Hope you thrive when you leave the nest. Good luck.
Treating symptoms and distress in palliative patients we all know can shorten the time they live. Setting out to intentionally shorten lives by ending them in the name of palliation is, for me at least, not part of my practice of medicine.
What he is pro, is dismantling the NHS and placing the blame with GPs. If he said that then that I could believe.
oops should say if not I.
Has she suggested this in her role as a GPC negotiator or as a personal opinion. I suggested as a GPC negotiator does this represent the majority of GP's views?
I cannot help but think that opportunity is poor word to use to describe a situation where, after embracing and managing massive change with innovation for reduced funding, the best you can hope for is to maintain a position similar to where you started. The only opportunity related to these changes was to shift the blame for delivering the un-deliverable from the sec of state to us.
"The spokesperson added: ‘It was part of a discussion about young people in London visiting A&E departments rather than GP services as they know that they will be seen within four hours. Our position is clear that primary care needs to change to meet the needs of the whole London population."
so because services are inappropriately used in London every GP surgery in England has to see anything within 4 hrs........ to relieve pressure on A&E. So essentially we need to offer an A&E service, on top of GP service, whilst referring less, diagnosing more, prescribing less, making sure that secondary care are treating appropriately, doing border agency checks, for a pay cut, 24 hrs a day until we are 68, oh and chronic disease management, QOF and CQC.
If only we had any idea what pressure actually was
So to be clear has this been deemed the fault of the GPs yet?
"A Department of Health spokesperson said: ‘Whilst this research suggests that the number of people with dementia is lower than previously thought, it continues to affect a substantial and growing number of people. We cannot afford to halt the progress we have already made so far."
well obviously we would hate for facts to influence DoH policy.
Daily Mail wailing Banshees now dictating medical care perhaps it is time for The Daily mail to be registered with the GMC.
What if they don't want the NHS dismantled by the Tories will Johnny Marshall be listening to that?
The burden that will be faced is the horrific slash and burn the Tory led government is currently inflicting upon the NHS. This burden is going to destroy the NHS regardless of the gender or full time status of any doctor far sooner than any workforce planning can make any difference.
It's all about choice...... you know the thing the government is promising whilst doing everything to remove.
But is anyone listening BMA? Unless you can make them fear what Drs can do the Government is not going to listen.
Good luck Dr Chakrabarti, I hope you are able to find work where you want it. Remember though you will soon be a freshly minted GP this does not make you attractive as a locum with many practices wanting locums they already know or at least a bit of experience. Perhaps your net needs to be a bit wider to ensure an income to match your new defence subs.
Too little far too late does come to mind to describe the BMA. They may try to say the right things but sadly no-one is listening, certainly the Government pays them no attention at all. The Government has no interest in what is deliverable. There is no point the BMA talking to the Government as the decisions are already made. The BMA has to adopt a position in direct conflict to the Government for them to even listen, the BMA will not do this and there is no grassroots leadership to take over for the inaction of the BMA.
It's OK the DOH said they can see no reason why we cannot work until 68. I guess their plan is work you into the ground, get you struck off and refuse your pension because you were a naughty doctor.
Our 2ww referrals are sent by fax the same day, usually within 2 hrs of seeing the patient. No GP waits 10 days to send a cancer referral I doubt any wait 10 hours.
It is very simple do more and more and more, for longer and longer and longer, for less when you are working and less if you survive to retirement. Could the government be more obvious in their desire to break general practice and with it the NHS? Does anyone see the NHS surviving two more parliaments?
Anonymous 13 June 2013 9:51am, no I don't read the Guardian, I do however read the GMC guidlines and am prepared not to hide behind "Anonymous" to make comments that others may not like to hear.