This site is intended for health professionals only

At the heart of general practice since 1960

Just Your Average Joe

Just Your Average Joe

  • GPs being sent 'out-of-date' face masks with 'concealed' best before dates

    Just Your Average Joe's comment 19 Mar 2020 3:31pm

    The delay in sending out PPE equipment was down to priority of making stickers and sticking them on the boxes.

    This took priority over making new masks and ventilators!

    Why did 2016 have so many left over masks ???? Is the real question ???

  • GPs being sent 'out-of-date' face masks with 'concealed' best before dates

    Just Your Average Joe's comment 19 Mar 2020 3:28pm

    Same in Surrey

  • NHS England 'strongly recommends' suspension of GP appraisals

    Just Your Average Joe's comment 19 Mar 2020 3:25pm

    Ivory tower stupidity.

    Stop all appraisal and revalidation nonsense for at least 1 year and automatically roll everyone forward 1 year,

    Easy and could be sorted out in a few IT mouse clicks.

  • NHS England tells GPs to prepare for 'significant increase in home visiting'

    Just Your Average Joe's comment 19 Mar 2020 3:21pm

    Just no.

    Visiting patients discharged home early is not a suitable GP role.

    Maybe specialist teams with appropriate protection equipment should be set up and sent from spare hospital workforce capacity now all routine work suspended.

    Our routine work has not been suspended - and there is no time or capacity esp with missing colleagues due to self isolation to take this work on - no matter what failed manager in NHS England decided it was a good idea.

  • I'm weak at the knees at this new research

    Just Your Average Joe's comment 14 Mar 2020 7:06pm

    i would rather have a steroid injection for my knee than a statin - statin made me aches like a 90 year old, tried all and dose variations.

    Don't care if It saves a MI in 20yrs time as can't live in pain for next 20 years, plus my knee hurts!

  • What is the future of the GP home visit?

    Just Your Average Joe's comment 14 Mar 2020 6:56pm

    Home visits need to be scrapped for all but the terminally ill and bedridden.

    Problem is no family or friends or carers to help elderly get to surgery.

    Expectation of HV deeply rooted so even very mobile and well in care homes expect a GP to come out.

    Need to send HV the way of the Dodo, as not enough staff or time to see those coming in to the clinic now., let alone 30-45 mins for each single unneeded HV.

  • The questions that need answering

    Just Your Average Joe's comment 14 Mar 2020 6:47pm

    The answer is simple from our chief medical officers advise.

    Anyone with cough/cold or fever self isolates and stays home with OTC self care - no need to see anyone as will eventually get better no matter how 'chesty' the cough.

    Unless acute respiratory distress symptoms - in which case hospital assessment warranted for those, as long as ITU beds available. Handful per hospital free at best.

    Rest of population stay at home and good luck - you'll mostly come out the other end approx 99% chance.

  • Deep cleans and concerning NHS 111 referrals: our practice's Covid-19 experience

    Just Your Average Joe's comment 14 Mar 2020 6:41pm

    "Deep Clean" performed in our practice by our usual ineffective cleaning team - their manager gave them 1 bottle of pink spray to use on a building housing 20000 patients capacity.

    No specialist protective equipment was available for them. I watched them trying to work out what to do with the spray them left not knowing if I should laugh or cry.

    The response from Boris and PHE is a disgrace at best - criminally neglectful if you think just standing back and letting this disease run rampant through the country and cross your fingers herd immunity kicks in at 60 not 90% of the population, and the disease doesn't have ability to mutate and evolve.

  • GPs must treat any flu-like illness needing hospitalisation as coronavirus

    Just Your Average Joe's comment 11 Mar 2020 8:14am

    The whole system is flawed and stupid.

    Friend came back from skiing in France, flew back via Switzerland, and in doing so mingled with those coming back from Italy high risk areas, shared airport and plane back.

    Now flu symptoms, but 111 won't test him as not high risk. wife and kids continue day to day and spreading to school and everywhere since return are now ill, still no testing.

    A patient returning from India had flu vaccine - now returned and flu symptoms - likely COVID, but again not tested as told not high risk country, but I caled and insisted he should be tested. Told they will contact, self isolate plus family should do too.

    48hrs later no call back, and starting to feel better and thinking of returning to work, and as not proven COVID what do you say, family not ill yet, but if he goes back they won't continue to self isolate when feeling well, then again spread to all and sundry till they fall ill.

    How many others simply not tested. numbers false and low, as Public health testing protocols fatally incompetent.

  • GP leaders to call for removal of home visits from contract

    Just Your Average Joe's comment 21 Nov 2019 2:15pm

    Home visits are only appropriate when clinically required - judgement call of GP.

    Not a good use of time - and need to be removed from day to day workload to improve morale.

    Time not to cause a political own goal to remove from core contract with all media negativity attached, but to use the lemons the DOH has thrown at us and make lemonade.

    The PCN/federations where formed are political vehicles which could be devolved the role locally and take this workload off with visiting services set up, outside the practice workload.

    With shared records a level of continuity of care can be maintained and no need to isolate those patients from the other benefits of GP care and the practice team.

