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Dr Tea

GP Partner

  • We at the GMC understand the burden you are shouldering

    Dr Tea's comment 28 Mar 2020 8:19pm

    Sure you mean, see patients remotely, Curious?
    My practice standard operational procedures state that PHE guidance on Covid-19 is confusing and contradictory to governments advise and international experience. So we will see you- on webcam or (less likely) by triaged appointment. If you aren't doing same, you should be worried.

  • We must not repeat other countries' errors

    Dr Tea's comment 27 Mar 2020 11:34pm

    anonymouse3, you are spot on. Incompetence at the top is unbelievable. PHE have failed utterly. Criminal charges, nothing less (when we have time)

  • NHS England's 19 March update to GP practices on Covid-19

    Dr Tea's comment 26 Mar 2020 10:15pm

    Can not trust guidance from NHSE or PHE- they are weeks behind reality. And in these circumstances GMC guidance is very nice, and I will read it when I have time... Look after yourselves, and by doing so you will be helping your patients. Get your own PPE, drugs to help the dying, oxygen etc, don't expect that regulators will produce adequate guidance in time.

  • PPE problems 'completely resolved' for hospitals 'and other care workers'

    Dr Tea's comment 21 Mar 2020 6:12pm

    I am putting a message on practice website, Facebook page, notice on front door etc saying that the statement of deputy chief medical officer is untrue. In reality we have no adequate PPE. And ask patients to write to their MPs or petition the cause by any other means. Public needs to know the truth. Maybe if we all did this, public and politicians will get it eventually.

  • Mildly sick people should stay home as coronavirus public risk set to ‘high’

    Dr Tea's comment 12 Mar 2020 11:30pm

    We'll cough our way through this

  • NHS England's 10 March letter to practices about coronavirus

    Dr Tea's comment 12 Mar 2020 7:54am

    Spent half a day this week managing QOF. If I don't do this, can't pay my staff. Suspend the bloody thing, pay based on previous years performance, that will "release capacity" in a blink.
    Will CHMS look after suspected, not yet confirmed by tests, in self isolation?

  • NHS England to distribute free coronavirus protective equipment to GP practices

    Dr Tea's comment 05 Mar 2020 8:06pm

    still not sure what is wrong with "usual advice" (go home, its just a virus) plus/minus self isolate (or whatever PHE says on the day). It IS just a virus, with low mortality. Yes, the most vulnerable will die, like with any illness. From this virus or from something else couple of months later. Publicity disaster for the government, but hardly a threat to national security or nation's health in general.
    Thanks for PPE. What exactly am I expected to do in return?

  • Number of full-time qualified GPs falls by 277 in a year

    Dr Tea's comment 27 Feb 2020 3:06pm

    Last Man Standing, you are right, sure he knows this. And I think he has just shared with us his incredible skill in interpreting and applying it. We should all learn from the highest source 😁😢

  • Open Surgery: Fix me

    Dr Tea's comment 19 Feb 2020 9:06pm

    That is exactly what I deal with many times every day

  • The human connection

    Dr Tea's comment 19 Feb 2020 7:39pm

    So very true- consultations are becoming more remote and number of patient contacts is rising. Intensity of work is increasing, in large part due to developments in technology, and so is our risk of overload and burnout. Those in favour of increasing "efficiency" will sooner or later learn that humans have limits and algorithms can only help with basics. To think of it....we are all doomed

  • To engage or not to engage…?

    Dr Tea's comment 01 Feb 2020 8:46am

    Nikki, I am sorry to burst the bubble in which NHSE PCN directors live, but I don't think any of the specifications in the draft DES were offering "evidence based improvements". There isn't a single GP I know who is "broadly supportive of the aims" (of this wacky proposal).

  • GPs shouldn't ignore the threat of coronavirus - but we're equipped to deal with it

    Dr Tea's comment 28 Jan 2020 9:42pm

    Last sentence holds the anticipated punchline.

  • LMC advises GP practices not to sign network contract

    Dr Tea's comment 10 Jan 2020 9:32am

    Other LMCs have now done own analysis and issued advice.
    https://email.nhs.net/owa/WebReadyView.aspx?t=att&id=RgAAAADWRTWx7AadQ49gQ3Y3jlsiBwA2HXLfWJrVR4IoOCOzs3BmAAL4cCKsAABUavEs2oOOTLApC3hE5TRpAANAI62wAAAJ&attid0=EAAcYFDlOqx5TbnL37GF830%2f&attcnt=1
    Essentially- don't sign up to this madness until negotiations have been completed.

  • LMC advises GP practices not to sign network contract

    Dr Tea's comment 09 Jan 2020 7:46pm

    In it's current form this DES is unworkable lunacy, as far from reality in England, planet Earth, as is the subject of this analogy, the moon.
    This can not be accepted by any GP, even one session of patient facing activity per week "leader", or even half brain dead, traumatized, over worked worker-bee, no time for reading any bs proposals, let me just sign and get on with it- usual GP.
    The future is bleak and uncertain under the rule of this delusion. We may get responsibility for OOH and God knows what else.
    No- is the only answer I am prepared to offer.

  • Is this what you signed up for?

    Dr Tea's comment 09 Jan 2020 3:01pm

    This DES should be rejected until something meaningful is negotiated by GPC

  • The best way to hold GPs in 2020 accountable? A microchip in our brains

    Dr Tea's comment 06 Jan 2020 3:20pm

    "Finally, the pension tax paid by the few GPs who are still seeing patients will result in their being forced to sell their homes and move in with their children."- which might result in those pesky GPs actually living longer due to not suffering from effects of loneliness and social isolation. Something would need to be done about that!

  • What is in the Conservatives' in-tray for general practice?

    Dr Tea's comment 15 Dec 2019 4:42pm

    In last two years I have given references to three GPs who have emigrated to Oz and Canada, and I personally know two more who have also done so. That's probably around a quarter of GPs I know personally or work with. Good luck to the rest of us who are still here for whatever reason

  • Are there too many posh doctors?

    Dr Tea's comment 08 Dec 2019 11:06pm

    Should Carr-Hill formula include not only patient demographics, morbidity eyc, but also doctor's posh factor? What impact on funding should it have?
    It's a very good and thought provoking article. But it takes us to questions with no answers

  • GPs given green light to issue antivirals at earliest point in ten years

    Dr Tea's comment 06 Dec 2019 7:12pm

    Great! I shall carry on with my usual practice, which is not to prescribe this bs pseudo-medicine, as per usual

  • Should GPs stop doing home visits?

    Dr Tea's comment 23 Nov 2019 9:58pm

    Harry, thank you, for typical examples of reasons for (home visits) requests. Few years ago, we agreed a policy that in our practice reception and triage nurse discussed requests for visits with duty Dr before it was offered to patients. It has cut numbers of home visits by some 90%, just asking if patients are really housebound or had real medical need. Like someone said, grow a spine and decide where you are needed most...but work would be better if this unnecessary distraction (visits) was completely removed.