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GPs buried under trusts' workload dump

Pete Deveson

  • How are you?

    Pete Deveson's comment 15 Oct 2019 3:46pm

    Sorry to hear you are unwell David and thank you for the insight.

  • 'Indemnity fees are killing our profession' - sign this letter to Jeremy Hunt

    Pete Deveson's comment 01 Sep 2017 2:30pm

    Pete Deveson
    GP Trainer
    Epsom

  • The real conspiracy of NHS England

    Pete Deveson's comment 04 Aug 2017 2:42pm

    Oh my god I cannot believe I've just written 400 words for Pulse and not been paid for it.

  • The real conspiracy of NHS England

    Pete Deveson's comment 04 Aug 2017 2:37pm

    Hi Nish. Don't normally head below the line myself, but couldn't let the Prof's straw man about all dissenters being anonymous stand so as someone whose stock-in-trade is whinging about the powers that be, here's my chronic unfocussed two cents.

    Let's be honest, this article never had a hope of hitting the fabled 5 stars, but it already has you drowning in plaudits from what Pev might call the wider Morlock community, so swings and roundabouts eh.

    I do think you make some valid points. Of course the people you work with in NHS England are not evil, just as my appraiser is not evil, my CQC inspector was not (provably) evil, and the U-boat Kapitänleutnant in Das Boot isn't evil. They're all normal people trying to do the best they can in tough jobs. But that doesn't mean that their actions and the system they support have a benign effect on us ordinary working GPs; quite the opposite. (Except the U-boat guy, on whom the jury is still out).

    There's a reason we're in a spiral of negativity. In the ten years since I was a GP trainee like you virtually every aspect of the job has got worse. That ain't fake news, it's just a statement of fact, easily backed up by looking at the stats on GP workload, GP pay, indemnity costs, numbers of applicants for jobs and so on. I'm sorry-not-sorry if my response to this is criticism of the forces I perceive to be worsening the situation, whether through malice or ineptitude. But the idea that my criticism is now a bigger problem than the *actual problem* is just daft, frankly.

    "Why are you retiring/quitting/moving to Australia?"
    "Well, my job is fine. In fact, I couldn't be happier. But I keep reading in the papers that GP is bad so I thought I'd better get out". SAID NO ONE EVER.

    I don't know if NHS England can make the job better. I don't believe they go into work each day to actively try and make it worse. But that's what keeps happening anyway. So here's some targeted inflammation for you; tell your BFFs at NHS England that if they really want to Make General Practice Great Again they should take all the five year forward view money and put it directly into the global sum. Nothing puts bums on seats like cold hard cash.

    In the meantime I will continue to call it as I see it. There is a great British tradition of therapeutic grumbling in times of adversity; it's not chronic inflammation, it's catharsis. And without catharsis you know what you end up being full of.

  • Welcome to the latest round of What GPs are Crap At

    Pete Deveson's comment 30 Jun 2017 3:30pm

    Liam Booth-Smith of Localis has pointed out to me a section in the report that explains their use of the word appropriate:

    "Note on terminology

    Throughout the report, we highlight referrals that have not met thresholds as ‘inappropriate’. This is not a value judgement on the ability of or concern noted by professionals referring young people onto CAMHS. We have simply chosen terminology that is already in common usage when highlighting referrals that have not met service thresholds."

    http://www.localis.org.uk/wp-content/uploads/2017/06/A-healthy-state-of-mind-final.pdf

  • The QDeath Algorithm

    Pete Deveson's comment 22 Mar 2017 10:00pm

    Nice to see you back Samir

  • How to make the future of primary care even more unsustainable

    Pete Deveson's comment 17 Nov 2016 5:39pm

    There's a good article about Boots which should have linked from the second paragraph but I don't think Pulse like me hyperlinking to alternative news providers. Anyway you should all read it. https://www.theguardian.com/news/2016/apr/13/how-boots-went-rogue

  • We need to embrace NHS workers from all over the world

    Pete Deveson's comment 10 Oct 2016 12:15pm

    Sorry to hear about your wife Richard. I wish her a speedy and straightforward recovery.

