And all in ten minutes!
Furious GPC negotiator predicts revalidation 'revolt' as GPs spend more than 40 hours preparing for appraisals
I could not agree more I find it unprofessional Appraisers seem to be box ticking control freaks I dont wish to spend my life doing Navel gazing reflections. The audit section alone takes hours.
I keep seeing these figures of "unnecessary deaths" as if they had been researched individually as such. As far as I understand it these figures are the difference between the actual deaths and someones estimate of how many deaths there should have been. That is a totally different kettle of fish.
I have never met a doctor who thought in algorithims.
This is all very well but remember that every time you sign a sick note you are writing a cheque against the taxpayers account and whenever you treat an illegal immigrant or health tourist you are again handing out public money to someone unentitled to recieve it and costing the taxpayer.
I wonder if those suggesting that GPs accept a cut of half their salary or going back to work after retirement for nothing would do this themselves in their job?
The trouble with this problem is that the government and patients do not understand that GP today has three areas. 1.Proactive work. (Review of hypertension medication, diabetes etc etc)which has massively increased since Dr Finlay. 2.Non urgent reactive work i.e " I have got this rash for the last four weeks." My child keeps getting a runny nose" Which again has increased. 3. Urgent reactive work. "My husband with cancer is not getting relief from the analgesia can you get him something stronger" or " My child has become very ill and is getting short of breath". Patients want all this work to be available 24/7 like Tesco. Without a massive increase in GPs and shift work this is just not possible. Why wont somebody say so!
Quote from Florence Nightingale's "Notes on Nursing"
"Women should have the true nurse calling, the good of the sick first the second only the consideration of what is their ‘place’ to do – and that women who want for a housemaid to do this or the charwomen to do that, when the patient is suffering, have not the making of a nurse in them.’
I am puzzled by all this. I may be wrong but I have always felt that the notes I make are my notes, my findings. What I saw or what I thought I saw, what I felt, what I said and what I considered what I would do depending on results of tests or trial of treatment. Why does the patient have the right to access these? If the patient made a diary of what she said, heard and felt during the consultation would I have the right to access this diary?
I think the mistake here is to start with a blanket refusal to do what the patient wants. This will immediately provoke an aggressive or defensive response. If one gently finds out what he needs and why you can usually have a mature discussion on whether it is appropriate. Is he perhaps an alchoholic? The same conflict would arise when an mother comes in requesting antibiotics for a child with respiratory infection. To start off with a "We dont prescirbe antibiotics for colds" is going to trigger a conflict situation. Examine the child first and then discuss treatment.
I am an experienced and properly trained professional. I know where my weaknesses and strengths are. I address the weaknesses and areas where I need to improve and have done so for many years and I don't need "administrators" to force me to educate myself in areas which I have already addressed or do not need to.
I thought reflection was what light did from a mirror. I do not learn something on line or attend a meeting without thinking about what was said or written. I am not just a tape recorder. I often at least partially, disagree with some of these pundits. "I think therefore I am" according to at least one philosopher. What is this reflecting lark?
This is completely over the top. Of course benzodiazepines and opiods should not be self prescribed or to family. However ordinary medicines for minor ailments should not be banned especially for family or friends.