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A faulty production line

Dr Tea

  • Collect feedback following every GP-patient interaction, says GMC report

    Dr Tea's comment 13 Jan 2017 8:31am

    how can Dr Potter of BMA know that "many recommendations will be broadly welcomed by doctors"?
    I know I wasn't asked for an opinion. Was anyone else?

  • Red Cross deployed to cope with NHS 'humanitarian crisis'

    Dr Tea's comment 06 Jan 2017 5:57pm

    Agree with above. One doesn't need to travel far to find governments skilled in suppression of unwanted news.
    Last time there was LMC conference to debate undated resignations I contacted BBC several times as I thought this to be a newsworthy material. They had zero interest.

  • Do you want to be a conductor or a musician?

    Dr Tea's comment 22 Dec 2016 1:50pm

    agree, I haven't met a recently qualified GP who would be comfortable conducting. most choose to locum and are not engaged with design of services.
    Interesting what RCGP chair speaks on the topic. Failure to produce conductors within current training system surely lies with RCGP and standards they set. Their believe in own righteousness and infallibility of their creation, CSA exam, is on a level of a new religion. Their actions resulted in training process skewed so much towards box ticking and this exam that process of making someone a better GP almost has no room or place in training any more.

  • What do you think of charging migrants for primary care?

    Dr Tea's comment 18 Dec 2016 7:48pm

    "GPs will have to make clinical decisions based on patents ability to pay"
    Yes, we will. There is nothing wrong with this and many far more advanced healthcare systems operate on this basis. Just as our decisions are influenced by the country's ability to pay by NICE and many CCGs dictate so we can accept patients views on how much they are prepared to contribute to their medical needs.

  • My annual angry appraisal blog

    Dr Tea's comment 15 Dec 2016 9:32am

    Thank you, great article.
    couldn't agree more. appraisal and revalidation are total waste of time.

  • GPs are the deplorables of medicine

    Dr Tea's comment 09 Dec 2016 9:05pm

    I am not kidding. I had a conversation with a consultant geriatritian about a 90 y o with historical pubic ramus fracture. She wanted him to start bisphosphonate (despite his very troublesome reflux) and her best argument was that it's as per guidelines and "while there is no evidence that it helps, there is also no evidence that it doesn't". Thankfully patient had more common sense than the consultant, although he did not expect a disagreement between doctors about him.

  • Farewell UK, I am beginning afresh

    Dr Tea's comment 05 Jul 2016 2:41pm

    Fare well and best of luck.
    Your blog will definitely be missed.

  • GPs should prescribe gardening to patients, finds report

    Dr Tea's comment 18 May 2016 11:17pm

    Or refuse bin checks?!

  • GPs should prescribe gardening to patients, finds report

    Dr Tea's comment 18 May 2016 10:25pm

    WTF! So if I'm spending my time blah-blah-blah-ing about gardening, when am I supposed to do my boiler inspections then?!

  • Jeremy Hunt thanks GPs for ensuring patient safety during junior doctor strikes

    Dr Tea's comment 28 Apr 2016 7:31pm

    Mr Hunt, I have no respect for you and your poorly thought-through plans of 7 day service. I don't need your insincere thanks. I fully support our doctors in training. Actually, I am very proud of our youth taking such a strong, proportionate and dignified civil act.
    Mr Hunt, you're toxic. Please resign before you cause more damage to this country and society.

  • BMA 'considering all options' in response to junior doctor contract imposition

    Dr Tea's comment 12 Feb 2016 9:30pm

    An e-mail just sent to a bunch of MPs... and some of my contacts. Feel free to amend and pass on.

    "Dear all,

    I think most of us now realize that Mr Hunt is one of the biggest threats that the NHS is facing today. Time and again he has shown total disregard for health care professionals, culminating in recent imposition of junior doctors contract. What's next for agent Hunt? He must be stopped.
    I know there are many of us are overworked and demoralized, and see no point in fighting on. After all the Parliament have already debated one petition for his resignation, and there he is, still reforming to the best of his abilities. This is the same Parliament who have approved their own pay to rise by more than 11%. Somehow it comes as no surprise that savings must be found elsewhere.
    Having said that, I do believe, that there are (some) decent people there. And second time round they may really engage both their cognition and conscience in the debate.
    Below is a link to a petition to consider a vote of no confidence in Mr Hunt.

    https://petition.parliament.uk/petitions/121152

    Please pass it on.


    Dr Vardan Tadevosyan, GP
    Tinkers Lane Surgery
    Royal Wootton Bassett"

  • Hunt orders independent review of trainees' morale

    Dr Tea's comment 12 Feb 2016 9:18pm

    An e-mail just sent to a bunch of MPs... and some of my contacts. Feel free to amend, to pass on.

