GMC: we will use 'all our...powers to support doctors and medical students'"
That's a bit like someone shooting you in the stomach and then kindly offering to take you to the hospital.
General Practice is exciting in the same way that getting chased by a rabid dog is exciting.
What's the point of spreading it out?
The most efficient approach is to use up all of the vaccine that you can get immediately and then call people in as stocks arrive.
I think "forced marriage" would be more appropriate.
No doubt the BMA will still manage to negotiate a pay cut
Yes, or to secure defeat from the jaws of victory.
MDU reduced subs soon after the scene was announced, whereas those of us on other organisations continued to pay the higher rate until the government's scheme actually started.
We had the choice of moving over but didn't as we knew this around happen. The solution, simply, is to claw this back from MDU members through slightly higher subs for a while.
Surely the CQC should be making conclusions within the context of the prevailing healthcare environment. What is the point in downgrading services for not having enough GPs when there aren't any?
Any why is the CQC the most opaque and unaccountable organisation ever? Disagree with our rating, sir? No problem, we'll re-inspect you!
The premise was that PCNs could pay for 70% of staff that you had never wanted in the first place, but now even that will be difficult to achieve.
So what is the point?
Oh, wait. There are all of those other requirements that you'll have to deliver from year 2 - but you won't have the extra staff.
Better that the GP surgeries do it, you're all ideally placed etc...
Amazingly many other countries around the world seem to have found solutions to the "who gets the money" or "what about those who can't afford it" problems.
Many of you sound like you've been taking hostage by the NHS and have Stockholm Syndrome.
As above, Cobblers nails it.
Finding a handful of new GPs is utterly pointless without fixing the reason for GPs leaving in droves -
Year on year drop in real terms income
Failure to stop and actively encouraging the complaints culture
CQC and revalidation - pointless time saps
Failure to address unfunded dumping of work from secondary care
The whole Pensions and Crapita debacle
to name a few that spring to mind
Why is more flexible access needed? Are your clinics sitting there with slots that patients cannot access? Mine certainly aren't - I'm fully booked all day, every day.
The problem is not actually access, it's GP TIME. The choice, therefore, is whether I spend my 10 minutes with a patient in front of me or whether I spend it looking at the patient on a 5 inch screen.
I know which I prefer, and I know which is safer. I also know what I'd pick for my own family.
Apparently having an out of data legionella check is a grave risk to providing GP services but not being able to physically examine a patient is absolutely fine!
What a world we live in.....
"Charge the manufacturers to do this work."
Unless they gave a specific contractual undertaking to guarantee supply this seems to be a very odd suggestion.
I can't see that this matter is for GPs to do - it's not contractual for us. This is work that NHS England should be funding and practices should have the option of doing it.
Well I am totally shocked that this top down and poorly thought out government initiative did not work.
Is there any detail about
1) The required specification of the above services?
2) The level of extra funding for the above?
Or are they ignorant of their unknowns, sowing the seeds for a future disaster?
It's the above. This is why you have your most experienced person triaging - not your least experienced.
This is the NHS equivalent of rearranging the deck chairs on the titanic.
I wonder how many middle managers on 60k+ were involved in this?
Why should your receptionist be involved? Why can't the patient liaise with the company directly? Why does it have to be prescribed, and why free?
You pay for your receptionists' time via their wages. Why would you subsidise this scheme with your personal income?
Sorry - why does this have to involve GPs?
Why does EVERYTHING have to involve a GP 'prescribing' something?
The 50:50 is pointless - it can already be achieved by coming in and out of the pension scheme for 6 months of every year.
The fixed 50% is useless for most higher earners as even at 50% the tax free allowance is so small that it will be breached. It is worse for hospital doctors who will lose the employer's contribution component.