If the evidence were undeniable we would have to change our practice. I guess the debate needs to be on how undeniable the evidence is.
Well done..... you haven't got anything on Hunt have you?
This result I always thought was inevitable, what is far from inevitable is the result of the Judicial review. I think it is impossible to predict the outcome in April.
Another policy forced on general practice which may reduce confidence in the NHS.... anyone would think that this was all part of one continual push from the Tories to fatally wound the NHS. Luckily though we will be able to hold the sec of state to account for destroying the NHS, oh hang on the sec of state is no longer accountable for that. Luckily the changes can be reversed if there were political will, oh hang on the US EU trade agreement may prevent this. You know if I were cynical I would look upon all this as a plot to destroy our NHS. :)
As far as I can see from these scoring systems unless actively bleeding everyone who has AF, or has seen the letters written in that order or hasn't had AF must be on warfarin even if they don't consent to it. Simples. :)
The 111 printouts are rather like a single MCQ question being answered with an essay..... written in crayon..... by a gibbon. Whilst the correct info may be in there you will never find it.
Interesting times ahead, might just hold on to the BMA membership after all.
Dr Thomas Caldwell
Thorneloe Lodge Surgery
"Political language... is designed to make lies sound truthful and murder respectable, and to give an appearance of solidarity to pure wind" George Orwell
"In a time of universal deceit - telling the truth is a revolutionary act." George Orwell
So in short NHSE want the right people, want the right people to change their model, want the right people to make up for the awful workforce planning but don't want to give the right people anything in return (in fact would prefer to give less). Beyond capacity, expected to do more, expected to accept less..... they are not just burying their heads they a burying the NHS.
Whilst we must accept criticism is her opinion evidenced?
Reduced income, reduced pension for increased contribution, ever increasing time until retirement, ever increasing workload, soon to be even more increased hours, blamed clinician, health and social care bill, CQC, demonized by the press as lazy and incompetent, removal of occupational health support, falling funding increased expectation. It's a good job the vast majority of us in general practice are caring dedicated professionals who believe in the principles of the NHS because without this (many would say misguided) belief there are some pretty compelling reasons to leave.
New bill will allow Government to reconfigure successful hospitals without GP commissioners' support
So once again the government change the law to do something that is currently illegal. Or at least something where a judge finds against the government.
GP recruitment concern is 'no compelling reason' for pay increase, say NHS managers.
Alternatively "we could not care less", say NHS managers. (alternative and much ruder words available)
NHS England insists GP practices remaining fully open on Christmas Eve and New Year's Eve is 'non-negotiable'
We are open those hours anyway, Nice to see however that NHSE have such a flexible attitude! Presumably all the staff of NHSE are available until the same times in case there is a sudden emergency?
Burnt out GPs denied occupational health support in NHS England U-turn over pledge to retain services
When I suffered severe depression in 2011 my own GP was fantastic but counselling via NOSS really helped me to return to and stay at work. If anything this service made me stronger. To think this service could now be unavailable seems terrifically short sighted. NHSE will reap what they sow unfortunately if the Dr suffers so soon will the patients.
soggy bottoms beware?
So the thing that private companies could not cope with ( the pension), was assulted last year with comments that this was playing into the hands of private providers.
The Government could be no more obvious even if they said we are privatising the NHS. They doing it all in plane sight. No public outcry except against GPs. Got to love politics.
Do you agree with your husbands assessment that, "All those associated with the 2012 Health and Social Care Act will not be treated well by historians" as reported in last weeks BMJ?
Do you think that high profile doctors have done enough to warn the general public that there are great concerns within our profession that Government policy is aimed at destablising the NHS and leading to the potential loss of many of the principles the NHS stands for?