Been going on way too long. I remember the farce of being told I needed to refer to a physio if I wanted an MRI Lumbar Spine, who would decide if my request was valid. They then sent them back to me after 6 weeks of consideration for referral to a spinal surgeon in the next county, as my CCG no longer commissioned spinal services. I got fed up. I left. I have no such problems here in Australia, where I am treated like a grown up. Still, the frustration I experienced did feature heavily in my last ever appraisal meeting.
“Hi Frank, it’s Dr Smith here. I hear you want me to check a body, though I must say I’m surprised you’re asking, you and you Dad were undertaking when I was barely out of hospital and Thatcher was in charge. Blue, you say? And he’s been in the fridge all weekend, has he? No, that’s not likely to be a pulse you’re feeling, more likely a vibration from the Central Line, it runs right under your Chapel of Rest, you know? Well, I’m happy Frank. Tick the box for the Coroner and I’ll be round for the Ash Cash later, socially distancing aside. Bye for now”
You mean like the olden days? Blimey, whatever next? A one side of A4 appraisal? A pension worth paying into? Partnership vacancies being oversubscribed?
Those were the days.
Do not say you were not warned.
Erm...my understanding was it was pretty standard to combine babycheck with 1st Imms? Often the highlight of a morning.
I say again, or what? Or what? Why do we permit such treatment?
Or what? Or what? Why does no one ask or what? It’s like we volunteer to be bullied. We just fall into line, don’t we? Let our tormentors at least name their weapon.
I suspect I may be one of the “returned”, even though I am currently working Down Under and have been for 18 months. The do nothing option meant you were re-registered, and I did not reply. Net benefit to NHS? Zero. I remember why I left and by the sound of it, things are not getting better. Good luck everyone.
Defer it for about twenty years please.
And who employs the trainees? Will acute services come for our cleaners, our reception staff, our nurses too? Perhaps we’ll be drafted in to the wards all over again, and we can do the GP bit of our day between rounds of golf.
Call me paranoid, but I hope we all appreciate when we go “total triage” and Telehealth, reverting to current practice will never happen. Imagine if the DoH were fans of Telehealth, or that some big provider had preferential treatment....hang on.... I have never been more glad to be her in Oz. Good luck guys.
Apparently it’s solved, 96% of GPs will be taken out of annual allowance charge problems. I must admit I had sort of stopped listening by then. At best it’s a stay of execution for the service. Not enough for me to return from Oz.
This is only a concern because of the unlimited nature of the GMS contract. Here in Australia, every attendance is a billing event. After 14 years of UK practice I too would grind my teeth at some of the nonsense we had to wade through. Amazing how you come to love the discoloured toenails, 4 hour cold and request for a medical certificate when each of these things is earning you money. I use to sigh when I walked in to a full waiting room on Monday, now I do a kerching!
Shame that BBO are the exception amongst LMCs and leave themselves open to being labelled refuseniks. Our leaders are mostly worse than useless, so many of us have seen what is coming and bolted Down Under. No one is changing my contract- I haven’t got one. 8 UK trained doctors at my practice. Think of the cost lost to UK plc.
Here in Australia, the only people who know what I earn are my accountant, the ATO and my wife. My colleagues thought publishing your earnings was a joke until I showed them a GP website.
The issue is the perception that GP pay is “public money” and so “transparency” is the key. Until that issue is solved, the public flogging will continue.
Nope. Staying in Oz thanks.
3 years way too long. Matt Hancock says you can knock it out with a four week course in AI. I mean Dr Google does a wonderful job for most people, right. Gove said we were sick of experts, so we can’t say we weren’t warned. I look forward to my coronary stent being inserted by a Girl Guide with a first aid badge.
Agree with Decorum. Tactics, tactics. Wheel out Plan B after “listening”, when in fact this was the aim all along. Present as a victory and the usual suspects will fall in line given their pathological need to comply and be seen reasonable. We forget these changes are incremental. What will be on offer in 2025? 2030? It’s line in the sand time. Half screwed is still screwed.
The NHS doomsday clock just ticked a second closer to midnight. Good luck folks. No rescue is coming.
And even complaining loudly gets you nowhere. Even my MP couldn’t get an answer from Fleetwood and was “appalled we treat people so badly”. Another reason I left the UK.
GP Pensions. It’s the NHS in microcosm; let it collapse.