National Hopeless Service
There is some evidence that the NHS is managed by idiots who like soundbite phrases to plaster over the mess they have made
I have loads of young rude high trivia demand patients that babylon are welcome to.
Carers need help, support and advice not medicine. GPs are trained in medicine.This is the role of social care.
Doesnt work, tried it. The problem with medicine it its too grey and too emotive. Differing levels of empathy, sympathy, knowledge, skills, anxiety levels and thresholds for investigation/referral means that we are all perceived differently by different patients and they end up wanting to see individual doctors not the job share.
I like Penguins with their funny little waddle and amusing sliding on the snow. I will prescribe Penguins not trees.
The job is crap but we have no intention of changing it so dear GPs just do as much/little as you can tolerate. What a dreadful way to do business.
Blue detached idiots or red unrealistic idiot. What a choice.
During my career I've watched FPCs, FHSAs, RHAs, LHAs, PCOs, PCTs, Community Hospitals, Community staff attached then unattached from practices etc etc. All 'new' phases that didnt change a bloody thing.
Cant wait to spend my sessions reassuring the worried well that their self limiting illness is indeed trivia. Please phone me next week with more dross.
Mind numbing, skill losing, boring medicine.
The problem with what I have read about this report is that it doesnt focus on what patients are 'consulting' with. Given the age band, the high consultation rate and lack of desire for continuation of care I can only assume that its used for self limiting, worried well trivia that probably didnt need ANY medical input.
The NHS was set up when people were dying of diptheria, polio, pneumonia, TB, Tetanus etc. the eradication of these conditions has been highly successful but its resulted in the threshold of perceived illness dropping to snotty noses and insect bites being an illness that 'requires' intervention. The NHS wasnt designed for this and its no longer sustainable.
Their definition of support isn't the same as mine.
Well I am going to protect the public by reducing my sessions by half for two years and then retiring early. Utterly stupid. This government has become clueless to reality.
In my training practice in the 1980s one of the partners did have a large hour glass sand timer. As soon as the patient sat down he would turn it over and it was used without fail. He would literally stop the consultation when the last grain of sand fell. I have heard of GPs of old not having seats in their consulting rooms and the best one being the GP had cut a few inches off the front legs of the patients chair so that had to sit at an awkward and uncomfortable angle.
So they are going to stop unnecessary medications without any GP involvement and take on the clinic risks aren't they.....
50% of my consultations aren't for people teetering on the edge of admissions or for home visits.
Sorry - could be bless her
Other than broken GPs nobody gives a toss about GP workload.
This was top of Google Health News this morning.."Women are having lives cut short because GPs miss symptoms of ovarian cancer, study suggests"
Good. I hope the whole thing implodes. I cant believe any GP is stupid enough to do any of it.