The argument AnonGP1 uses is about living within means, and that is understandable.
Now, compared to the state, my personal creditworthiness is undoubtedly lower. Still, myself and many others have been granted huge financial assistances, whether it's in a form of a mortgage or a business loan etc. Why do we take this finance with all obligations that ensure? Because it allows us to improve our life now and in the future. Taking mortgage allows you to build equity, taking business loan can lead to increase in profit, taking student loan can open completely different opportunities. When you are a state backed by world's sixth economy (and a member of the world's largest trading union, at least until Theresa May achieves her objective of pointless hard brexit), your creditworthiness and your opportunities are many times greater than that of any number of individuals combined. You can borrow to invest and the projects will pay for themselves many times over. The best asset of any nation are it's people. Investing in education, training high skills workers for the future could massively increase economic output, and that could cut deficit better than any number of decades of austerity . But the Tory approach of cutting deficit without any respect for peoples needs with no real long-term economic plan, no investment in future infrastructure or skills (apart from weapons of mass destruction)- it's just misery and pathetic pretence of knowledge and leadership.
I am glad that Theresa and the rest of this miserable party got their noses bruised this election. The future is beginning to look just a little bit brighter.
Chronic- refers to the duration of symptoms, not their intensity or effect they have on you.
nothing to celebrate yet, is my view. we don't know if these trainees come from other parts of the country (in which case this simply exacerbates under-recruitment problems elsewhere) or are they changing their career course from training in other specialties. I will find very hard to believe the latter.
No. Beyond any human ability to work any more. I am telling my patents to expect anything. Workload grows, our numbers shrink. Expect mistakes, rushed decisions, overlooks, simply not being able to be everywhere I am needed.
Held joint meeting with another practice in town to tell patents all this.
Will get much worse much quicker if Tories are re-elected.
Amazing efficiency. £20 m spending on recruitment in EU and how many did they get? Is it £1 m or £2 m per head?
Haven't seen any prove that CQC inspections improve patient care. Have experienced many examples of how they directly jeopardized patient care. An ethical dilemma here- what should or can I do about this?
Having endured four CQC visits, I absolutely certainly have no confidence in this racketeering gang of amateur inspectors. I have no confidence in the process ever becoming evidence based or fair, or open and transparent. Any help or guidance with opposing or challenging the process will be most welcome.
And, yes, we should be able to charge for any service that is not funded.
"MPs call on NICE to look at alternative approaches for UTI..." Why does anyone might even think that there's a need for a guideline for diagnosing UTI is beyond me.
What a mess!
It's just perfect that among all this avoidable death furore, Tory government thinks it has a right to delay release of their long awaited air pollution plan even further. (I am assuming most will agree this is relevant to asthma?). What's also amazing is that none in opposition picked this argument. Imagine what life will be like after "constraints of European bureaucracy" have been lifted.
Also, in their secret labs, they do experiment with fusing doctors and social workers. That's the only rational explanation for such institution being so spineless and agreeing to all the damping that we experience- from ss, council, voluntary sector, secondary care and so on.
Agree that changing from within might be preferable to leaving. Heard it from some experts, but than Mike Gove said not to listen to them.
As for examples of closed minded bigotry, the CSA springs to mind with speed of light.
An upfront fee for consultations or any other service will make primary care valued again
At least half of all written complaints that our practice receives is about availability of appointments. Responding to a big proportion of these requires clinical input. So I have to cut my clinics by an hour here and there so I can provide such input. I am yet to see a single complaint that has helped to improve service, but I can tell you exactly how many fewer hours I have to see patients.
Already cut 2 sessions and added admin time and meeting time to what's left. CQC, answering complaints, Appraisal shit and other nonsense comes first, obviously. Think, I can last another 20 years. The most important thing is, each time some genius comes up with another brilliant idea ( like some above)- I shall look at how much time and resources it will take ME, and cut patient time accordingly. any other approach is irresponsible as puts you at risk of burnout. Ok, its 4 weeks wait to see me now. Carry on adding your stupid ideas into my work and life and we all know which way waiting times will go.
main argument apart, this is a useful insight into the mentality of DOH and NHSE. expect that as they calculated £ 10 m worth of GP appointments will be no longer needed, this will be clawed back from primary care funding one way or another.
even if this reduces number of GP visits (for which we are not paid by the way), it is not clear how they have come up with a figure of 1 m of savings? slash nursing home DES?
well, clearly there is a strong desire to continue to maintain illusion of "first-class" service that is an "envy of the world". this of cause involves continuing to feed public expectations to demand "better than expected" care. now match this with appropriate funding in primary and in secondary care, with timely access to imaging and specialist opinion. can see that coming?
They can re open and review all they like. That doesn't change the fact that NICE are largely irrelevant for primary care (or anyone still able to think outside protocols in secondary care).
how can anything be "in the hands of the practices to decide...and use it", when we are tied to a giant contractor who acts with complete impunity as it has total monopoly in whole healthcare industry. practices are trembling under ever increasing workload and under-funding orchestrated by NHSE. all that changed this year is managerial jargon.
How about calls on government suicide prevention programm to address the needs of all those at risk- the socially maladupted, the deprived, the poor. Why don't those...clever people...from nice design a guideline for how to deal with causes of poverty and isolation. Then we will all be happy