I get you. 100%
The clue is in the word non-essential. Doctors' contacts with patients will be seen as essential I guess.
Hilarious! That might just come true.
Katie and Curious, I am completely with you. I work in UCC where we have tons of time wasters albeit more of the anxious sort, tight-fisted lot who come in by ambulance often completely unnecessarily, homeless who are looking for a warm place etc. The problem is that even hinting at resources being used in a wasteful way is sanctioned with the usual threat of a complaint and our bosses use this against us to stifle debate and to get rid of potential whistleblowers.
I agree that the way out is emigration or perhaps changing speciality. 3 years Oncology was rewarding in that sense, 9 years planting coils less so with anticipated sex at the weekend constituting the obvious emergency.
A very small fee will not work. They tried this and failed with €10 in Germany. Only saying No will and this is at present heavily penalised right up to the existential threat of being referred to NHSE or GMC by any ill-wishing patient, colleague, boss. Even your insurer will be reluctant to have your back. It is one big hopeless collusion.
Last night UCC was comparatively quiet and that in the midst of flu season. Dare I say likely due to the Coronavirus news?
Keep it up with your confident and courageous voice. Perhaps your generation of GPs will prevail over those bitter, self-righteous, dogmatic zealots and those - some - misogynist farts amongst us.
You will need it!
Nothing perplexing here. We simply didn't need it up to now.
Re swallowing the fact of having to apply for settled status I think equally pragmatically though and want to tell Roy to just get on with it and don't dwell/whinge. That is if he wants to stay.
However, after nearly 25 years here I have also come round to considering the unthinkable and preparing my return to Germany for the simple reason that the pendulum of time, supply and demand - albeit slow - has now swung to the position I want it to be at. In comparison to 1995 when I left Germany it now provides me with a better income, a more sensitive attitude towards its "people on the ground", less hassle with personality disordered or plain nasty patients and an infantilising and dishonest system eager to find scapegoats for its many shortcomings.
The final straw is perhaps that I do not wish to be subjected to rising populism in a country that maybe still has to go through their own national humiliation before wisening up, silly anti-German sentiments and problems people - patients, staff, voters - have with doctors within a class system which was never mine to start out from.
What do you suggest? Stockpiling gloves???
She's asking a question. What's your answer? Do you really think considering appropriateness is what matters???
Does anyone know whether ambulance services conduct serious investigations into the completely inappropriate use by the public and 111? Working in an UCC opened my eyes to how common worry calls for an ambulance and speaking to crews just got me a shoulder shrug. Some appear quite happy to be social workers, the odd team are as annoyed as I am but are there any attempts to look into this seriously??
I recently had a highly dysfunctional, manipulative and aggressive frequent attendee in a UCC whose GP summary of 168 pages did NOT ONCE describe her various "oddities" despite her obvious psychopathology.
What has become of us?
Are we too scared or do we just not care about anything but our own hide?
Instead of continuity I suggest consensus amongst doctors, consistency and courage.
It is clear to all that continuity is essential for the sick and frail, but for the vast majority, the worried well and those whose worry drives them to overuse medical resources good record keeping including honesty re one's impression of the patient and their health seeking practices is the essential factor.
Ivan Benett how many patients do you currently see? And what are your other current roles? I believe you opted out of seeing patients as your main job a long time ago didn't you? So don't be smug at me about guidelines or have you turned into one of these Dement(educat)ors yourself now? Appraiser perhaps?
My doctor friends in other countries have long been shaking their heads in disbelief over the complaints culture here and how GMC/NHS England/indemnity insurances/CQC etc respond and collude to make us the scapegoats for a dying system. Now this: although on one side glad it is not just me this is getting to I am fuming that patients' complaints are allowed to endanger our sanity to that degree. I have equally started - out of sheer desperation - to turn selfdoubt back into the appropriate reaction which should be anger and challenging the maliciousness, lack of respect and willingness to bite my hand off with which a lot of patients think they can treat me. Certainly the preferred option to suicide.
I would be very happy to have her care for mine!
If I could give her a job I would.
Another complete disgrace in my opinion is the case against nurse Amaro.
Everyone should read the CHARGES AS READ-NMC against her. A completely biased statement.
I fully understand Isabel Amaro's reasoning and wonder if another "protect your own" mechanism is at work here.
Panorama says clearly that the mum RECALLS to ask A nurse who then asked Another doctor who said yes give it...
Why haven't we heard of this other doctor in this whole saga? Has anyone heard of him/her before?
Wouldn't he/she ALSO be on trial or at least have been mentioned more consistently?
I encourage everyone watching last night's Panorama and make up their own minds.
To me it also sounds like a cover up and if it is then the shocking truth is that no doctor is ever safe as the public just have to claim something which then counts as evidence.
What really got to me on an emotional level was the photo of Hadiza's proud family on the day of her graduation.
What a beautiful shot!
And her tears.
Jack's mother Nicky Adcock said the verdict was an "absolute disgrace" that set "a precedent for doctors to do exactly what they like," pledging to fight the decision to the Supreme Court.
Doctors doing "what they like"...
Thank you TER.
As doctors we have opportunities and in my eyes a duty of care in medically educating our patients and parents but sometimes it seems "the system" rather prefers us to keep quiet at the dangerous expense of leaving them in the dark.
Mentioning obesity and addiction - painful as it may be for them it is for us, too, as we risk complaints - are more examples.
Not conducive to the adult-adult relationship we so ethically aim to achieve.
Is PULSE also now slave to daily mail style public perception??
Anonymous ex GP comment - removed. Why?
What is offensive exactly?
Moderator, answer please.
The moderator has also removed DS's comment asking questions re Enalapril. Why?