Only England again eh?
Just like funded indemnity and GP burnout programmes, sure we can just self-combust and rot here in Northern Ireland.
and yet still in Northern Ireland, we are paying full price Indemnity. No government, no state indemnity and soon....no doctors.
Brilliant, and well done
Love to see the indemnity issues on these Tele-consults.
I am assuming the USA/Australia/Canada (anybody let's face it, who are ahead of us) have good reasons for not pushing this agenda.
I really worry the political agenda is to try and make all consults virtual and all consulters (n)octors.
Can't express how dangerous this is. My scariest pickups (the really life saving ones in kids/parents/ etc) are usually a caught clinical sign which would be completely missed on a screen.
I don't worry so much for the docs (we will always get work).
We must get the message out- that this is terrible 3rd class and potentially life-threatening and lethal option for our patients.
This is not the NHS.
I messaged in the comments section 4 years ago about the need to try a 50:50 approach like the local government pension scheme ( see my comment 25 Mar 2015 8:19pm)
However that was 4 years ago,, things have moved on considerably.
The sums involved, the pension liabilities have since become much larger.The traps inherent in earning over 110k are now just too great for the 50:50 to alone be the answer.
We need a complete overhaul of the annual allowance and the lifetime allowance, or the consequences will simply be that huge parts of the NHS will not be covered almost immediately.
One further point, I also think we need an option that goes further than the 50:50. Something that allows a doctor to essentially have the bare minimum pension contributions eg 5%, but get full access to death in service and other ancillary benefits.
Mark Howson. I have heard of big bill, but I must admit your bill leaves me speechless. I hadn't believed pension bills like that are even possible...but I guess I was just nieve. God help you.
'Only those who have built up more than £40,000 in contributions in their NHS pension in a year and/or have an adjusted income of over £150,000 will be affected by the new 50:50 proposal'
Surely that is not right. I thought the point was the 50:50 scheme would be open to anyone at any stage..? Please somebody correct me if I have misunderstood this....
For all the partners at that surgery, we can only imagine what must have led up to that final decision to call it a day.
Most of us continue, day after day -because of our patients. We feel we would be letting them down, but also letting our staff down. We can't help but think about iur employees; their families, children and mortgages.
(We are all employers as well as doctors)
This responsibility is something we never really appreciated when we accepted our roles in practice.
We are all closer to the position of this practice, to the final edge than at any time in our history.
I have personally come very very close. It is my patients, staff and my partners who keep me going.
I absolutely love my job. I would happily walk in and see patients in my 70s.
Problem is, with this job, government and toxic atmosphere - most of us are going to the wall long before that.
Well done to the doctors of that practice for staying so long. Sorry we couldn't all help you (and each other) and good luck to the rest of you.
I honestly feel like crying reading this piece. (No the author didn't connect with my emotional centre); - In fact I want to cry at the absolute banality of what I have just read---, written by one of our supposed leaders.
This optimistic hogwash, - our journey will be 'like a butterfly' - and let's throw a bit of my life story in there too -so you can see I am one of you--doesn't wash with anyone.
The only positive thing I can say is that this article is timeless--- in sofar that it could have been written at any time in the last 30 years - it is wholly meaningless.
I have never seen an opinion piece in pulse galvanize opinion so much.
In fact I don't think I can find a single positive opinion.
1 star.... should tell you all you need to know, - shame we can't award zero stars.
Great summary of an litany of coverup, incompetance, and downright nefarious scheming.
Their agenda is simply to push the goverment of the day's politcal agenda. (Which at the minute is to pretend we are trying to save the NHS, while behind the scene, dismantling it, and blaming everyone and everything else.
An intolerable organisation.
Northern Ireland (northern board at least) seem to be making up their own guidelines; as they go along -in this area. They are refusing all rheumatoid factor tests on grounds that anti-CCP testing is enough.
Angry at our weakness on this one. If recordings are made with both patient and gp consent; then so be it (as long as no 3rd party info is divulged)
However a secret recording by a patient, which is then posted to internet (tagged as me) for all to comment... That is a complete breakdown of 'doctor-patient relationship'. I can't believe we can't pass a stronger reply to this one.
The statement above that "The consultation belongs to the patient" should make us all very angry.
It is simply wrong. A consultation is a 2 way dialogue between a doctor and a patient, and we both have rights.
Patients have right to respect,dignity,trust and diligance, do we not have the same?.
If this happens to me, I resign next day. Can't be any clearer than that.
3.5 FTE for 11,000 +
cant get locums
what else is new
Great prose and I admire your tenacity.
There is a lot to recommend being a GP partner, the job really can be what you make it. Many in this forum are (probably quite rightly) cynical. Doesnt mean you have to be.
At some point it will and must change.
I wish you the best.
Would you consider an update in 6, 12 , 24 months?
Would be of great use to all behind you considering similar steps.
We were ALL aware in 2015. I recall this being raised again and again as an example of unfair practice even before the changeover to new pension scheme in 2015.
What is BMA playing at saying ‘we only became aware’ ....(a year later)
If you Google the authors name, you will see similar articles (some of them in pulse since at least 2003).
I read with interest your leanings towards the 'exploited salaried' by the implied clearly 'more morally corrupt partners'. So it is no suprise that the author is in a salaried post.
My (admittedly Northern Ireland) views of partnership model are that it needs completely overhauled, but I certainly don't think the exploitation exists here.
I know we prefer to recruit a partner, but we keep getting told that people applying only want a salaried post or to stay as a locum.
The salaried docs tend to earn as much if not more, have indemnity and sick leave, maternity leave covered, and aren't exposed to massive bills for premises, staff disputes, ongoing liabilities for staff pay and redundances.
Author has an arguement, but I don't agree with many of his assertions.
and no way for us to issue a 'black alert/ red alert' or whatever the hospital are calling it these days, when they can effectively close admissions due to unsafe levels..
we just keep on seeing at increasingly unsafe levels until we make a serious mistake or become ill.
Any money is of course very welcome
But I feel terrible for doctors and staff of any NI practices that would have benefited from a bail out 9 months ago - and have been forced to close in meantime.
Those partners presumably had to pay staff redundancies out of their own pocket... but now will also lose out to any backdated renumeration as their practice has closed.
It is a sorry state of affairs..,and it is our patients who are suffering the most.
is this a solution simply for England? , will Northern Ireland, Scotland, Wales have any hope for help?
Re: Indemnity ...any news for Northern Ireland /devolved areas like scotland + wales??
we are getting really shafted here, last GP rescue plan with help for GP sickleave pay didnt apply to us here either.