The REAL !! reason GPland is "no go" to young Doctors (with a choice) is ::
We are no longer important to our patients no out of hours when they need us most
No casualty sevice
No REAL !! Care of the dying
No whole patient medicine any more the minute they get anything chronic its off to a nurse led clinic so much for being the physician to the whole patient
Anything minor sees a nurse no chance to strengthen the therapeutic relationship or ask how their depression is getting on
GP's are a leaderless rabble nobody with any vocation will want to do it out of choice / AH but if you are female thats another matter part time work is easy to get
What we have to remember is that first horrible letter comes from a LAY panel ie no Dr even reads the complaint at first
Say a patient wants an x-ray after just 2 days of totally innocent back pain on a careful history and examination
You quite rightly try to persuade the patient to wait a bit and to try a wait and see policy
The patient complains their letter gives a gross distortion of the facts
Only lay people will read the complaint letter and may refer the letter for an investigation of another panel with more clout which will have a Dr on it
However your whole life will be put on hold and you will get one of those horrible letters telling you etc etc
Remember this whenever you get a complaint
I am afraid all of our woes are of our own making
We have been betrayed by our negotiators all of whom
(and here history repeats itself) sold all our souls
and morale and self esteem for money and pensions.
They were of an age when only money and their pensions mattered to them the fact that they made general practice a crock of s..t in the process mattered not one hot to them .
Unless we get our balls back and fight we are finished.
I am afraid the generalist GP is now obsolete and each GP must be a generalist but have a speciality interest and preferably work in that speciality in Hospital.
All surgeries will have all the GP's doing as they do now in the mornings but doing their speciality in the afternoons seeing cases referred by their colleagues
from the morning appts.
When the NHS started scores of GP surgeons anaesthetists et al had to commit to full time Hospital work ie overnight they were consultants.
A similar thing will happen with my scheme and 2 things will happen
1. Job satisfaction will increase enormously
2.Hospital referrals will drop massively.
In Germany this system of "office specialists " works very well and many many investigations and treatments are done in General Practice cystoscopies endoscopies exercise ECG's etc etc
Patients will receive better and faster treatments and the cost to the taxpayer will fall
It's a "no brainer" as they say those not up to it can retire on special pensions as a one off.
Please give me strength, yet another example of politicians telling GP's what it takes to be a good GP.
Any GP worth his salt is doing this already.Just as they looked after their diabetics COPD and all the rest of it BEFORE !! QOFS and all the rest of it.. Have we totally lost all pride and honour.Tell a carpenter or plumber you will pay them more for doing their job properly.You better learn how to duck fast !
What do you expect when General Practice has been stripped of its "street cred"
*no out of hours so no real "crunch" terminal care or emergencies just 9-5 box ticking
* no obstetrics or even antenatal care to speak of
*clinics held in secondary care that rob GP's of any remaining skills /breathless clinics/early preg clinics /heart failure clinics/knee pain clinics the list grows daily
*nurses doing more and more of our work forever rubbishing any claim we may have had for whole patient care
*consenting to be paid for what any good doctor would do taking the BP of a diabetic for Gods sake what have we become !!!
No my friends General Practice is for second class Doctors thats why no one wants to do it