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A faulty production line

Andrew Jackson

  • GPC to potentially vote on contract next week ahead of special LMC conference

    Andrew Jackson's comment 27 Jan 2020 4:28pm

    The strength of feeling is so strong it needs to go to a vote
    We also need as partners to think what we could be signing our younger colleagues up to.
    There is a risk of partners taking a bung for a deferment of the work and leaving them to pick up the pieces when we’re all gone

  • GPs to share video consultations with hospitals under Babylon partnership

    Andrew Jackson's comment 24 Jan 2020 7:49am

    Over 90% of our letters are not seen by us and handled by our admin team and pharmacists as per the freeing up time agenda pushed by NHS England
    What a ridiculous idea

  • GP clinical judgement leads to 20% fewer referrals than NEWS score, finds study

    Andrew Jackson's comment 22 Jan 2020 3:12pm

    We need to fight to retain what we are good at which is a manageable surgery and adequate time in the day to perform assessments of complex patients where experience and training makes a large difference to the patient, admission rates and resource useage and reminds of why we should be proud to do what we do well
    Only those who do it understand this but only we can fight for our role

  • Female GPs earn on average £40,000 less than male counterparts, finds report

    Andrew Jackson's comment 17 Jan 2020 3:06pm

    I agree this is a politicised headline.
    We have 4 male GP partners and 1 female GP partner. All earn exactly the same / session worked apart from seniority (what is left of it) is kept by the individual-so may favour men if worked more sessions over the course of their career. All our salaried team are paid the same/session for the same responsibilities regardless of gender.
    The headline figures remind us of how hard it is to work multiple sessions in General Practice especially if you want to have any outside life.
    The real threat to pay parity I noticed in partnership was when maternity reimbursement became discretionary (negotiated by a proven sexist BMA) which made it costly for Partners to have a female GP who was pregnant or led to female Partners funding their own maternity locums. This should never be allowed to happen again!

  • 80% of partners say they would reject signing network DES if proposals go ahead

    Andrew Jackson's comment 14 Jan 2020 11:48am

    Why don't the 20% work together in a PCN to prove if the plans are viable and possible to maintain a good income.
    If they are then the rest of us can join in later!!

  • GP concerns over network DES will form ‘basis’ of talks with NHSE, says BMA

    Andrew Jackson's comment 09 Jan 2020 10:48am

    Our team of 5 Partners have read all the specifications and frankly we are terrified of this.
    We were under the impression that PCNs was about sustainability and allowing us to have more capacity to do what we are currently doing and to ease workload intensity for GPs to protect the long term GP workforce.
    Having been relatively positive about PCNs this document blows that out of the water.
    The demands are immense, both in planning and then ongoing workload.
    We are currently enjoying the benefits to day to day working of PAs, FCPs, e-consults and Pharmacists and they have added capacity to our day to day working and reduced intensity although there has been a huge investment in support and mentoring that negates some of this.
    This document feels as if we have a completely new job to do in addition and is definitely a move to long term demolition of individual practices.
    This needs rejecting more or less outright and there is no excuse for allowing this to finally finish off Primary Care as we know it.
    Every year gets worse and worse and this needs to stop.

  • LMC issues urgent call to GPs on 'viability' of practices following network proposals

    Andrew Jackson's comment 08 Jan 2020 11:09am

    Our team of 5 Partners have read all the specifications and frankly we are terrified of this.
    We were under the impression that PCNs was about sustainability and allowing us to have more capacity to do what we are currently doing and to ease workload intensity for GPs to protect the long term GP workforce.
    Having been relatively positive about PCNs this document blows that out of the water.
    The demands are immense, both in planning and then ongoing workload.
    We are currently enjoying the benefits to day to day working of PAs, FCPs, e-consults and Pharmacists and they have added capacity to our day to day working and reduced intensity although there has been a huge investment in support and mentoring that negates some of this.
    This document feels as if we have a completely new job to do in addition and is definitely a move to long term demolition of individual practices.
    This needs rejecting more or less outright and there is no excuse for allowing this to finally finish off Primary Care as we know it.
    Every year gets worse and worse and this needs to stop.

  • GMC stops offering non-evidenced private screening to staff

    Andrew Jackson's comment 12 Dec 2019 11:00am

    You couldn’t make this up
    This organisation has no credibility yet holds the rest of us to account!

