Drawn pension, left partnership, signed contract for 18 months in Australia xxx
Be careful with tiny charges. Sometimes it makes the person feel they can use the service more and demand easier access as they have paid.
What worries me is a breakdown in the social contract. Once the government brings in unjust rules people take things into their own hands to achieve a sense of justice. I think what has happened with NHS pensions- dramatic increase in costs, increase in clawback taxes and now this has pushed it to the edge.
I don’t see why you lose something you have paid for even if you did commit a crime. In these circumstances are you allowed to claim back all the contributions that have been made to the exchequer. I also thought punishment was the responsibility of the court not the employer. Is this for serious crimes or does it include parking offences....
About time. I always thought anyone prescribing homeopathy should be stripped of their licence if they didn't realise the stupidity of their position after retraining. Quackery does our profession a disservice.
There is no gap in pay between men and women for the same job. This has been illegal since the 70’s and I don’t see it in our profession. The gender pay gap is a result of personal choices people make in what they do and how they work. The problem in fixing it is that it will involve manipulating people to make different choices - overtly possibly but more likely through subtle manipulative nudges.
The digital consult which of which a telephone consult is a subset is only ever a triage tool. Any patient who sounds or looks Ill will need seeing.
NHSE needs to understand that, while a FaceTime like consult is safer than a telephone call, the overall effect of adding more and easier modes of consultation access will be to drive up demand and ultimately drive up costs.
There will come a time where you are forced to have a two tier system of charging for ease of access or the system will collapse.
@Christopher Ho Edward Heath took us into the EEC in 1972. The Labour Party at the time just like Jeremy was anti EEC
I think you can leave the pension for several months a year to reduce your risk with the annual allowance. Seem a stupid solution and I think the government should scrap the annual allowance concept. It is a reason for not taking a pay rise in a better job or for working more. All part of austerity and making sure the bankers and mega-rich are looked after. Come the revolution I know who will the be first against the wall.
I also agree the proliferation of mandatory courses/tests is getting out of hand. It goes up every year and most are pointless or a joke. I can see BLS and safeguarding but diversity and data security etc seem pointless. I am sure we all skip through the reading and do the inane test at the end and get 80% first time. Perhaps make them all so you can just go straight to the test and tick the box.
A simple change is make appraisal every three years and revalidation every 10 years. As well as cut what needs recording. There is nothing special about the period it takes for the Earth to go around the Sun when it comes to appraisals.
Not part of GMS contract any more. It is responsibility of council. So not your problem. Direct patient to Council.
Freely prescribing otc meds and homeopathy will just make a rod for your own back as people keep coming back for more. It is similar to the more access you provide the more demand you generate. So the more free medicine you provide the more no-need demand you generate.
One problem is hospital doctors prescribe common drugs with no idea of the cost. An example is liquid nitrofurantoin in paeds. When the cost was pointed out the consultant happily agreed to change with an expression of shock at the cost compared to capsules. They need the say computer system we have....
We can always decline expensive meds and ask they do it themselves from their budget.
You can also complain about him through IPSA at email@example.com
The more the better.
We we think we are not data controllers in principle anymore the profession needs to make that clear to the ICO. Perhaps we stop all computerised notes and go back to Lloyd George notes until it is sorted. A thought... we could have a practice based code for all patient contact details so the SystmOne contact details are only readable with the code which we keep control of. The Home Office would have to beat the code word and codebook out of you.
Interestingly it has always been a principle that we will not give over this sort of information to the police unless there was a significant danger to the patient or public. Breaking this principle would put us on the wrong side of the ICO and GMC no matter what MoU the police had with the anybody. The case for the Home Office having access is much weaker and so would also put us in serious jeopardy with the ICO and the GMC.
They do this as they know the majority of people register with a doctor and so they will pick up people who are here illegally this way. So the only way to do this ethically is to make sure all people are aware their personal contact details will be made available to the police and immigration service if they register with a doctor. Unfortunately this will then deter people from registering.
The only other way is to be deceitful and not inform people that we do this.
Either way it puts us in a very difficult position. The fundamental principle of confidentiality should prevail and we cannot allow the state access to this information. As data controllers the GP can formally complain to the ICO that the Home Office is in breach of the law, regardless of any MoU, and taking data from a data controller without consent.
The difficulty is when the inexperienced practitioner gives amoxicillin for a PE.
People not normally resident in the UK are not entitled to full NHS services. Only primary care which includes GP and A&E. People here on a visa for over 6 months pay £200 a year for access to the NHS. Which isn’t too bad. I lived in the states for a year and paid 20 dollars a month for health insurance. Admittedly it was 1988. Of course our system and the most of the developed world is far cheaper to run then the US system.