Well I never! The idea that we might he lied to! The sooner we all wake up to the reality that NHSE and DoH are malign forces who wish us harm, the better. Disengage with them at every level possible and hunker down. It’s going to be a long, long winter.
The independent contractor model in 2020. All the risk, none of the benefits, and zero autonomy. Resistance will be crushed.
Time to call it a day, if you haven’t already.
Nowhere near strong enough, Martin. If you speak for the profession, tell them we’ve long since had enough. Those of us in exile aren’t coming home until this is fixed.
Tactics, tactics. Announce horror, recant, redraft, and end up with 2/3rds of what you want anyway, the rest can wait till next time.
Is it not time we started thinking about the relationship we have with these people?
Try managing the job of a hospital specialist, once the STT has excluded a barn door cancer, when your access to additional tests and imaging is limited and/or scrutinised by the “clinical forum” of your CCG. I well remember a row about whether MSU was a standard GP test when investigating urinary symptoms, and while we were being “encouraged to reflect” via the usual normal distribution curve exercise, pointing out that the Urology department was sending flat rejections to patients without an MSU in the past 3/12. They beat you up for missing diagnoses, deny you the tools to do the job of an F2, and with STT you get the non-cancer 90% of Kumar and Clark to look after. An impossible job I am well out of.
How long does it take to type “insert rectally” on a website?
Two fingers rampant to the whole idea.
I left partnership last year to emigrate as I didn’t like where this was going, but my partners were enthusiasts, feeling I was “obstructive”. Rolls Royce service for Skoda money, it’s all been said before. What’s tragic though is that in the usual places on twitter, the management class of GP and the BMA are discussing how this deal “evolves”.
Only one cure for gangrene, boys and girls. Good luck.
Appalling. Natural justice demands Dr Mehta be allowed to sue the lying complainant for ruining his long career.
Always was a pointless exercise in referral. The only speciality ever to send a rejection flowchart with their refusal letter so I can play a game of snakes and ladders with the worried parents. The CAMHS speaker at the monthly education meeting nearly needed a police escort. Glad to be gone.
No such problems here. I had a chap in complete heart block a few weeks ago and the ambo crew were here before I had unplugged him from the ECG machine. I’m sure the $800 cost has nothing to do with things. Most walking wounded here call an Uber to ED.
Systems fail slowly, then all at once. Good luck people.
It was a CQC inspection and fear of it being repeated at some point that convinced me to emigrate. I get whoops of laughter here when I recount my version of the Royal visit when we had to prove our leadership skills and I brought in my Duke of Edinburgh award. It’s a farce. Always was.
I’ve been cultivating a theory that pensioners who smoke might be at greater risk of lung cancer. You think the University of Bristol might fund me to see if there is a positive association between male gender and prostate cancer, too?
This is clearly nuts, and the law of unintended consequence will apply. Who does this serve? There is already a mechanism to view your records if you wish, and it’s the request that triggers our response. This is granting the more eccentric 1% of your list the right to thumb through the record unchallenged at their leisure just for kicks. Complaints WILL ensue. Consultations WILL be demanded to explain what “overlay” is. It’s yet another example of the devalued status GPs now enjoy in a post-truth world. No wonder we are fleeing abroad t9 saner systems. Like me!
If you put an elastoplast on a ruptured AAA should you expect the patient to sit up and say thank you?
Fix the problem, or pronounce death. Decision time, Matt.
And the GPs to staff the place? Will Taylor Wimpey knock them together too?
Completely ridiculous. The NHS should be biting this chaps hand off if he wants to work in the UK. The bureaucracy involved needs a flamethrower. Named individual at the GMC to fast track all returning doctors within let’s say 30 days to be generous. And Responsible officers need to apply common sense when it comes to signing off doctors. What message does it send to our exiles?
We live in a post truth society in which the people are sick of experts, and as experts, by extension the people are sick of us. What are we for? It no longer matters much what we think. The public gets what the public wants. And that’s a video based app to issue prescriptions, fit notes, and referral requests, all in the palm of your hand in front of I’m A Celebrity. Get out as soon as you can.
Merry Christmas everyone. Make sure you don’t close a minute early on Christmas Eve or the bogeyman will get you. If he’s not in the pub like everyone else. Britain has lost its mind.
Disgraceful. Vote with your feet, and pay for your own insurances.
You could house the acute services in buildings known as “centres” and advise people they can “walk in” with their urgent problems too. If we can just think of a catchy label....
The endless circle continues. All change again 5 years. Tickets please.