We should not be afraid to post under our own names. We are, after all, supposed to be living in a democracy. At least those of us who are not doctors are supposed to be living in a democracy. I also strongly feel that non doctors,and probably non GPs, should only be allowed to post using their own names.
I have asked you several times but have never received a reply. I never post anonymously. Do you agree that without adequate investment, including a sufficient number of GPs , a 7 day service won't happen?
There aren`t going to be a lot more GPs anytime soon- perhps in 10 yrs there might be. Do you agree without adequate investment it is a non starter?
Dr Annesley, I wish you well in your retirement, I really do, but if you retired more than 2 years ago, you will not realise how much things have deteriorated.
GP partners earnings have gone down by 30%, CQC costs are going to go up by 700%, indemnity costs are reaching 5 figures, patients attending surgeries have nearly doubled in a decade, the proportion of funding for primary care has gone down from 12% to 7.2%. Suppose earnings drop by a further 30% do we still carry on? Suppose , in the future, the governmant says there is no money, do we still carry on working for nothing?
I know your article is about junior doctors, but most of those will have a pay cut of 30%, they enter the workplace with massive debts, and when they look in to the future this is what they see.
It`s great that the public are supporting the JDs, and hopefully they will continue to do so, but if they don`t that will be a pity, but it won`t change anything.
If they become unhappy , they can complain as much as they like , but nobody will be listening. There won`t be anyone there.
come on folks, it`s April 1st !!
on the other hand in the NHS every day is April 1st
There aren't the doctors to provide a 7 day service and the situation is getting worse as a result of the junior doctors dispute. Perhaps in 10 years time we may have enough, but until then we have to make do with the workforce we have. Currently we are like a football team with 9 players. It doesn't matter what we are paid , we omNly have 9 players!
Junior Doctors going on strike for 1,2,3 or more days is actually a relatively small issue ( although it will obviously get massive publicity.) If the BMA lose the overall argument then a whole lot of doctors won't be working for 365 days every year. That's the main issue!
A 24 hr automated booking system would be great for us as a practice. It would generally be used by younger patients who usually have self limiting conditions which would make consultation times much shorter. It wouldn't be so good for our vast army of elderly patients with their multiple comorbidities. It' s a question of priorities- wants v needs.
We have an old fashioned attitude of putting patients with the greatest clinical need first. That won' t sit well in the future of corporate federations etc.
It is we, the GPs, who " are on the side of the people using services". Nobody should have any doubt about that !!
Mr Stevens should think about all the patients (manual workers or otherwise) in the future who will be unable to get an appointment with a GP on any day of the week because there won't be any GPs left to have an appointment with. This, of course, will be equitable which is what really matters.
Chief executive of NHSE- clueless, with no understanding of how any health system should run. He should resign
If GPs went on strike, even for a day, it would have massive coverage in the media, and have a massive impact on the public's psyche. What has happened already is far, far worse. GPs have retired early, not for a day, but for ever. GPs have gone to Australia/NZ not for a week but for ever. New GPs are turning their backs never to return, and training places are unfilled. This will have a detrimental effect on the delivery of healthcare in the UK for decades.
A strike will make headlines, but the practical consequences will be insignificant. It may be politically significant though, but it is our response through the media, which will determine it's significance. We will need Copperfield rather than Baker.
Good quality general practice is clinically effective and clinically effective. It includes continuity of care. It is the key to any health care system, not just the NHS. It is being cynically eroded , and the effect on the public will felt for decades to come , irrespective of whether the NHS is the health system in the UK, or whether it is replaced by a private, insurance based scheme.
"I want GPs to take responsibility for the care of their patients"
That's what I've been doing for 40 f-----g years!
Weston Super Mare
Depends on what the salary is.What are the terms and conditions? Who`s going to buy the premeses and at what price? I`m not interested in working weekends , but for £500,000 I might think again - but even for that, not while Bristol City are playing ( especially after the season we`ve just had.) There are some things even money can`t buy !
Look this isn`t a game.They come with there spouse,or,other family member,or a friend or on their own. They are losing their memory. We rule out organic cause., and then review them again and again .We make sure their spouses are coping, and community support staff are there if needed. And we continue to monitor them. We send them to a memory clinic who tell us what we already know. They may need medication. We all know there is no cure. We continue to review. Eventually they may need to go in to a care home. No one wants this .Their spouse feels guilty, but they shouldn`t. We support them too. But they still feel guilty. At least they are safe, but they our still our patients, and we continue to review.
We know what the situation is. The patients, at leastthose who have insight know what the situation.The spouses and other family members know what the situation is. We encourage them to ask us if they have questions. The care homes know what the situation is.
Whether a box saying dementia is ticked or not doesn`t matter a jot . The main thing is that they get the care they need. If they don`t it is a resource issue and not the fault of the GP.
Hundreds of thousands of patients have dementia. Suing the GP wont help any of them (or improve their care) !!
The "extra " full time equivalent GPs are not a lot of help if they are in Australia or New Zealand !!
Rachel Drago 8.12 pm
Not all ANPs are as good as you,in fact, very few are. The highest compliment that I can pay you (as your boss) is that you think like a doctor , and practice like one,but this is unusual. I know you see as many patients as we (GPs) do ,and referral rates are compatible, but I think most ANPs are going to be slower, more cautious, and,hence ,more likely to over investigate and refer-but less than recently qualified doctors appear to do in hospitals.
I agree totally that GPs and nurses must work together, but the main point is that there are not enough of any of us.
I don`t believe NHS figures are even accurate.According to them only 48.3% of new cancer patients were referred under the 2 week rule.I have looked at this in detail and have found that in reality 73% were referred under the 2 week rule,a further 15% had symtoms that were not referable under the criteria for the 2 week rule,a further 8% came from another practice and one patient`s cancer was diagnosed after an admission following a fall from a ladder!
These figures are accurate ,NHS England`s figures are not!!
In case any administrators or beurocrats read this,falling off a ladder is not a symptom of cancer
Furious GPC negotiator predicts revalidation 'revolt' as GPs spend more than 40 hours preparing for appraisals
i'veseen Ian Broomfield play up front and he was crap.He played a few games for Bristol City in the early 70's