This is relatively easy to resolve I think and DoI, as an expat GP I have done one home visit this year. It was to say goodbye to a dying man. Essentially the expectation of a visit is the issue. So remove it from GMS contract and CCGs to commission a stand-alone GP service attached to community nurses with which all bed bound and dying patients are registered. I imagine a few old hands would like this job. Access to this service would be by referral from “home” GP to stop the entitled self registering for Pizza delivery doctors. It also means GPs retain discretion to retain the visits they want to keep, pass on the ones they don’t, and refuse those who don’t need one as “not in my contract, sir”. I used to like the odd lunchtime trip out in the sun, often a nice bit of peace after a packed morning. But the relentlessness of expectation is what needs confronting. You cannot have a Rolls Royce for the cost of a Kia.
Or move to Australia. I haven’t done a home visit in 6 months, and amazingly, people get by. I lost count of how many times I was asked if I could ensure I visited by 1 as the daughter takes them out to the hairdresser in the afternoon. CCGs need to commission a stand alone home care service to which you are referred by your GP if you become unable to attend surgery. Thus visits, unless at the discretion of us all, become a thing of the past.
Every year we have this nonsense. No jabs, late jabs, wrong jabs, evidence-free jabs. No longer worth the effort and my advice is get someone else to do it.
But....but....but.....CCGs were sold as GPs taking control of services and commissioning and that finally the dog would wag the tail.
You mean to say we were lied to? Shocking.
You can’t even run off to Australia Tony, as the drawbridge is being raised as we speak. Bloody lucky to escape when I did.
A pathologically strong work ethic is a hinderance, David. Best of luck to you.
Leave. Pay your mortgage off faster then choose your own investment. Control is everything. “Normal pension age” is what you’re promised, it’ll be 70 plus long before you get a sniff. Our forebears were luckier than we are.
I for one welcome our new insect overlords!
Why not just give them the power to prescribe too, and we can pack up the show altogether. We are not wanted.
Hear hear Roy. I’m ashamed you ever felt this way. Britain used to be a staid, boring, reliable place. Now it’s a post truth nightmare. The country has lost its mind. I wouldn’t blame you for leaving. I did.
Ideally placed again are we? Thankfully I’m ideally placed outside the UK where this nonsense is not my problem.
Any extra time should be devoted to a) acquiring full range of practical skills to enhance your practice: minor surgery, IUD, nexplanon should be universal and b) a mini MBA so that GPs have an understanding of running a small business with one customer.
Amen Samir. I am yet to meet a colleague who on reducing their sessions does not reflect they should have done it years ago. Time is precious. And work will take and take and take until you have nothing left to give.
“GP services at this practice cost the taxpayer £12.90 per patient per month”
I’m thinking of stickers for every prescription.
Daily Heil presenting this as “Crooked GPs steal millions” etc.
We are hated, even as we leave in droves. Sad.
Stelvio | Locum GP17 Sep 2019 11:42am
Anyone care to hazard an estimate how much the NHS owes GPs because the claiming processes are unfit for purpose?
I imagine it’s rather more than 88 million. But we must continue to be punished; 2004 was only 15 years ago and we can never be allowed such a victory again!
....and don’t get me started on Total Rewards Statements, which are entirely ridiculous and “can’t cope with GP Payments”. At a minimum, every paying member should get a free annual statement of what they paid in, what they hold, and how much this would equate to assuming they retired next 5th of April. But this is beyond them.
This fails because it makes an assumption of competence in record keeping. In recent years I’ve gone from being an added years payer to an ex pension payer as the scales fell from my eyes, aside from tax issues. My requests for accurate figures from NHS Pensions are met with incredulity. I’ve lost any faith that when I draw my pension in 10 years they’ll have the first clue what I am owed. And there’s the problem. Without trust in the system, there is no system. Contrast it with private sector financial service products: any company who couldn’t give you a real time balance of your holdings would be DOA.
What is the point of us any more?
Nothing new to add. Managed decline to continue. The profession is dying, and to “sell” it to new young medics is doing them an immense disservice.