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A faulty production line

Dr Tea

GP Partner

  • 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.

  • Should GPs stop doing home visits?

    Dr Tea's comment 22 Nov 2019 3:43pm

    I am glad that some of us enjoy the support of community nursing, palliative care, frailty teams, as evident from Dr Cannon's article. But what about areas that do not have such support? Where I work, in Wiltshire, there is no functioning social services or district nursing team. We don't know who our palliative care nurse is and local Hospice ignore our referrals. Acute services are so crap that patients choose not to bother with attending AE even with barn door obvious life threatening symptoms like collapse/bradicardia or cardiac chest pain. We spend endless hours seeing these patients and trying to magic up some safety nets around them. I simply don't have time to drive half an hour each way any more.

  • HEE to push for five-year GP training pilots in every deanery area

    Dr Tea's comment 25 Sep 2019 6:42pm

    way I see it, there's no problem with the duration of training. Learning doesn't stop after qualifying. There's a problem with unrealistic ludicrous standards of RCGP assessments, which give trainees a skewed view of real practice. Turning them into protocol droids, portfolio social workers, anything but GPs. Of cause we also live, and practice, in the age when it is incredibly difficult to act as good doctor. Much easier, and safer from medico-legal prospective, to follow a policy, guideline, protocol.

  • Health secretary bans GP practices from using fax machines

    Dr Tea's comment 12 Dec 2018 6:48pm

    Populist and short sighted idea. So when wanacry 2 strikes and all fancy new software is down, and I am unable to send an urgent referral digitally or by fax machine, I will suggest my patients who is responsible for delays in their assessments or treatments.
    Matt, mate, my best advice, go back to playing Fotnight, this is all you seem to know. Best to leave grown ups to do grown up job.

  • GMC denies breaching data legislation to share personal GP information

    Dr Tea's comment 17 Oct 2018 10:14am

    thank you Prof Majeed for highlighting this abhorrent practice by our regulator. Just illustrates what I thought all along: GMC do not consider Doctors rights to be as important or equal to Patient's rights.

  • Brexit prompts RCGP to take legal advice regarding political impartiality

    Dr Tea's comment 08 Oct 2018 3:07pm

    I don't know... just because (mostly) poorly educated on the topic of European integration majority voted to leave, doesn't mean that any opposing views should automatically seize to exist. And it is reasonable for body like RCGP to be concerned with questions of workforce planning in general practice and with patient safety too. Both would probably be adversely affected by Brexit. Brexiteers seem to show a lot of concern about democratic process where it comes to respecting the result of the referendum in 2015, but have no problem shutting down any (democratic) debate about very legitimate concerns about problems that Brexit will bring.

  • UK patients twice as likely to die after heart failure as those in Japan, says research

    Dr Tea's comment 12 Sep 2018 8:27pm

    Headlines should say: "UK patients ten times as likely to eat pork pies (in massive quantities), smoke and drink excessively as those in Japan"

  • The dreaded resuscitation discussion

    Dr Tea's comment 09 Sep 2018 7:19pm

    Bet dreaded GMC would make one reflect and convince themselves that it's all their fault for daring to disagree/upset/not fully satisfy the client. After all, Client is always right.
    After gimmicks of BG case, I expect anything from that bunch.

  • The dreaded resuscitation discussion

    Dr Tea's comment 09 Sep 2018 7:14pm

    Stabbed in your surgery?!!!
    That's indescribably horrible

  • It’s all English to you!

    Dr Tea's comment 07 Sep 2018 3:04pm

    dumping will continue, but may change from direct requests to more of "I hope your GP would be agreeable to refer/book/follow up"

  • Hospitals being unable to see GP records is ‘downright dangerous’, says health secretary

    Dr Tea's comment 06 Sep 2018 7:56pm

    This boy visibly enjoys his toys. Doubt he understands much about healthcare or NHS (with its many problems). Doesn't really inspire confidence.. no more than Teresa's brexit preparations