The whole system is broken - rather than in- fighting should we not find the real villain?
Underfunded, poor workforce planning and encouragement of unrealistic patient expectations by a succession of governments.
Given this and the economic depression there will be no grass is greener side...it will all be desert.
This needs BMA and LMC lawsuit against lying scumbags.
Perhaps CQC can take this up?
Or will CQC be too busy doing video tours inspecting couch curtain change dates in gp premises - desperately trying to justify their salaries despite the national shame of care home deaths?
How about marking the Government's pandemic preparation? How was their care quality?
This is how the U.K Covid 19 response is analysed by Australian reputable news.
The journalist's comment that "in what country in the world is their blanket common sense" is born out today with the standing room only scenes at the beaches.
Welcome to high tides of the Covid pandemic.
The driver is the desperate economy - "where the UK debt is now the size of the whole economy"(BBC news)
At least let Boris be honest about this.
The deaths will be sacrifices for the economy.
Given that primary care has always been squeezed hardest in healthcare we are all in for pay cuts, and desperate times.
One thing I have noticed is that most of the webinars that we have to watch to try to understand this new disease and the changes we have to implement virtually all start at 7 or 7.30 pm at night or Saturday morning. One webinar said there has been over 600 policies changes directed to primary care since the start of this pandemic.I
As a trainer some of these are mandatory to try to help registrars cope with random changes to their program.
They can do this because GPs are not allowed family dinners. We have to work 14 hour days.
The pittance that practices get for the training does not cover anything not does the GMS contract.
The worst thing about this is that this is expected and no-one even raised it as a problem. That is partly our fault for not saying anything and behaving like our family lives and emotional health does not matter.
There is lots of simple ways to improve things...
e.g. NHS "passport" of qualifications, immunisation occ health status, pension software details and yearly mandatory training that can be used anywhere in uk, and so there are no barriers between moving easily between gp, hospital jobs or out of hours work. Crucially uploads pension details and adjusts forecasts monthly.
Or Australian passport and get out of this labyrinthine, incompetent and incoherent system.
A shielded patient told me today that she felt expendable because she was too expensive for the government to look after...
So this is the message that is received..
"Go out, get the virus and probably die"
Then the caring government does not have to pay the pension, medication costs...
Oh and please sign a dnar and refuse hospital admission when you get ill.
Be honest at least it seems herd immunity is now their game.
There is too much virus circulating out there,too dense a population and too much damage to the economy...
I agree with you.
This is appalling way to treat professionals.
Get your ticket and then get out of this country as soon as flights resume to Australia or New Zealand.
Wow that's fabulous
Compare UK response versus New Zealand's calm kind response...
30 000 + versus 20 deaths.
I really appreciated the beginnings of a discussion about the "unlock" within primary care landscape.
When we start to think of the challenges the high turnover then up and queue nhs is over. It will be incredibly more expensive to manage the demand in the future.
Given the the country will be in an economic depression there will be even less money, negative profit and this will translate into making partnership even more unattractive..
All ready for virgin healthcare, babylon and large funds to buy up for a bargain price primary care..
I agree with the above comments. There are combined telephone then perhaps quick exam then another telephone consult. This is not going to be csa equivalent.
What's wrong with actors over video consults?
If we look at Australian press the bumbling UK response has been labelled as "Amateur".
I speak to Australian gp's where they are calm, have good PPE and are all heading out of the pandemic rapidly.
Yes Australia has geographical advantage, but the biggest difference has been a coordinated clear response.
Instead health workers and care workers here are being sacrificed into a Covid Volcano.
The whole administration of the Gp workforce is diabolical.
On the pension front I was told Annual allowance statements are not being produced now, and there is no date when they will be. It means that there is no way to know what tax we have to pay, but every day we don't pay an unknown amount we pay interest.
The whole administration is beyond a fiasco.
This pales in comparison to the lives lost, but just demonstrates the institutional incompetence that is supposed to be leading the way out of the pandemic.
Australia links full immunisation for their children to family tax benefit and child care assistance.
The benefits are checked against the Medicare records. "No jab no pay"
Most Australian schools will refuse reception entry to children who are not immunized on the basis that those not immunized will put other children and families at risk.
The editor is right to start this discussion between civic rights, children's health and parental responsibilities now.
What will we do when we, hopefully, have a vaccine but a large proportion of the population won't use it and will not have their kids have it?
Given the way corona virus mutates and measles on the rise should we simply say that this willful neglect by anti-vaxxers is still okay?
I honestly think we will look back at this child abuse - neglect - by Government (us the people) of our children with shame that we have not done more.
Now is the time for us to follow Australia's lead that gives them fantastic vaccination rates.
It would be great to have some articles about after the pandemic...
There is a chance for this seismic event to have some long term positive health outcomes for the population..
A minor one but hopefully this spells the end for anti vaxxers popularity...?measles is still on there..
More working from home...
Less car/air polution...
More emphasis on personal health responsibility backed with public health education and funding.
A sensible debate about nhs and funding???
When the economy reboots I am hopeful that there is a scientific rational approach taking the best ideas from around the world...
The manufacturing sites for vaccines are in the USA and China according to a Sunday Times interview with infectious disease guru.
So really when a vaccine is available is the UK going to be at the bottom of the queue or top?
I appreciate that Pulse is quickly raising issues and also allows us a forum for the odd rant!
We are all doing our best -I just hope it is enough.
After the virus ends there will be a brief window of opportunity, and that is when primary care really need to have a coherent plan to set the future health agenda.
Roll on vaccine.
We have the least hospital beds per head of population in the Western world, and crappiest supplies.
Apparently full-time is 37.5 hours a week. Worked 12 today 3 yesterday so at this rate will finish work on Wednesday and be considered fulltime by hours...
But I am a part time GP by sessions?
BMA needs to start talking about hourly rate not sessional rate.
By keeping on talking about sessions we collude with the madness and make our work not easily comparable to other clinians. It also makes doctors feel like failures because they are not doing the ridiculous unsafe and unmanageable ten sessions.
This needs to change.