  • Housing developer to help fund new GP practice

    Andrew Jackson's comment 06 Dec 2019 4:54pm

    Maybe there will be a GP living in one of the houses

  • GP-based pharmacists can have 'significant' impact on cutting patients' CVD risk, finds study

    Andrew Jackson's comment 04 Dec 2019 7:33pm

    Anybody who is using F2F pharmacy time to deliver this kind of care rather than a mix of HCA and IT is probably doing it very expensively regardless of these small improvements

  • LMC agrees fee with CCG to pay practices £90 per hour for safeguarding reports

    Andrew Jackson's comment 04 Dec 2019 7:29pm

    This should probably be more but this is a good precedent to have set for us

  • Why stop at stopping home visits?

    Andrew Jackson's comment 04 Dec 2019 7:23pm

    12 visit requests today. 9 of them in a Nursing Home.
    Fix this and my job is infinitely better tomorrow not some vague time in the future

  • NHS patients and GPs deserve better than another five years of this circus

    Andrew Jackson's comment 04 Dec 2019 7:21pm

    This morning a patient telephoned for advice re D and V. Directed to NHS website by our sensible receptionist (as per NHS strategy)
    She rang 111 (another NHS saving strategy). They told her she needed a GP appointment within 6 hours so she rang us again even more upset. I managed her over the phone in 5 minutes (agenda she was 10w pregnant and worried about the effects)
    The strategies funded by our masters certainly work! Long live apps and IT

  • Only one in 20 GP trainees will work full-time in general practice in ten years

    Andrew Jackson's comment 02 Dec 2019 10:25am

    How have we and our leaders allowed the job to deteriorate that this is the result
    All my friends outside of medicine work Monday to Friday with no days off unless they choose to work part time
    We are admitting it is impossible to have a career in full time GP land
    We have to have a new meaningful contract in April that delivers a workload reduction on the day it is implemented not sometime in the future

  • Should GPs stop doing home visits?

    Andrew Jackson's comment 25 Nov 2019 12:18pm

    As we struggle to find something tangible we can take out of our day that will make a difference removing home visits is an obvious choice as everyone immediately knows they would have a much shorter working day.
    No other proposed plan over the last 5 years has shown any evidence of doing the same.
    I would rather retain the variety of the job which includes home visits and have time limited surgeries but it appears impossible to do this.
    Maybe we could offer to take them back when the 6000 extra GPs are in post-that would be a government incentive!
    Removing home visit by GPs to care homes may be a compromise as it is possible to commission models around this.

  • Jonathan Ashworth: 'It will take time to resolve pressures in general practice'

    Andrew Jackson's comment 16 Nov 2019 6:10pm

    Nothing in the answers to this interview to suggest there is any short term plan to change and reduce current workload and intensity

  • We must convince graduates that general practice is 'exciting', says Ashworth

    Andrew Jackson's comment 14 Nov 2019 5:13pm

    It is impossible to be a full time patient facing GP for a whole career. All my friends in other jobs work 5 days a week but we have allowed our job to become impossible to do this.
    Who would actually sign up for that!
    We do need to accept we may need to break some of the sacred cows of general practice to survive
    PCNs will not deliver anything short term. We have employed PAs, physios and any time savings are dwarfed by the supervision time of the roles

  • Some areas will struggle to recruit extra PCN staff, admits NHS England

    Andrew Jackson's comment 11 Oct 2019 11:51am

    The additional staff are now holding out for salaries well above that which is reimbursed with protected terms and conditions and a cap on workload (why wouldn’t you). This is called supply my and demand!
    Good to know a proportion a primary care staff are fortunate to have this kind of role
    If only!

  • NHS on 'collision course' for worst-ever winter, says BMA

    Andrew Jackson's comment 11 Oct 2019 11:46am

    Everyone in the diminishing pool of staff have seen this coming for years and there is probably not a huge amount that will stop it
    Even if you gave our practice more money today we have no staff we can employ and everyone is already working flat out
    We need to withdraw some ‘preventative’ work that is being done in primary care to try and free up some time

  • Monitor at-risk statin patients for osteoporosis, research urges

    Andrew Jackson's comment 01 Oct 2019 2:22pm

    What does ‘monitor’ mean?
    Unworkable advice without tools to assess risk incorporating these findings.