    Win/win for all involved.

  • 5,000 GPs need to be trained each year to meet workforce targets, says RCGP

    Just Your Average Joe's comment 05 Sep 2019 8:19am

    1st sense out the RCGP for ages - we need more GPs as those coming through are only working part time at best.

    With full time retiring GPs - it is not 1 out with 1 in. It will need almost 2 to 1 actually.

  • PCNs 'reluctant' to recruit additional staff due to funding and VAT

    Just Your Average Joe's comment 27 Aug 2019 8:36am

    Yes it is a trojan horse.

    Making primary care into larger bite sized chunks so private healthcare has more to bite into as smaller units not worth buying into.

    Just in time for US trade deal and watch profiteering and cost rises as the NHS dies from this bullet to its heart.

  • Practice closing 'due to delayed paperwork' after death of single-hander

    Just Your Average Joe's comment 27 Aug 2019 8:32am

    Dr Prasad - Rest in peace.

    GP hero remains in charge until his sad passing.

    Where is the Daily Mail with this headline?

  • Junior doctor contract deal could see trainees '£18,000 worse off'

    Just Your Average Joe's comment 14 Jun 2019 7:50pm

    We need to massively increase medical student numbers immediately due to the delay in producing qualified doctors from scratch.

    This needs to start now so shortages which are pending due to retirement of full time colleagues - and the influx of part time working in juniors. You need 2 new doctors to replace 1 retiring doctor in some specialities now, especially as retention is a huge problem.

    Act now before it is too late.

  • Why we aren't signing up to the Network DES

    Just Your Average Joe's comment 13 Jun 2019 7:56pm

    In times of GP famine - the need to throw more good GP hours into another organisation - CCG, federation and now network meetings.

    Will there be any left to see patients?

  • I'm being denied an appraisal - for being a British GP working abroad

    Just Your Average Joe's comment 13 Jun 2019 7:46pm

    GMC - licence to print money.

    Persecuting doctors, pandering to patients.

    Time for the DOH to pay subscriptions as the GMC does nothing for me.

    I trained and achieved my degree and all my efforts to remain educated and up to date my own.

    The GMC takes my money to give me a certificate to practice which has no meaning, other than I paid my fee and they have introduced hoops of appraisal to please the politicians.

    Scrap the GMC and let the DOH pay for the privilege of persecuting doctors themselves.

  • NHS to investigate GP ‘fraud’ in retaining ghost patients

    Just Your Average Joe's comment 13 Jun 2019 6:47pm

    Maybe if the Government bothered to have accurate immigration checks with passport check in/out of country - they might actually know the right number of people in the UK.

    No issue with freedom of movement - but anyone from EU coming should register as being UK resident and then get NHS and NI numbers etc. When they leave country they are checked out - if stay out for 1 yr then triggers deduction from the appropriate UK list.

    Ghosts are actually real people and patients who may choose not to fill in the census 10 years ago! Accuracy of the census is so poor that it doesn't trump a real person who did come and register.

    Capita have responsibility to switch registrations as people move and re-reg with new GPs.

    There is enough fraud by the DOH on GP lists with several thousand real patients not being counted through financial fraud by NHS saying they pay according to weighted lists anyway.

  • Coroner criticises GPs for not following NICE guidance after suicide of patient

    Just Your Average Joe's comment 05 Jun 2019 4:20pm

    The story is tragic, as are all unexpected deaths from self harm.

    In an ideal coroner world - All suicidal patients should be admitted to a state of the art inpatient psychiatry service with immediate access to psychological therapies.

    The realities of provision of services in a tight budget means, even those inpatients with lots of support can self harm and successfully kill themselves while in psychiatric units under close observation.

    Checking in 7 days is fine, but a truly suicidal person may take their life at any time.

  • GPs to call for ‘immediate’ withdrawal of new contract at BMA annual conference

    Just Your Average Joe's comment 05 Jun 2019 2:41pm

    PCN forcing GPs to take on extended access and stretching already paper thin staff to work longer hours.

    This is going to turn into an insurance policy for the DOH with PCN eventually having to mop up patients if practices within them close, as a duty of care to the patients within the network. Then the closing and failing practices will become the problem of the remaining practices.

    The PCN is a trojan horse loaded with Sh!t disguised as extra funding to help us swallow it.

    Please turn back this policy of preparing primary care into parcel sized portions ready for privatisation.

  • Patients directed to 111 or 999 as 13,000-patient practice cancels all appointments

    Just Your Average Joe's comment 03 Jun 2019 4:54pm

    Hot off the press - CQC closed them down as they had pathology forms on the window sills, hot tea on the desk, and paper blue tacked to the walls.

    The last straw was toys in the waiting room. Urgent closure of practice, to keep patients safe.

    Knock on effect serious stress for all the practice, patients, and a reason for the CQC to exist.

    Don't worry about the cancer diagnosis missed as cancelled appointments and now the patient would think to return until a few months down the line by which time it has spread.

    CQC morale victory against lazy and dangerous GPs!