicious cycle . Blind defence of Mr Cummings was ignominious. The consequences could be grave .

  • Why the RCGP was wrong to describe Covid-19 as a ‘lifestyle disease’

    Vinci Ho's comment 30 Jun 2020 10:21pm

    The problem is the arguably discriminatory message it sent out :
    One can only say poor lifestyles are associated with higher risk of severe complications and fatality of COVID 19 .
    Not labelling Covid 19 as a lifestyle disease !
    My concern is the philosophy, mentality and questionable prejudice propagating within the hierarchy of the college .
    Nobody has any second thought about how serious our problems of obesity , type 2 diabetes etc are in this country. But to single these patients out and call Covid 19 categorically as a lifestyle disease is beyond professional and ethical codes . No wonder this ‘unconscious bias’ ,correctly used by the judge in the controversy of CSA examination , still rings a bell in our ears .

  • Face masks used by practices found to be 'a risk to staff'

    Vinci Ho's comment 30 Jun 2020 10:08pm

    It just simply gets ‘better’ and better under this government, isn’t it ?

  • CCG extends GP funding deal to ‘stabilise’ practices in absence of Covid fund

    Vinci Ho's comment 30 Jun 2020 9:44am

    GP Covid support fund
    Honestly , no expectation, no disappointment.
    You really believe this ‘fable’ from the government?

  • RCGP apologises after backlash over branding Covid-19 a 'lifestyle' disease

    Vinci Ho's comment 30 Jun 2020 7:31am

    OMG
    The problem is the arguably discriminatory message it sent out :
    One can only say poor lifestyles are associated with higher risk of severe complications and fatality of COVID 19 .
    Not labelling Covid 19 as a lifestyle disease !
    My concern is the philosophy, mentality and questionable prejudice propagating within the hierarchy of the college .
    Nobody has any second thought about how serious our problems of obesity , type 2 diabetes etc are in this country. But to single these patients out and call Covid 19 categorically as a lifestyle disease is beyond professional and ethical codes . No wonder this ‘unconscious bias’ ,correctly used by the judge in the controversy of CSA examination , still rings a bell in our ears .