we can't turn back the clock and be 'proper GPs' because the system won't pay enough of us an appropriate hourly rate to do things properly.
General Practice wasn't designed to work with. mostly patients with multiple complex problems and hardly anywhere to refer to.
So the whole system needs redesigning without GPs.
PCN = P retty C rap N ews
Eleanor, can you re-write this article so it is clear?
anonymouse3 you don't work in Gosport by any chance? Sounds like our exact experience..
I think MCCD is cause of.. not confirmation of..
Always been an idealistic also-ran. Think it was destiny rather than choice though.
But don't worry, the PCN-funded pharmacist will solve all these problems....
I remember in the 1980s as a junior doc we were being berated for NOT TREATING PAIN PROPERLY. The analgesic ladder was published in 1986 and eventually anyone at A&E with a sprained ankle or even undiagnosed pain was sent away with some co-codamol 30/500 or similar. And the rest is history.
all these algorithms are the beginnings of replacing GPs altogether: Dr Babyloogle says you need to: take some paracetamol and review tomorrow, see nurse practitioner, see ENT specialist, see physio/dietician/pharmacist, on-line CBT etc etc etc.
I'm not worried about my job -GPs will just morph (if they can pass some proper exam -ie not mrcgp) into the elderly medicine consultants and psychiatrists which themselves are endangered species
Re privatisation; I think all doctors working in the NHS should be having a serious discussion about the future of the NHS (especially with USA chomping at the bit to muscle in after Brexit).
The NHS can't provide, 'effectively free' every known treatment for every known condition.
So we have to elucidate what it is about the NHS we want to save.
I think it is something along the lines of:
The person offering or recommending treatment X (or investigation X etc)should have NO financial benefit (or career benefit etc which amounts to the same thing) from that treatment etc being the one the patient has.
The NHS more or less has this and I don't think any other health system in the world can truly say this.
by the way I don't want to be considered a troll so I just want to mention my real name is Paul Burgess and I work in Gosport
I've been F/T partner for over 30 years and yes the variety of stuff you see must be unlike any job in the world BUT the status of the role, which I think Marshall is hoping can be improved, as still low such that it is taken for granted that you have to try and do in 10 minutes what should really be done in 30 so you have to learn to cut corners knowing mostly no-one will know or care, and patients still see it a fair cop and to whinge and complain about me. And this takes it toll eventually...
All GPs should read the post of 'The Cavalry isnt coming'.
General Practice is likely to be replaced as a result of this being a common story.
We need to talk about re-designing the NHS from scratch. It wont have 'General Practice' run by 'GPs'. Because we GPs are too good and too expensive -but -and please note 'The Cavalry isn't coming', hospitals are even more 'too expensive' -they are are the inefficient monsters devouring resources
key phrase here is 'suspend reality'. GPs go into battle with bows and arrows against crack troops. NHS General Practice is a failed model. (and I totally agree with David B re opiates)
Samir what is your point?
NaHCO3 solution 5% work fine for my own earwax situation. I've had suction -not that pleasant. And syringing gave me tinnitus. Just drops please
only the Govt can solve this by limiting what is available on 'free' prescriptions'. but they won't bother of course
hospitals are the problem; voracious appetite for resources. Everything else is small print
for a moment I thought Nigel Watson was going to have earned his MBE -but it does actually sound to good to be true for most of us
the overweight seem to have slightly raised CRPs