NHS has Granular Tolerance for violence or abuse!
Most GP partnerships hold unlimited liability.
That requires a certain amount of availability beyond that of seeing patients.
The article describes a salaried GP role, with defined workload and hours, not the completely different role of GP partner.
They are 2 different roles with different pay or profit structures.
That they are both held by GPs does not make them comparable.
A better question is whether the customer, HMG, is making best use of tax funding by only pushing extra resources if they are tied to seeing routine patients in extended hours, when gp availability is lower and more expensive than in the day?
Calm down Harry!
The delays in getting information is partly why people haven’t left yet - you need to have some basic info before making a decision.
And GPs ARE leaving the pension scheme en masse.
“Currently pensions forms can sometimes be filled in incorrectly or with data missing. ”
Or you just put the paper forms in a side room and ignored them five years.
Surely there are grounds for compensation here? I would have changed my pension arrangements and avoided this tax if I had received notifications of AA breaches a few years ago.
Instead it took me 12 months to get capita and nhsbsa to sort things out, and I now have a £50k tax bill.
Who allows PCSE’s contract to continue. Is someone being paid off?!
“The good news is we kept the money we didn’t spend on staff that week!”
Re: ‘What is unfair is the taxing of a working class responsible healthy non-smoking bus driver, to pay for the rich overweight smoker's new knee. What happened to you reap what you sow, a concept we teach our kids (or at least I try for mine)?’
Perhaps overweight smokers should get a tax rebate then as they’re not going to benefit from the NHS as much as fit people?
One of the Black Mirror episodes describes a world where money is earned by cycling on a Pelaton style electronic bike all day. In this world the overweight are marginalised and mocked.
This is the end point of state socialism - the state determining who is ‘deserving’ of the money stolen as tax and funding mechanisms like the NHS crowding out alternatives except for the mega rich.
Urgent need for post hospital visit are nearly always an indicator of an incomplete or early discharge. Failed discharge - back to a/e.
Annual allowance is unnecessary. Why punish people for growing their pension at the ‘wrong’ rate in a given year?
£50k tax bill that would have been avoidable if Capita/PCSE didn’t not pay my contributions from 2015 onwards, requiring a year to sort out. Grrrr.
Never going to rejoin this NHS pension ponzi.
I would love to know why no UK politicians openly consider non NHS health systems?*
*including non English speaking non USA systems
GPs get to work out the severity with many hours of work for free.
Diagnosis is hardest but of medicine. Camhs should see and discharge / signpost not reject referrals.
Got a nice £50k tax bill. Didn’t help that Capita didn’t pass on payments to nhsbsa for 4 years and it took a year to get my pension growth info.
Apparently I’m ideally placed to arrange liver ultrasound for ocular melanomas every 6 months for life.
Why so busy? Terrorism? Fire? Ebola?
Or just predictable winter levels of business in a stretched hospital?
GPs going the extra extra mile (first extra is a normal day) for a broken NHS model of providing healthcare is not worth the individual GPs’ loss of life expectancy.
I divert patient to A/E because I have hours of work to do chasing up or responding to work dumped on me from hospitals.
There are no peaks of demand in GP - we are always at capacity.
If GPs are full and direct to A/E, but A/E are full, who gets sued/struck off/imprisoned when things go wrong?
One of our patients stabbed an AnE security guard over a benzo argument. We told pcse we were removing him from our GP list immediately as even if he went to prison he would need to be flagged as potentially dangerous and be on the special patients scheme in future.
Faceless administrators in a security controlled building in central London denied it as no direct violence or threat to GPs.
We 30 day off listed him but told him he was no longer welcome to attend practice with immediate effect. Hopefully the new GP sees the alerts in bold in his clinical record, but he won’t be on the special patient register on leaving jail.
‘Zero tolerance’ seems to have a very granular range of interpretations in our magnificent NHS.
IF you think university courses should act as part of the diversity approach for the state monopsony employer the perhaps this is the logical approach for communist social levelling.
It is important to remember however that the role of university medical courses should be to teach medicine, not roll out cannon fodder for the NHS.
‘Doctors don’t have any time to waste on wild goose chases around town in their cars at lunch time going to see people’s legs that are “swollen” or people who are “chesty”. That’s what district nurses should be for’
That’s what DNs request GP home visits for!
‘Housebound’ is not a binary state.
Many patients could be brought to the surgery with accessible transport and an escort but the NHS or social care have not commissioned this, preferring ‘free’ GP time.
Some patients could travel if well but not when ill.
In the UK we, and our housing and benefits system, also encourages patients to stay living at home alone when they should be in residential or nursing care with people who can help them.
This all contributes to requests for visits that, without being reckless, still need to be done after triaging.
And for those practices that smugly say they have no visits - you are either taking clinical risks or you have unwritten working and reception practices that push those patients to your neighbouring GPs.
Translation ‘I couldn’t find any reason to pin in on the doctors - this time’