This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

Vinci Ho

  • We need to be more positive about general practice, says new RCGP chair

    Vinci Ho's comment 29 Aug 2019 0:41am

    Sigh !
    Speechless .
    Stockholm Syndrome??
    Wish he talked about more tangible strategy in dealing with the government and its techno-health secretary, DHSC , NHSE , NICE, CQC , GMC etc . Tell me how are you prepared to fight against our enemies?

  • HRT shortages to continue into next year

    Vinci Ho's comment 29 Aug 2019 0:26am

    Come on, HRT is only tip of the iceberg of thus another fiasco . Telling me any reason other than to do with making ‘enough’ profits , is f***ing crap .
    How much GP’s effort and time have been wasted in switching and finding alternatives for these f***ing ‘manufacturing problems ‘so far ?
    We have enough enemies in general practice , may well just include another one in this war ......

  • Just because you’re paranoid…

    Vinci Ho's comment 28 Aug 2019 5:00pm

    Remember section 75 of the Health and Social Care Act and the story behind how it was established?
    CCGs simply have become the subordinates of NHSE aka Ministry of Plenty (Newspeak: Miniplenty) . Without Madangate , one could still argue about giving the benefit of doubt to these bureaucrats and technocrats for the ideology of clinical commissioning run by GPs . What is the reality revealed by history?
    ‘’Useless laws weaken the necessary laws.”

  • PCNs 'reluctant' to recruit additional staff due to funding and VAT

    Vinci Ho's comment 24 Aug 2019 9:38am

    I am sorry , even though I am deputising for our PCN Clinical Director (CD) , I remain as a PCN sceptic . My question , ‘Is PCN ideology a ‘Trojan Horse’?’ stands .........

  • GMC's MPTS tribunals can draw ‘adverse inference’ if doctors do not give evidence

    Vinci Ho's comment 23 Aug 2019 6:10am

    I take the point that our legal , as well as political , system is no where near perfect . But as long as independence remains , the chance of overthrowing an originally ‘unjust’ legal conclusion is always possible . Yes , it could take a very long time . Imagine we were under an Orwellian system( we have many examples of illiberal democracy or oligarchy right now), the case of Dr BG or , to my self interest , Hillsborough inquires would never see any broad living daylight.
    If you have followed the story close enough , one of the factors that the ‘civil war’ going on for so long in Hong Kong right now is the point blank refusal of the HK government (under strict influence by China) to instigate an independent inquiry into the all events involving violence from both protesters and police .
    Yes , there are many ‘bad things’ in the democratic system we are under and, in fact , it is facing all kinds of questions of existence in the last few years(Mr Putin obviously does not believe in an liberal democracy) , but I stick to what Churchill said that it is still better than all the other systems being tried otherwise.
    I suppose the common motto still applies here : you only appreciate the ‘value’ of something when you lost it completely.......

  • GMC's MPTS tribunals can draw ‘adverse inference’ if doctors do not give evidence

    Vinci Ho's comment 22 Aug 2019 6:58am

    I think without all the details of the case , we need to be careful how and what we would want to comment on this case . This is a deliberation from a high court judge and one should not fall into the trap of ‘contempt if court’ by being too insouciant in commenting . After all , rule of law is still one of the pillars we can believe in western democracy.
    My motto is , always , discern all the facts from the matter before applying one’s principles and morality (emotions as well ) . It is before NOT after .......

  • Cap on Babylon patient numbers in Birmingham set to be removed

    Vinci Ho's comment 21 Aug 2019 3:29pm

    As more practices closing down up and down the country , we are sleepwalking into some kind of ‘scorched-earth’ politics anyway . In particularly deprived areas , perhaps GP partner colleagues should really consider ‘earlier’ retirement to have a better lives . If Babylonians are really that omnipotent , NHSE and the faithful health secretary must ensure they take over all the patients in that area . Happy days 😄🤨😂

  • Risk models for cardiovascular disease could be misleading, finds study

    Vinci Ho's comment 21 Aug 2019 10:18am

    This epitomises the classical dispute between academics sitting in their computer rooms looking at statistics and grass-root GPs bleeding at frontline fighting to clear the block of patients ten minutes each everyday . You can assess the CVD risk of a patient so meticulously that 20-30 minutes would have gone on the clock . Pressing a button and going for a threshold of 10% takes two seconds . But aren’t we falling into the same trap of prescribing antidepressants too liberally because we ran out of time .
    Yes , without a calculation tool like QRISK( whatever version) , relevant cases could be lost . Primary prevention of CVD with statin remains a contentious issue , whether protagonists like it or not. More innovative ideology is welcome.

  • Coroner urges revision of mental health referral form after 15-year-old boy dies

    Vinci Ho's comment 21 Aug 2019 9:47am

    I deliberately wait to read your comments before writing anything. The problem is indeed pervasive and omnipresent in NHS and this case represents only a tip of the iceberg . I certainly have a collection of cases where my referrals were rejected because either information was so called not enough but more frequently, an ‘inappropriate’ referral . Ultimately, the child and family are shuffled to different service providers and there is a lack of coordination and organisation, in my opinion . Time was consumed unnecessarily which appeared to be paramount in this case . It is an issue of rationing but also a matter of safety of these children and their family . I am sure we are not the only country under whatever health system , which has to face this potentially dangerous health issue . The world is unsafe , at present time , and is certainly not a happy one . We have to protect my children and youngsters. This government, once again as I wrote before , have a big decision to make .....

    PS please send in more comments. We have not had an article with more than 100 comments for a while.