    "Dear all,

    I think most of us now realize that Mr Hunt is one of the biggest threats that the NHS is facing today. Time and again he has shown total disregard for health care professionals, culminating in recent imposition of junior doctors contract. What's next for agent Hunt? He must be stopped.
    I know there are many of us are overworked and demoralized, and see no point in fighting on. After all the Parliament have already debated one petition for his resignation, and there he is, still reforming to the best of his abilities. This is the same Parliament who have approved their own pay to rise by more than 11%. Somehow it comes as no surprise that savings must be found elsewhere.
    Having said that, I do believe, that there are (some) decent people there. And second time round they may really engage both their cognition and conscience in the debate.
    Below is a link to a petition to consider a vote of no confidence in Mr Hunt.

    https://petition.parliament.uk/petitions/121152

    Please pass it on.


    Dr Vardan Tadevosyan, GP
    Tinkers Lane Surgery
    Royal Wootton Bassett"

  • Health secretary to impose new contract on junior doctors

    Dr Tea's comment 12 Feb 2016 9:09pm

    An e-mail just sent to a bunch of MPs... and some of my contacts. Feel free to amend and pass on.

    "Dear all,

    I think most of us now realize that Mr Hunt is one of the biggest threats that the NHS is facing today. Time and again he has shown total disregard for health care professionals, culminating in recent imposition of junior doctors contract. What's next for agent Hunt? He must be stopped.
    I know there are many of us are overworked and demoralized, and see no point in fighting on. After all the Parliament have already debated one petition for his resignation, and there he is, still reforming to the best of his abilities. This is the same Parliament who have approved their own pay to rise by more than 11%. Somehow it comes as no surprise that savings must be found elsewhere.
    Having said that, I do believe, that there are (some) decent people there. And second time round they may really engage both their cognition and conscience in the debate.
    Below is a link to a petition to consider a vote of no confidence in Mr Hunt.

    https://petition.parliament.uk/petitions/121152

    Please pass it on.


    Dr Vardan Tadevosyan, GP
    Tinkers Lane Surgery
    Royal Wootton Bassett"

  • Mr Cameron, the NHS is not safe in your hands

    Dr Tea's comment 06 Feb 2016 11:04am

    Cameron won't be too bothered, but I agree with the letter in as much as statement of discontent.
    V Tadevosyan, GP Partner. Royal Wootton Bassett.

  • Why the 'nuclear option' of mass resignation won't work

    Dr Tea's comment 03 Feb 2016 6:37pm

    Of cause he is right (Copperfield). I am as militant as anyone I read here, but when push comes to shove, I admit, I will think more than twice.
    This is why over next 6 months GPC must work hard on alternative plan on providing services/remuneration/agreement with NHSE that we could put on the table.
    Empty threats won't work.

  • GPs approve 'nuclear deterrent' of mass resignation at emergency conference

    Dr Tea's comment 31 Jan 2016 12:33pm

    Will this conference make headline news? Possibly. At least there was a strong-ish statement, if not a threat. Only a threat to have more talks, but talks within the profession is what we need right now. We are far from united on this issue. And when the day to cast a ballot paper comes, heads will cool and usual day to day fears and insecurities will convince even the most militant folks to vote for the status quo, unless there is a viable alternative. People who have families and mortgages to worry about will not resign unless they have a plan B. Government know this, so for the moment they will see no reason to change their course. All this conference has achieved was a statement of concern and frustration. Now to make our masters really listen and become even slightly bothered GPC and BMA must come up with that plan B. We can't be making empty threats.
    I would personally be in favor of ditching the contract, scrapping Carr-Hill formula and replacing it with payment per activity agreement. That will get our overlord's undivided attention very quickly.

  • Thanks Jeremy Hunt - you’ve done a huge amount for me this year

    Dr Tea's comment 29 Jan 2016 12:29pm

    He doesn't just get diagnostic terminology wrong. He also thinks that "understanding of sepsis within NHS is totally inadequate". For one, that offends me. I think his understanding of NHS is totally inadequate.
    Does anyone know of a petition to displace this bloke?!

  • QOF led to over-medicalisation, Scottish CMO says

    Dr Tea's comment 26 Jan 2016 3:55pm

    how refreshing to hear a senior administrator say some common sense statements

  • GP trainee died by suicide after fearing GMC suspension

    Dr Tea's comment 26 Nov 2015 9:23pm

    To Anonymous | Other healthcare professional26 Nov 2015 7:18pm

    Do not think of this as a case of a "professional making a justifiable action". This is a very human tragedy, and maybe an error too. Think what set of circumstances would push an intelligent young man to see suicide as the only, or even justifiable, way out of his difficulties? What you read here is that his experience is not unique. A lot of doctors here understand how death could be seen as an option when dealing with GMC. Is such view at all present among many other professions?
    My deepest condolences to Dr Halcrow's family.