  • Finally, the leadership we need from Maureen Baker

    Pete Deveson's comment 08 Oct 2016 4:14pm

    Hi anonymous sessional/locum GP. I'm always open to constructive criticism, so take your "victim-searching drivel" comments on board. Of course it isn't racist to increase the number of doctors we train, but I don't believe that's what I said.

    Does the the headline "You're only welcome until 2025!" make non-UK-trained doctors feel valued? Does Amber Rudd's suggestion that companies employing non-British workers should be "named and shamed", with its implicit suggestion that foreigners are shameful, make non-UK-trained doctors feel valued? I don't think so.

    My point is that, as proven by the increase in racist abuse experienced by colleagues since the Brexit vote, the tone set by politicians and headline writers effects how our colleagues are treated in the real world. As a white UK trained doctor I've never been the victim of racist abuse, but it's happened to enough of my friends to make it my duty to stand up and say it's unacceptable. It's not "victim-searching drivel" if there are actual victims.

    Finally, I'm saddened you misrepresent me as "utterly terrified of causing offence". You could easily disprove this by having a look through my previous blogs, but if you don't have the time I could clear it up now by calling you a tedious sadsack who's too cowardly to put their name to their brainless opinions. Utterly terrified? Not me my friend.

  • Where's my get-out-of-jail-free card?

    Pete Deveson's comment 19 Aug 2016 5:06pm

    I think the rule is there to protect both patients and doctors. Not being able to have sex with your patients might be a bind but probably less of one than either a) being sexually exploited by your patient or b) being sexually exploited by your doctor.

    Pev wrote about this a while back: http://www.pulsetoday.co.uk/views/blogs/peverley/no-sex-please-im-a-doctor/20006842.blog

  • Where's my get-out-of-jail-free card?

    Pete Deveson's comment 18 Aug 2016 3:45pm

    That's a valid question - so I asked it.

    https://twitter.com/PeteDeveson/status/764440182343032832

    Joe Public is 2:1 against legalised patient-shagging.

  • ‘Joining a super practice means GPs can be themselves again’

    Pete Deveson's comment 02 Aug 2016 8:43am

    Kerching.

  • My first foray into firearms licensing forms

    Pete Deveson's comment 18 Jul 2016 5:59pm

    Interestingly the BASC have issued a statement that their members should refuse to pay. This one is likely to run and run. https://basc.org.uk/blog/press-releases/latest-news/basc-says-dont-pay-medical-fee/

  • Let's sign those undated resignations - but demand a realistic ultimatum

    Pete Deveson's comment 23 May 2016 5:18pm

    Er...I want less work *and* more pay, please.

  • GP numbers drop by 2% in blow to Government's recruitment pledge

    Pete Deveson's comment 27 Apr 2016 7:51pm

    "A Department of Health spokesperson said: ‘We are committed to our target of 5,000 more doctors in general practice by 2020.'"

    Note "doctors in general practice". As opposed to qualified GPs.

  • How to solve a problem like acopia?

    Pete Deveson's comment 03 Feb 2016 8:20pm

    But it's gone to my chest...

  • How to solve a problem like acopia?

    Pete Deveson's comment 03 Feb 2016 8:20pm

    But it's gone to my chest...

  • Sometimes all a GP can say is: 'That's not my problem'

    Pete Deveson's comment 20 Jan 2015 2:41pm

    George Osborne has a degree in the humanities.

  • Add your name to Pulse’s letter to NHS England over funding for occupational health services

    Pete Deveson's comment 09 Jan 2014 9:24am

    Dr Pete Deveson
    Epsom,
    Surrey

  • GP shortage 'biggest threat' to commissioning, warns Tory MP

    Pete Deveson's comment 09 Oct 2012 1:41pm

    Can we stop calling Dr Dan "a former obstetrician" because he's done an SHO job in O&G?

    By that rationale, I'm a former orthopod, a former urologist, a former surgeon, a former sexual health specialist, a former paediatrician, a former geriatrician and a former dermatologist.

    "Former junior doctor" is correct without being misleading.