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.
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.