And in NI without any government for over three years, the position here is much worse than in GB, and yet....... flags, Irish language, bonfires and marching are all that ignites public opinion here!
Deteriorating public services don’t even register with the average elector in Northern Ireland
Our waiting lists are eye wateringly bad and believe it or not folks, they are so much worse than any where else.....
So if as the GMC says, the legal advice was WRONG, then this should pave the way for this doctor to claim compensation from the GMC based upon their own admission that their handling of the case was a mistake and therefore, the GMC should be found liable for the damage done to this doctor as a result of their error, surely....???
To have aspirations is surely a good thing, is it not, the three years wasted by stagnating dithering Mrs May cannot have been any better than now, can it?
So folks, let him have a chance! It might all come tumbling down like a house of cards but and I mean but, our experience with Mrs May’s friend Karen Bradley has been very poor as Secretary of State for NI, so Anything has to be better than the last three years has been for us at least.....
The alternative of a Corbyn government is unthinkable for me as we would soon learn how bad things could actually get.....
Let’s see what transpires, it is too early to know whether the Boris premiership will work or not so perhaps we need to wait and see.....
I hope the courts reflect on this advice when we are dues for not following NICE guidance,
I notice as a GP trainer, my st3 doctors nearly always order a crp for all patients and the partners rarely do so.....
Until the courts realise the implications on the nhs by ordering so many tests nothing will change as we all adopt extreme defensive medical practice.....”just in case....”
Consider the makeup of the csa examiner panel, I feel that this is the problem with a bias against examiners of differing backgrounds and locations throughout the uk, I don’t know of any ANY current csa examiners from Northern Ireland general practice.....I don’t know the ethnicity breakdown of the examiners but it would be an interesting question to ask.....
Reality is so different from ideal world situation, in a service like ours where urgent mental health cases aren’t seen for weeks by secondary care despite Gp concerns it seems unfair to lambast a poorly resources service for failing to meet unrealistic expectations imposed by nice,
Toxic no win situation for the Gp and the patient, under resource the service and then blame it when things go wrong, guidelines are what they are, just guidelines and not rigid parameters for care
Gagging is not the answer, free speech is a key to U.K. life, whilst you may not agree with the speakers point of view, open debate and a just cause will see their arguments to be false and let the public decide
I abhor racism of any sort and the right way to deal with this is to face it down by logical and reasoned debate
Remember, the U.K. remains an incredibly tolerant society for people from all backgrounds and the vocal few get a disproportionate airing in the media, the vast majority of the U.K. people remain welcoming and reasonable, I am truly sorry that your life experiences tell you otherwise and your story is dreadful.
In NI we have had 30 years of hate and killing in the name of “religious division” and it is awful but hopefully reason will prevail
Tolerance is essential and gagging people you disagree with not the action of an open and free democracy because it leads to very dark places indeed
I understand your viewpoint entirely and feel your pain, remember to rise above other people’s prejudices and accept that others have a different point of view, it may not be nice and cosy but our western democracies rely on us all collectively tolerating free speech even though it may cause individual pain, the alternative approach leads to a totalitarian system that controls what we can experience and that is a very dangerous road to take.....
I left the bma late last year when they came out and backed eu remain agsinst the will of the people, I have saved quite a bit of money so far....
Current spend on general practice in Northern Ireland is now running well below 11% nhs spend, depending upon how you read the data, I reckon it is about 5-6 percent at present,
Perhaps some more informed people couldpost the exact percentage for 2018-2019
Primary care indicators are so much better that secondary care here as we endure the worst secondary care waiting lists that I have seen in my career of over 25 years as a gp
Something just doesn’t add up!
I do not want MY college to petition on MY behalf for a second referendum on Brexit, I voted out and I expect MY college to respect MY opinion as a member of good standing
I was at RCGP Glasgow in 2016 and I vowed never to return, the disconnect between the conference and reality at the GP frontline was stark, it was like a party political conference where everybody claps each other on the back and mutually congratulates each other for being excellent and GP as being wonderful place to be!
Well it isn't!
It could be!
But it is not at present!
I must say the pharmaceutical sponsorship really got to me as well and I didn't like it one little bit,
So I promised never to return to the RCGP annual conference until it became relevant and meaningful to ordinary GPs and not just a happy-clap festival for an elite minority.
Once again Northern Ireland bucks the trend, less gp investment, no crown indemnity for gps, no pay rise this year and a drop in medical students and.......our local politicians are not in post and haven’t been for 600 days.....
Very quickly Ni healthcare is deteriorating day by day....
Longest waiting lists in the U.K., political stagnation and low morale amongst those trying to keep it going for now.....
We need change here and we need it soon!
And no crown indemnity at all for Northern Ireland gps plannen as yet...
Seems a little unfair to us here in NI as our English and welsh colleagues working the same job for the same employer are not going to be indemnified and will still have to pay top dollar to continue to be covered...
As a gp in NI I am disgusted by the Bma climb down and I have resigned from the association
We have no hope here for salvation as the only investment is in noctors and like wise....
Pay cuts, no rescue plan, no help at all, this money is fictional and is transformative money to help secondary care and does nothing for the demise of gp here
Well done Bma, you have sold your soul for a bowl of potage
And the only group to see a pay drop were Gp principals in Northern Ireland
Says it all really and yet government here is amazed that we can’t recruit and retain enough gps locally
No increase here in NI cause we ain’t got a government in power to implement the pay rises across the NHS
Shocking! But entirely expected.
Even in backwards NI, online gp platforms are being mooted as saving general practice by the powers that be,
Rather than investing those resources in maintaining gp, the boffins would rather play silly beggars with public monies for a solution that is second best and will cost a packet as well!
Our total current income per patient is 125 pounds per year for everything........
I would like to know how much these providers are getting in comparison
When I read that the main thing for this doctor to achieve is “patient satisfaction”, I gave up!
Whilst this is an important aspect of care it is NOT the most important thing to me!
Good patient care can mean having those difficult occasions when you have to say no that it is not in the patients’ interests to do such and such, we are guardians of the nations health and as such, we need to be fair but firm and not pandering after tripadvisor type satisfaction ratings that may constitute bad clinical practice....
A fundamental choice is whether we want patients to love us or respect us as professionals, otherwise we begun merely salves to growing demand and the entitled mentality that has crept into 21st century life
Nonsense: the accolade of the most influential GP in the uk???
By influence you must mean influence with this Tory government, to gain influence with them must not be something we should celebrate!
In Northern Ireland; I had an 88 yo female patient who launched a full packet of tablets back at me when I was doing a house call, this ricocheted off my head and into her fireplace,
My offence was giving a very staunch protestant lady a packet of tablets that were coloured green, white and orange, the whole street she heard her blaring loudly that I could take my fffing fenian tablets back!