  • Practice set to close after GP principal resigns over 'silly' CCG meetings

    Vinci Ho's comment 17 Aug 2019 9:42am

    Obviously, there are many pre-existing factors contributing to the closure of a GP practice , as ice deep frozen three feet down is never due to one day cold . But the reality is that practices are currently demanded to spend so much effort and time (which itself is a resource) involving in PCNs , overseen by CCGs . Yes , there might be ‘resources’ there for PCNs to utilise but it also begs the question of whether the ‘leaders’ in PCNs and CCGs actually know how to use these resources to effectively benefit the frontline grass-root GPs which still include many small-sized practices. The ideology of investing through GP networks is always contentious as a ‘step forward’ from the traditional model of funding individual practices directly.
    The government is very clever in turning some of us into ‘cardigans’ to govern the rest of us ( Sorry to sound like the frontline protesters in Hong Kong right now ). ............

  • Dr Sarah Wollaston moves to the Lib Dems

    Vinci Ho's comment 16 Aug 2019 7:29pm

    This is from Wikipedia:

    Call for mandatory by-elections for MPs switching parties

    In March 2019, it emerged that Wollaston had supported a 2011 bill that required MPs who switch parties to face an automatic by-election.[75] Wollaston herself switched parties on 20 February 2019, but did not call a by-election. Chair of the Labour Party in Totnes and South Devon, Lynn Alderson, said Dr Wollaston "made her views clear".[76] Wollaston acknowledged the likely calls for her to face a by-election but refused such a proposal, stating "neither this nor a general election would answer the fundamental question that is dividing us".[77]

  • Dr Sarah Wollaston moves to the Lib Dems

    Vinci Ho's comment 16 Aug 2019 7:28pm

    As far as political ethics is concerned, there is indeed an argument whether you should resign from parliament if you switch your membership of a political party . When I advocated her to resign from Conservative Party a few years ago on this platform, it was to be followed immediately by renouncing her MP position and triggering a by-election . The chance for her to be re-elected as an independent MP , in fact , was substantial. But it was then , this is now .

  • Government to end 'one-size-fits-all' NHS Health Checks

    Vinci Ho's comment 16 Aug 2019 2:19pm

    Mr Hancock said: ‘Personalised, preventative healthcare is a mission critical to the future-fit healthcare service we want to build. We must harness the latest technology and techniques to move away from the one-size-fits-all approach of the past.......’

    I am so ecstatic that a health secretary actually knows the meaning of ‘one-size-fits-all’ (OSFA, well, you can interpret that FA(all) differently😆😂🤪). Well done , Robocop!

    Then again , there is a punch line , though , called ‘technology’
    Welcome Babylonians and AI, 😆

  • GP referrals being knocked back by referral management system

    Vinci Ho's comment 14 Aug 2019 11:36am

    We are where we are , austerity carries on
    From day one , we probably foresaw this ideology of CCG would end up like this i.e. subordinates and puppets of the NHSE and its hierarchy. Thanks to our most ‘beloved’ PM ever and the current Facebook’s head of its global affairs and communications team(well , at least the latter said ,’live by the sword , die by the sword’).
    How many of you have to ‘twist the truth’ everyday to justify the severity to deem a referral necessary everyday ? I always advise my patients to consider a private referral as an alternative if affordable these days .
    As I wrote before , the government has to make a serous decision about how this is to go forward . Boris , you can fool some people sometimes, but you cannot fool all the people all the time.

  • NHS 111 'a cause' of growth in A&E attendances, claims CCG

    Vinci Ho's comment 14 Aug 2019 11:03am

    I think the original version (if there was one) NHS111 was totally ‘following the algorithm and please go to A/E for covering my arse.’ . After all these morning and arrows we fired towards NHSE , the reality is probably somewhere in between the extremes .
    Problem is this is outdated directive , decree from a past , ‘well beloved’ prime minister and his bloody government. The logical solution is always provided by adequately funded GP led services (whether is in or out of hours) with direct contact with a clinician .
    Of course , it is f**king dearer , common sense , Boris .

  • Coroner calls for changes to NHS 111 following death of young adult

    Vinci Ho's comment 10 Aug 2019 8:01pm

    Apology of the typing error of the first two words

  • Coroner calls for changes to NHS 111 following death of young adult

    Vinci Ho's comment 10 Aug 2019 8:00pm

    and backlashes The truth can only become more apparent , the more the matter being subjected to debates
    After so long , if stakeholders still insist on this kind of the cheapest model of triaging( considering even the older model of NHS Direct was contentious) as the legacy of austerity from this Tory government, they can only expect more criticism and backlashes from all directions.

  • PM pledges £250m for artificial intelligence in NHS

    Vinci Ho's comment 08 Aug 2019 4:15pm

    Report from :BBC news /health
    Quite specially mentioned the issue of protecting patient data . The fiasco of Facebook-Cambridge Analytica-Vote Leave is always to be reminded . The Babylonians can say so much about how secure their system is . My scepticism stays.

  • Long-term aspirin use reduces risk of colorectal cancer, says NICE guidance

    Vinci Ho's comment 07 Aug 2019 9:58am

    And this is in contrast to Familial Adenomatous Polyposis (FAP) which is autosomal dominant . One subset of this is called Familial Colorectal Polyposis , Gardner Syndrome.

  • Long-term aspirin use reduces risk of colorectal cancer, says NICE guidance

    Vinci Ho's comment 07 Aug 2019 9:50am

    Lynch syndrome, also known as hereditary non-polyposis colorectal cancer (HNPCC), is a type of inherited cancer syndrome associated with a genetic predisposition to different cancer types. This means people with Lynch syndrome have a higher risk of certain types of cancer.