Dear Mr Anonymous Pharmacist,
Can you please explain how your rhyming slang works with "Jeremy Hunt"?
Remove control of the NHS from the hands of politicians and bureaucrats. Make nurses and doctors responsible to run the health service. Hold a referendum if necessary to make that happen. Maniacs like Hunt are so up their own back passages that they can't see what damage is happening around them.
Some psychologists with interest in preaching to stop people comfort eating believe in their own myths. Obesity control by force or psychopersuation is impossible on a global scale. Only a very gradual evolution to recalibrate our cultural norms based on consumption, dietary excess, negative attitude to exercise and acceptance of fatness as a given can we effectively bring about lasting change. This would take a generation of reeducation and economic adjustment away from sales and advertising of unhealthy products. What we cannot afford is sudden shocks to the economy by introducing more stupid taxes.
We GPs are preprogrammed to do everything ourselves. A new breed of entrepreneurial beast is spreading its tentacles, merging and expanding and recruiting and re-deploying. The new boss is cleverly delegating to a multi-tasking multipurpose team and successfully exploiting the system and filling his boots at the same time. Why do it all yourself when you can pay someone else to do it for you?
what a good example of megalomania from so-called scientific brains! to blanket impose any regime without piloting first - O Dear!
Talking about bias, I came across a patient who registered with a new practice where unlike the one he had just left the waiting room was full of white faces, which clearly meant to him that it was superior. Add to that research evidence that for the same problem a client is more likely to complain against a provider from a different ethnic background to his own, and you begin to worry about "intelligent" monitoring.
24 hour BP monitor would sort this out in even less time ..... Surely!
Interesting comments from the Aussie Dr about greener grass down under? Never quite fits the bill, like chasing a mirage. NHS general practice could be the best primary care in the world. It's not all lost yet.
Just get rid of QOF, choose and book, CQC, but keep appraisals. Give more freedom to investigate early and improve funding for out of hours provision.
It's not all about money. Paying GPs £250,000 is not going to improve morale, we need better and more nurses and so improve their prospects. And, GPs are human not machines. If I don't clock off at 7 I would have left many years ago.
Mr Hunt, have you lost it or what.
A&E doors are always open; you do not need to phone up to make an appointment; you do not have to face the "dragon"; your own GP might think the problem too trivial and/or will not prescribe abx so why not take the "anonymous" and easy route?; etc etc... most patients do not even bother to try to make an appointment if the A&E or walkincentre option is in their head and have tried it before and seen it work a treat.
A spoonful of sugar helps the nation go round, three in four over 45s are overweight, and a health warning for Ramadan fasters
It is misleading to call Ramadan as a " month-long fast". It is a dawn to dusk fast for a month.
Reducing surgery attendance as an independant measure of care is a novel idea. Where is the evidence? Even the highest earning, lavishly funded and fatly staffed practices in my area of SE London have not managed to justify lower consultation rate on the basis of presumed "superior" care. In reality their claimed morbidly data are no better than average, to put it mildly. So where did this nebulous magic bullet dream get hatched? Answer: in the fantasy world of Jeremy Hunt.