Roger, what a hero and role model you are. Judging by the above comment its not only hospital doctors who want to denigrate general practice which remains the best job in the world. Best of luck!
Your column used to be satire, now reflects reality
To 8:46 - you are wrong. VAMP (an ancestor of Vision) and Meditel were given free to GP s with a business model of selling data. EMIS came along a few years later and seemed to have a hopeless proposition in that most practices were already computerised and you had to pay for everything. (Absolutely no NHS subsidy) and yet with the brilliance of their product compared to the opposition are today the number one provider. Personally I think EMIS is great.
to AlanAlmond @ 10:09, no idea why I post these comments doesn't make me feel good, its not meant to be passive aggressive or unpleasant, just a reaction to all this awful wingeing dirge.
My new years resolution is to stop,
Many thanks for your feedback.
or may be the final straw was opening a tabloid free GP newspaper and finding yet another columnist writing yet another dire piece feeding the delusion that we are all now and for ever will be victims.
Well done!! Congratulations
at 9.02, mark your typo of £350 per week is probably spot on
to 1148 and 0727, completely agree with you but unfortunately I am just jobbing GP not one of the celebs you mention above- the point I trying to make is that the health service should offer appropriate care to everyone and there is nothing intrinsically wrong with Babylon's model (it may not work, just look what happened with Hitchbrooke Hospital) but our fight and resistance to it should focus on its destabilising potential on existing practices, the inability of the most needy to use it and consequent worsening of existing services for those most in need (remember the inverse care law)- otherwise we will just look like a bunch of Luddites.
Personally i think its a great idea for young busy metropolitan essentially wealthy and well patients- I think they could find great benefit from it. The mistake is to ignore this benefit to an important group of patients and focus on the effects on the rest of the service- it looks as if it will lead to almost the same clinical workload of ill, aged, young, disabled, housebound, demented, complex multi morbid patients which is now the bread and butter of GP but without the capitation fees for the rarely attending patients who sign up to Babylon and who we will have to take back when they get a real problem. Get that sorted seriously and properly and look on the bright side. Otherwise health inequalities will rise and normal GP work will become even less sustainable.
re ' a gp for 25 years' needs fine tuning, but I have been a GP for longer than you! and sepsis still terrifies me.
Presumably all the above respondents have always immediately spotted life threatening sepsis whenever they have seen it or have never been aware of someone develop sepsis and die very quickly. As a GP on the planet earth who is moderately competent I very much welcome the recent focus on sepsis. The rest of you must be brilliant clinicians or dinosaurs.
If there are 30000 WTE GPs all earning 40k less than the peak shown on the graph then this represents a cut of government spending of £1.2 billion each year..were does it go? Also puts all the recent £m initiatives into their true context.
Same experience on the south coast- small practices in crisis after partners leave, unable to recruit partners, commercial providers move in- poor working conditions for salaried- reliance on locums such as myself- who are not keen to work there as workload and organisation of practices unsafe- worsening of crisis - higher locum fees-practices fail. Personally I prefer to work in non coastal practices for £200+/day less and feel safe and supported. The inverse care law still applies.
Is this how dinosaurs became extinct?
What a bunch of Luddites! Presumably you never use any apps on your iphone to transact anything?
8. Don't read Pulse
to Ben Douglas, yes you're right, very lucky to have the pension I have, and I realise that the next generation won't get anything like it.
I have worked in commercial provider practices and the thought of being a salaried GP there is my idea of hell, or at least the end of GP as we know it. Likewise incompetent NHS middle management.
And its clear the government is letting the whole of the NHS slide until it collapses when the shining nights of Virgin etc will come to the rescue. but my point is we all feel an alternative future could be better then this for everyone, we need to stop sniping and carping between ourselves and present a unified vision of what we think is best- which is what I think HSL was saying.
And that person in Tasmania ought to drink less
To mac Donald's medicine, so no snakes , what about the opera? Sounds pretty good if that is confined to the mainland also.
Sorry, Unscepted I have no access to a magic money tree from NHSE, not on a CCG or LMC, just a jobbing GP. And as for HSL, being a professor (single 'p' as in single 'd' for doctor) suggests being able to think and speak for yourself...not sure which university you think she is hostage to ...none I know of which would require her to say what she said.
Just for info I was a nine session/wk partner for 30+years then decided to take it a bit easier and work as a locum - so there's almost nothing I haven't experienced or seen as a GP.
My advice to younger colleagues i meet who are locums or salaried is always think about partnership, there are lots of risks, blocks, responsibilities etc etc, but get it right and its unbeatable- the main thing is finding a practice with forward thinking positive partners , not the patient/college/government/everything else hating colleages who seem to inhabit the pages of Pulse.
hello macdonalds medicine(and I do feel sorry for you having to dodge all those spiders, snakes and opera out there) - I agree completely that ' a new medicine is needed for the profession' - but the way to this is to encourage the brightest and best graduates to enter GP, not to scarper to the other side of the world and risk getting skin cancer.
Yes I am a locum- I visit lots of practices, the job is essentially the same in each, but the most striking thing is how some practices in one locality can be fun to work in with committed upbeat doctors and staff and how others can be so dreadful with demotivated staff and miserable doctors who presumably spend their time whingeing in posts like this in Pulse. We just mustn't poison students and trainees with the latter.