This site is intended for health professionals only

At the heart of general practice since 1960

Almost Retired

  • Memory clinics under pressure, NHS England dementia lead admits

    Almost Retired's comment 17 Sep 2013 4:54pm

    It's odd isn't it? In a recent MORI poll, GPs remain the top professional that the public trust to tell the truth. Interestingly politicians and journalists are right at the bottom of the list. It's not surprising therefore that they need to bash GPs all the time in an attempt to confuse the public. In my experience the public are in the main a lot more canny than that and see through the rhetoric of the Daily Wail and Hunt.

  • GPs to have new 'duty to share' confidential patient data

    Almost Retired's comment 14 Sep 2013 8:32pm

    Peter English, you are a public health consultant and therefore have a different view on things than we do at the coalface. You are in no danger of breaching the DPA; we are. There is no cost to you (time; postage; etc.) of informing all our patients so they can opt out which in my view is contrary to the spirit of the DPA in which people should consent to opt in. If Government feel that because NHS care is free at the point of contact that any data that comes out of a contact should be available to researchers etc, then Government should be honest with the public about what this means. People could then choose not to use the NHS if they felt that was relevant to them. In our practice, we are very concerned about confidentiality and thus are seeking to allow our patients the right to opt in as the default with fully informed consent, which is not the position NHS England appears to want to take.

  • GP payment for providing continuity of care 'being considered by ministers'

    Almost Retired's comment 13 Sep 2013 9:47pm

    60% of the time - does this mean working (being available) for 101 hours a week? I doubt that will be safe or humanly possible.

  • Hunt: A&E know some patients better than GPs

    Almost Retired's comment 10 Sep 2013 11:14am

    Oh dear! Mr Hunt is clearly demonstrating his lack of understanding of general practice, assuming this has been reported accurately. How he thinks the 2004 contract has anything to do with 'undermining the personal link between GPs and their patients' is difficult to understand when much of the country were operating successful GP out of hours co-operatives prior to 2004, which rthemselves were started because of the spiralling night work. Even before the co-operatives, we often didn't know the patient who called us at 3 a.m. We already provide a 'named clinician' basis of care for our vulnerable patients. He can write words but unless his ideas are going to be properly resourced, nothing much will change. If he is a serious health minister then to instil change he will need to engage with the profession instead of handing out soundbites to newspapers; no one will take him seriously otherwise.

  • GPs should police out-of-hours care for the elderly, suggests expert group

    Almost Retired's comment 08 Aug 2013 11:58pm

    OOH providers have to CQC regulated. If it is ok for CQC, then by definition it has to be good enough for our patients. Simples!

  • QOF audits to form part of 'value for money' drive in NHS

    Almost Retired's comment 08 Aug 2013 11:55pm

    Value for money has to work both ways. If QOF is going to be linked to QIPP which is a euphemism for doing more for less, then practices need to make a decision as to whether it is still worth the while. Chasing meaningless targets to collect data for the NHS to sell on is not in my view a part of quality patient care.

  • Thinking the unthinkable

    Almost Retired's comment 27 Jul 2013 5:42am

    Rather than charge patients, why can't we charge per item of service. That way it would be a lot easier to budget for care provided and would be popular with the public as we could put on surgeries outside normal hours knowing they would be paid for. I suspect Government however would not like this model (even though it is more akin to the Tesco rubbish that is put out), simply because demand would then have to properly funded instead of continually squeezing further our finite resources.

  • RCGP begins campaign for 10% extra funding in general practice

    Almost Retired's comment 18 Jun 2013 6:22pm

    Why do we have to wait 9 years for extra funding. If GPs are expected to shoulder the NHS and keep people out of hospital they need the funding now.

  • Employers blame GPs for failures in 'fit note' policy

    Almost Retired's comment 18 Jun 2013 6:19pm

    1/ GPs are not allowed to state someone is fit for work. We can only say they are not fit, or they might be fit. Only an occupational physician or nurse can determine if someone is fit for work
    2/ GPs are not trained to understand workplace hazards and therefore should provide very generic advice about their patient e.g. ticking the box on the Med3 and doing little else. It is up to the employer to take the responsibility for any action. This could include seeking an OH opinion.

  • Hunt sets out plans to 'rethink' primary care as BMA demands urgent talks over out-of-hours attack

    Almost Retired's comment 25 Apr 2013 9:23pm

    Problem is GPs can't show activity like hospitals as they don't work to the same system. We simply have a block of time and everything must go into it. Until it is understood by politicians that what is happening is that our time is being used to saturation, which I suspect they don't want to hear as it is easier to blame us knowing we can't show activity so easily, then more and more will be put upon us and more and more people will have to use A&E as appointments will become more and more scarce and it will be more and more our fault for being lazy and inefficient.

    Government claim to want to move services into primary care to save money, but unless primary care sees a resultant rise in funding to resource this, there will be a net movement of unscheduled care to A&E, probably negating any possible advantage to the NHS. Makes you realise that privatisation of the NHS must be the agenda. The only other way to stop the rot is making patients pay at primary care. Clearly the UK plc can't afford the aspirations set out for the NHS. Mr Hunt should stop being a hypocrite (or at least find some advisors who know what is really going on)!

  • RCGP says pertussis vaccine rates remain ‘too low’

    Almost Retired's comment 11 Dec 2012 8:07pm

    Dear Anonymous

    Don't worry!. The little men in white coats are on their way.

  • Analysis: Asking about exercise is part of caring for patients

    Almost Retired's comment 30 Nov 2012 9:48pm

    I am a great believer in constantly encouraging people to get off their arses and alter behaviour. The problem is, that unless they can take a tablet for it and no responsibility for themselves, they will not do it. They don't even bother to take tablets all the time. So yes, I will continue to pontificate and tick any boxes for QOF to say I have given advice and it will make not one iota of difference because there is no motivation to change until something catastrophic happens and then it will be my fault for not telling them. So the box ticking will help me prove I did tell them. I wish I could go back to doing medicine again!

  • GPs urged to show ‘Churchillian spirit’

    Almost Retired's comment 28 Nov 2012 9:40pm

    GPs do all the giving. Government do all the taking. Is this guy some kind of a joke?