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Gold, incentives and meh

Just Your Average Joe

  • GPs unable to follow guidance as just one in six has access to FeNO testing

    Just Your Average Joe's comment 09 Oct 2018 11:10pm

    NICE guidance - I need a Bentley to sit in when writing guidance on how to diagnose asthma.

    Thank you makers of FeNO testing devices for the payment to endorse your product and try and make thousands of GP practices go and buy one.

    I will enjoy my half a day directorship on your board for my advice and guidance - with another bucket load of cash.

  • Significant rise in students starting medical school seen for first time in years

    Just Your Average Joe's comment 23 Sep 2018 1:24am

    The students may come in, but by foundation and certainly afterwards a large chunk of those graduated are lost to the UK, as they leave, emigrate, retrain, start a family, or simply choose not to work full time.

    We are loosing full time male GP's and replacements are not wanting/willing or able to work more than part time at most, will a small minority full time.

    Replacing 1 Full time male retiring GP - needs 2 or occasionally 3 medical students proceeding to, and then completing GP training.

    1 in is NOT 1 out.

    Those planning need to face the realities of modern lifestyle choices, political interference and excessive workloads and expectations that everything can be shifted into general practice.

  • Babylon app ‘takes pressure off’ GPs to help all patients, says health secretary

    Just Your Average Joe's comment 17 Sep 2018 8:28am

    Corporate manslaughter charge to the health secretary once the first death from the unproven app he is so keen to promote.

    Take the risks, cut corners and provide shoddy care, then take the consequences of promoting, not stopping this.

  • Interview: Dr Mobasher Butt, Pulse's most influential GP for 2018

    Just Your Average Joe's comment 02 Sep 2018 12:00pm

    Babylon and all the private services looking to skim off money from the NHS - need to be reported to the GMC for effectively breaking the requirement to do no harm.

    If the RCGP criteria of community orientation is look at - they are harming the overall health economy and directly causing harm to patients at neighbouring practices - as they steal valuable resources which in turn will reduce the ability to recruit and keep staff who may also be poached off.

    BMA report them and help your members by protecting them from this DOH led and supported policy - as the GMC can for once show itself to be protecting patients and supporting doctors.

  • The online providers disrupting the market

    Just Your Average Joe's comment 02 Sep 2018 12:00pm

    Babylon and all the private services looking to skim off money from the NHS - need to be reported to the GMC for effectively breaking the requirement to do no harm.

    If the RCGP criteria of community orientation is look at - they are harming the overall health economy and directly causing harm to patients at neighbouring practices - as they steal valuable resources which in turn will reduce the ability to recruit and keep staff who may also be poached off.

    BMA report them and help your members by protecting them from this DOH led and supported policy - as the GMC can for once show itself to be protecting patients and supporting doctors.

  • How technology is changing the GP consultation

    Just Your Average Joe's comment 02 Sep 2018 11:59am

    Babylon and all the private services looking to skim off money from the NHS - need to be reported to the GMC for effectively breaking the requirement to do no harm.

    If the RCGP criteria of community orientation is look at - they are harming the overall health economy and directly causing harm to patients at neighbouring practices - as they steal valuable resources which in turn will reduce the ability to recruit and keep staff who may also be poached off.

    BMA report them and help your members by protecting them from this DOH led and supported policy - as the GMC can for once show itself to be protecting patients and supporting doctors.

  • The true privatisation of general practice

    Just Your Average Joe's comment 02 Sep 2018 11:59am

    Babylon and all the private services looking to skim off money from the NHS - need to be reported to the GMC for effectively breaking the requirement to do no harm.

    If the RCGP criteria of community orientation is look at - they are harming the overall health economy and directly causing harm to patients at neighbouring practices - as they steal valuable resources which in turn will reduce the ability to recruit and keep staff who may also be poached off.

    BMA report them and help your members by protecting them from this DOH led and supported policy - as the GMC can for once show itself to be protecting patients and supporting doctors.

  • How technology is changing the GP consultation

    Just Your Average Joe's comment 01 Sep 2018 10:22am

    Just go with it - find your most complex, housebound and frail, as well as heart sink, multiple attending patients and give them the on-line application to join these parasitic companies posing as wolves in sheep's clothing.

    Then sit back and relax, when they try and re-register and tell them your list is full!

  • Virtual consultations can be used in '85% of cases' says Babylon's top GP

    Just Your Average Joe's comment 29 Aug 2018 8:25am

    85% of consultations dealt with on-line - with anything difficult told to go re-register with a real GP who can see you.

    Told you dealt with on-line.

  • Babylon medical director named most influential GP in UK

    Just Your Average Joe's comment 29 Aug 2018 8:20am

    Top GP's most likely to have personally seen the least amount of patients - though Dr Watson deserves recognition for actually trying to improve Primary care.

  • BMA advises against care home requests for GP sign-off of OTC prescribing

    Just Your Average Joe's comment 11 Aug 2018 12:14pm

    Care homes want us to write in their notes, and all phone conversations to have a letter faxed through for any advise or medication changes or they won't follow the treatment plan.

    There is no GMS requirement for this and there is no additional agreement or payment for this, and they insist it is a CQC requirement.

    Care homes need specialist geriatric outreach teams - BMA please add that to new contract

  • The sting in the tail of the 2% 'pay rise'

    Just Your Average Joe's comment 29 Jul 2018 12:52pm

    I think 20% a good point to start if wanting contract change and even more work foisted onto Primary care - and still a good chance would want to say no to another sh!t@ contact unilaterally imposed without any evidence base for changes.

