So Capita is allowed to process the NHS England Performers list all at the same time preventing GPs on their list move to work to Wales ? That so does not make any sense.
When I went through them to register with the Welsh Provider list two years ago it took much longer than initially stated ,no phone numbers or specific email contact provided ;therefore impossible to contact someone more than once - nobody taking any ownership for a task...
Capita's motto seems to be : 'We are not happy ,until you are not happy '
Suspected SAH patient -- 3.5 hours ambulance wait , numerous calls and patronising paramedics at the end because the patient had a known drug problem ,but he was also on a NOAC and acutely unwell...
A lot of patients that come to see us 'depressed' suffer from SLS ( Shitty-Life-Syndrome ) , unhappy and under a lot of stressors , financial, benefit cuts ( thank you IDS ) and no amount of SSRI/NRSI or ketamine will resolve this ...Shared care protocol is consultant speak for : we see them once every year or less and GPs to monitor please
so some person with 6 weeks training and a flow chart can book appointments ? and clog up A+E ?
whose idea is that and have the pilots proven anything ? ....
Have delivered medication myself as well, however remember : 'a favour today , a duty tomorrow ' ad one of our District Nurses pointed out . And in rural areas it could mean a 40 minutes round trip...
So we had a patient go to A+E last Wednesday, seen by eye casualty who did note in their letter he had signs and symptoms of malignant hypertension and advised him to see his GP,he came in today .. ..?!!?
Our Health boards in Wales pays Locums much more than the locally agreed rate --- so we can not get Locums....have only taken just over 50 % of my annual leave allowance in the last 12 months ...that is not sustainable.
we decided to not follow the guideline and vaccinate all with the quadrivalent vaccine that provides best protection even.
revalidation and appraisals are de-motivational tools .I’d like to quote the medical intellectual giant Dr Theodore Dalrymple at this point: ‘In obeying directives not because they are right but because they are directives, doctors lose their self-respect, their probity and their intellectual honesty. Gogolian absurdity can result – with a hint of Kafkaesque menace and Orwellian linguistic dishonesty
I would rather sit a5-yearly board exam ( like in the US ) , rather than this touchy-feely - dishonest nonsense. And remember folks : appraisal /revalidation data is accessible vis freedom of information acts -- has been done already by lawyers to find dirt on doctors
So one Salaried is mentored and leaves to be a Locum - presumably leaving the other GPs at the
working harder/drifting towards burnout .
That is not working different - it's working less which as a GP Partner rarely is a viable option . Who finds and funds these mentors ?
A&E to a lot of people now means 'Anything & Everything ' - some of the A&E discharge summaries make me weep/whinge ...recent example ' seen for nappy rash ' - not ' sent away' , but seen .... We need GPs in our surgeries, not in A&E ...this is just rearranging the deckchairs on the Titanic - behaviour.
please please at least when you agree: post under your name ( They..can always trace your IP address !!)
When you have the guts to post your NAME, like I do, you can criticize. Till then: spare us the lecture.
and again with above ,Dr Glasspool -
AKH , thanks
How about , how about taking both the RCGP and some of the 'sitting 'memebers ( the ones that love broad leather armchairs for comfort and to sit on....)
how about trying to take them to the European Court of Justice and we will provide the music for free !! ( Ode to Joy..Freude schooner ..) ??? Jussst for fun and because we maybe can ???????????
so sad, so true and sad
did not LoL but smiled for a few nanoseconds
I totally agree with John Glasspool !
In East Anglia we were 'forced ' - each referral not attached to C&B would attract --money going elsewhere . Even if the C&B hoopla was down for hours --- no, we can not fax referral through-- we Have to wait until the ** system of C&B is again working annnnnnddd and
arggrhhhh- and that obviously only steels OUR time which is so limitless and free.... !!
where is the market place son that we ( GPs ) can be hanged and the only few remaining GPs are not allowed gto help...and the n h s can implode....super - can not wait !! to have that in our region !
all members should reconsider if their membership fee is really put to good use
I am not, not a member - was never that much temped to get into this old-cowboy-only- now also admitting women- hoopla ......
10 million profit - no surprise there - they will ?? have to come
up with some sort enquiry or ? inquest ??
? post mortem or M&M meetings....? the proper ones not the ones named after the chocolates..
ha hahah haaaaaa- how likely is this going to happen
and they try and f..up and then do it again with intention etc etc..but...a F*ck- up
even and certainly so if you spell it f-£££££-up£££
andf no it is not a 'SEP'--that stands for
'Somebodyelesesproblem' if I do remember correctly
Hmmmmm,one can not demand
at the same time : to be respected
and not put an name to a blog entry ??!!!
WTF ? Stand up and put your names to your opinions
or trust us--- your opinionated view no longer count
for any thing much
at all dust in the wind etc etc