Not used the term “noctor” in Herts but we have recently gone on something of an AHP recruitment drive in our practice, taking on 2 NPs, a pharmacist, paramedic and mental health nurse. This has been on the back of well managed total GP led triage which has enabled us to fully audit and understand our demand. It is the only sustainable model of primary care but one of which practices seem perpetually suspicious.
Agree entirely. My trainer at Thurcroft used to wear shorts back in 2009, a trailblazer. Women can wear skirts, we should feel comfortable wearing shorts. Would be required to wax?
We just came to an arrangement re hours/shares which every partner is happy with. It’s all fairly straightforward and there is a genuine mutual respect for each other’s roles and responsibilities.
I know what he'd say. The dynamism and incentive to manage change stems from his role as a partner. He is one of us. I guess in a sense, he's unleashed.
Some would, see earlier comment re Sugar/Branson. We're talking about partnership here, not takeover.
Why not just make them a partner? A GP-only partnership model is outdated. It's time we acknowledged we don't have the core skills/time required to run modern GP businesses. We need to care for out patients and this should be our focus.
They would, but we wouldn't let them anywhere near.
Yep, but even the best employed PMs (and there are many) cannot be as invested in the practice as a profit-sharing managing partner.
Under the new initiative, skirts will be banned, and all GPs, male of female, will have to wear trousers. Obvs.
A brilliant piece which serves as a much needed reminder as to why we embarked on this fraught career in the first place.
Hold on Phil, there's investment round the corner??
I remember you well Dr Perrett. As a medical student, you were endless entertainment on ward rounds in Chez Vegas. Great article and keep loving the job.
Clearly "case-solving" goes well beyond the clinical presentations our patients consult us with, and the medical school interview response to "why do you want to be a doctor."
Getting your head round the new DES, up-skilling nurses, maximising QOF achievements, managing staff quibbles, managing a new triage system, delivery of new services: these all require GP input from start to finish, and "case-solving." They are not part of a locum's remit and I can only think their absence make for a duller career.
Would you want to work as a salaried GP in an ICO?
A salaried job for an ICO doing heating checks and loneliness testing? I cannot think of a less appealing and more depressing job for an optimistic young GP at the beginning of their career.
They don't want partnerships because they're finding their feet locuming or having a year in Australia. They enjoy the freedom and the readier cash.
Unless the ICOGP jobs include a pay package well in advance of current salaried posts, and include regular secondments to somewhere hot and sunny, this is a woeful non-starter.
Thanks Jane. Feedback always appreciated.
Fair point. Most of them are started by an over-zealous gastro SpR after an equivocal gastroscopy. Once "the hospital" have started the wunder-med, it makes it that much harder switching or stopping it.
I'll cultivate my pair though.
Au contraire Dr Khan, I love my job and delight in its daily challenges, none greater of course than coping with uncertainty.
Interesting conments. Of course visits to patients who are genuinely housebound and sick, or need palliative input, are wholly appropriate and a core part of GP work. I've been staggered by the misuse of the visit system by some of our patients and triaging such requests has provided an opportunity to challenge and modify expectations. I would encourage other practices to try this out, it makes for a fascinating audit.