Wait...did this actually say anything useful at all?
Robust regulations? Do it like abortion with 2 doctors? Who has ever heard of someone being denied an abortion on statutory - or any - grounds?
When will we learn that loosening reigns and hoping regulation will keep things under control never ever works? I’ve never seen that work here. This will make the vulnerable more vulnerable.
Oh and PS as much as we serve the public, we are not servants. We are allowed our own position on work that we will be responsible for, and there’s nothing wrong with our college having a position too. We as professionals are not neutral, why should we as a profession stand neutral why should our college stand neutral? I’m tired of people acting like GPs should be selfless silent obedient lackeys without any opinions of our own.
This kind of thing might help a little but doesn't address the fact - doesn't even mention the fact - that we are all doing far more work than we should be. Saying "GPs need to embrace new ways of managing our stress" feels quite a lot like a patronising diversion from this cold truth. I wonder if the author's rugby-playing colleague ever had to play a game while so under-resourced that he was forced to fill in for two rugby players at the same time during the same match, in boots that were no longer fit for use on the field, with the threat of a manslaughter conviction if he fails to score just once? Because those are the conditions that we are working under.
‘I think some people think, “Oh, just bring two practices together and it will all work,”...
Really? Do you really think merging practices think that? How stupid do you think your colleagues are?
Merging happens because government lead pressures make it impossible to survive without doing so. So is the CQC going to be brave enough to say "government to blame"?
...“use your clinical judgment to decide whether it is more appropriate to get the patient to hospital in some other way, such as in your car.”
Is this a f*^%ing joke?! Taking someone in our own car is beyond dangerous for them and us. I can’t believe the MDU is even saying that this should or could be considered! So the patient arrests and died in my car, and in court the ambulance service say “oh we probably would have been there about 2 minutes after that GP took that huge risk with the patients life such a shame” and then I’m the a$$hole getting hung out to dry, as per usual. People please, I know it’s a life in front of us, but strained resources are forcing us to think things way outside our training and responsibilities and no one will be there to have our back when it goes sideways. Just operating within our roles there’s enough risk, and enough antipathy towards us, on a day to day basis to end our careers and put us in jail even when we do everything right, don’t step so far outside of the role, for anything.
This will not end easily. Holding institutions to account is ultimately opaque and dissatisfying, people want a head on a plate. And institutions run by white males are biased against putting white heads on plates. The NHS and it’s corollary organisations suffer the same subtle but vital and extensive racism that is rife within the otherwise relatively tolerant UK. White leaders just have more empathy and sympathy for their white colleagues. In a way this is perfectly natural. It’s a base bias written into human development to have sympathy and empathy for those that look like you, but this results in a lack of that same sympathy and empathy for non-whites, creating a very real predilection to scapegoat and destroy non-whites for circumstances and issues that whites walk away from unscathed on a regular basis. It’s not an overt placard-holding racism so it’s hard to see: it’s hard to realise that one is doing it and it’s hard to realise that one is benefiting from it, and that’s why it is so hard to point at it and eradicate. If you’re white and you don’t believe this is racism, this is why you are missing it, and without necessarily meaning to at all, this is how you are helping to maintain it.
@David Banner; so true
@IDGAF; he’s obviously joking
I don’t understand the people disagreeing with Zoe. The article states that she feels loss of continuity is a shame, and then lists a number of ways that continuity is better. It seems Zoe is just being practical about accepting that continuity is completely untenable with today’s resourcing, and thinking about how to adapt to try to maintain some semblance of it. I regularly tell my patients, “yes, continuity is not possible in the manner it used to be, you don’t like it, your doctors don’t like it.” I then say that we try to create some continuity now through good note-keeping, and I then advise them to try to get to know a couple of the GPs well in order to try and create a collaborative continuity of sorts. Adaptation. I don’t find Zoe saying that loss of continuity is alright, so what’s to disagree with? This is just realpolitik.
Notice how the doctor promoting working with pharma has zero peer-reviewed references, and the doctor against it has four...
“Am I nearly there yet” you are part of the problem and one of the many reasons, as “Pulse Power(less) 50” points out, that the job got this bad, and remains so. The profession fails to hang together and look after its own and too often it’s because older GPs have the attitude of “I had it hard so f%
GPs failed to receive?! “Trust failed to send” is shorter...so why “GPs failed to receive”?! Whyyyyyy?
Well said, great article, locuming is great but boundaries are really important, maintain them, people will only respect them as much as you do.
Tip that headline the other way: Patients aren’t blaming GPs for stretched resources. Oh woopti-fr***ing-doo.
Missed out the systemic pressure of being a non-white female in a head dress
The frankly astonishing level of incompetence makes me want to throw my phone across the room. NHSE, why did you allow the training of these GPs if you hadn’t already ensured that they could stay?! Now you’re reaching out to the very practices that you’re squeezing all of the time! Why do you always create problems even when you’re trying to solve problems, which by the way, were also of your creation!?
*trying to out them!
This is great, Babylon have bypassed all the standards required of actual scientific research, and managed to push all their home-made uninterrogated numbers in front of the public with the guise of authenticity; and even when their fakery is pointed out in a GP-publication that no member of the public will see, in the interest of being “fair and balanced” they are asked to respond and get to restate their over-inflated “facts” at the bottom of the very same article that’s trying to put them! They get the last word! The truth will not win.
"Isn't patient-centred"??! Being "patient-centred" isn't meant to to make all GPs crawling b****s to our patients most exploitative whims, it isn't meant to mean that we don't have basic rights to not be broadcast without our consent, or to even JUST TALK formally about how we might respond to such violations. What has happened to us, to out leadership? When did caring for our patients become complete prostration? We count damnit, we are people too.
456 deaths after opioid use without appropriate clinical indication, and she quietly deregisters herself with zero consequences. Whether this was actually reasonable palliative or not, if her name was Dr Jane Bhutan this would have been a very different story. Being white is awesome in this system. Being non-white is a serious error in judgement.
It is disappointing but unsurprising how many major institutions have given completely double-speak advice and “reassurances” regarding reflection in recent times. Thanks for being so straight.