    'The ‘fact that average gross earnings for [GPs], both contracted and salaried, were lower in nominal terms in 2015-16 than in 2006-07’.'

    10 years negative pay - and most of our colleagues still engaged fully in CCG and NHS England foist cheaper care on GPs plan.

    Say no to all hospital work being farmed out to GPs - before they come out with more twaddle like ear wax is a GP problem.

  • Why I have fears around our new health secretary

    Just Your Average Joe's comment 22 Jul 2018 0:11am

    Matthew Hancock was said to be furious when he found out his demotion from Cabinet Office Minister to Culture Minister meant he would lose his perk of use of an official car and driver.

    After failing to persuade his new boss, Culture Secretary Karen Bradley, to let him have the department’s sole official car, Hancock demanded – and got – another one, say sources.

    Apologies on source - http://www.dailymail.co.uk/news/article-3828978/Tory-Minister-sacked-Cabinet-keeps-taxpayer-funded-chauffeur-driven-limo-political-road-rage.html

  • Revealed: GP vacancy rates rocket with one in six roles unfilled

    Just Your Average Joe's comment 07 Jul 2018 12:09pm

    Know colleagues who have advertised and paid thousands in fees and almost no response, and a few cases none at all.

    Agencies supply GPs for salaried and long term posts - take their fees and the GP resigns due to work pressures, travelling distances or personal reasons and again well out of pocket and post remains unfilled.

    There just are not enough GPs, not enough doctors being trained, as many FY2 trainees coming through are not going onto substantive training.

    Even GPs who qualify are not looking to work full time.

    Quite simply the DOH maths does not work out as male full time partners retiring are being replaced by part time workers, and you may need 2 GPs trained to replace 1 out.

    All current policies financial, educational, political etc are designed to force out older colleagues.

  • GMC criticised for withholding documents in GP's fitness-to-practise case

    Just Your Average Joe's comment 01 Jul 2018 4:04pm

    https://www.mpts-uk.org/static/documents/content/Dr_Abayomi_Lukman_SANUSI_18_October_2017.pdf

    Look at the MPTS notes and it is not like Dr BG really - as there a doctor did their best in trying and exceptionally challenging circumstances completely unsupported by the system.

    Here there are issues with refusing to see patients when requested, failure to support junior colleagues and some probity questions.

    Yes fair hearing questionable when evidence withheld and no representation, but as judge said outcome not likely to have changed.

    Fair decision probable on basis on evidence - so not a case of discrimination and scapegoating like Dr BG.

  • With friends like these

    Just Your Average Joe's comment 28 Jun 2018 11:49am

    Professor Dame Sue Bailey, the Academy of Medical Royal Colleges’ Choosing Wisely campaign lead

    Wow just how many political favours does one need to do to buy your self into favour to be a professor and a dame?

    When was the last time she worked full time seeing patients in Primary care?????

    Very easy to make sweeping observations from lofty positions in ivory towers.

  • Babylon claims its in-app clinical advice is ‘on par’ with GPs

    Just Your Average Joe's comment 27 Jun 2018 9:23pm

    'Babylon claims its in-app clinical advice is ‘on par’ with doctors'

    My automated phone line with 4 options can do the same job - give paracetamol, antibiotics and diazepam to anyone who chooses option 1, 2 or 3. Option 4 leads to a accredited HCP to issue sick notes.

    Job done.

  • The Friday afternoon dump

    Just Your Average Joe's comment 26 Jun 2018 7:54pm

    Don't forget the blood results rung through at 6pm with INR 9, sodium 121, Hb 58.

    Patient has no up to date phone number!

    You get the drift.

  • Lord Darzi: All GP partners should be offered salaried NHS employment

    Just Your Average Joe's comment 20 Jun 2018 8:29am

    Lord Darzi is like the generals from the Great war - sending troops out to walk slowly towards the German trenches, only to be mown down.

    There was a belief of superiority and knowledge beyond the understanding of the front line troops who endured the slaughter and destruction, while they drank tea 30 miles behind the front.

    Strike a chord anyone?

  • Leading superpractice plans to phase out unnecessary face-to-face consultations

    Just Your Average Joe's comment 16 Jun 2018 2:48pm

    The fact that triage is the way to try and control demand cannot be stopped, as politicians are not willing to get the DOH and NHS England to tackle the demand issue with the public.

    The fact that 'Leading practices' are running policy which favours the break up of primary care as we know it and destroying continuity of care in order to make money off their 'Advice' on how best to run GP care and the conflict of interest is corruption (insider trading) in any other walk of life.

    The plan is get the public on board with online consulting, and eventually the recruitment crisis in the UK will allow 'Leading practices' to cut cost and start recruiting non UK doctors from abroad to dial in and provide care - bypassing GMC issues etc, and undercutting locum costs etc.

    Doesn't matter if the doctor can't speak English or where they are from, the public will be unaware of where the care is sourced.

    Long term AI doctors will be designed to remove the need for actual doctors from front line triage altogether.

    There will be a shift of the elderly, vulnerable and infirm or young, all to the remaining GP practices providing high quality care, who will be swamped and slowly burnt out, as private companies and our 'leading GP's ' cherry pick and suck out the funding from the NHS which would have allowed high quality care for all.

    Don't have a problem with technology and improvements when there is a fair and level playing field for all, but a we all know 'leading GP's ' are private providers in sheep's clothing.