d in vadar
so glad i can leave before 2024. deluded and ignorant which is even worse
no pay rise then. not listening are you.
does it work? I am asking because i see a lot of patients who tried it and although found it intersting have not found it that useful. they really want a 1 to 1 councellor which is almost non existant on the NHS now. It would be useful if patients were followed up and how many of them accessed help privately or through work schemes instead. I think you will find its a lot.
still not worth doing the extra shifts even if applied to GPs. rather like not working at weekends or evenings anymore. Would have to be a massive pay rate tax free and no pension consequences to get me to consider any shifts now. blown the bridge matey and I'm not rebuilding it.
don't worry, costs will come down further as we cannot provide what is not available - cheers for brexit.
off in a few years so as not to breech LTA. whole scheme is a mess. pointless
is this before or after GP's were told to do it or get no extra cash.
Despite the complaints that come after I will continue to refuse to endorse racism, sexism and anti LGBTQ plus statements from patients or otherwise. I'd rather be unpopular than a bystander who did nothing. History tells us the consequences of being a nation of bystanders.
and they wonder why no one wants to work in wales as a GP anymore. shooting oneself in the foot there me thinks. yes i would love to work in a rural welsh practice and drive 20 miles on a home visit across the welsh mountains in a blizzard. been there, done that, don't locum there anymore!!!!!!
by the way general practice is exciting when its properly funded and well paid - unfortunately this no longer applies to the UK so most of the GP trainees i meet are looking to work abroad instead. just so you know, Mr shadow health secretary, as you have no experience of working in the NHS at any level. More than happy to spend an hour or more with you to discuss my feelings on the matter.
this is a man who has never worked in the NHS, in fact has worked for the labour party all his working life either as a researcher or an MP, so I would consider as having never done a proper job in his life either, advising us how to suck eggs. i would suggest he works in the NHS for a year and see what he suggest then. Otherwise he is just talking out of his woefully inexperienced anal canal. In his BBC interview he laughed at the suggestion that NHS staff would get a 32 hour working week in the next 10 years and it would not happen. Glad to see he's on our side then.
doesn't mention poor pay and pensions crises, unpaid overtime and non funding of compulsory training, no enforced break times and lack of funding for workplace improvements. These should be sorted immediately, no strings attached, to save general practice. Lots of waffle and no action.
we are not doing our patients a service by continuing to provide an ad hoc service with little or no continuity of care, especially if provided by locums - other countries have dedicated hospice services for end of life care at home and nursing homes pay for an allocated GP to manage their patients, this leads to better management of patients and are more likely to die in their place of preference rather than an acute hospital ward. most people get to surgery to avoid paying for a home visit - as in other countries - the permanently housebound could have a dedicated home visiting service provided by interested doctors and staff. each home visit can take over an hour in travel, visit time then the writing up and sorting out extra care or phone calls, they are often complex with extensive social issues. it really is an expensive use of my lunch time having to sort out extra social care for a patient in need. resources could be better used to run such a service by a dedicated team. it was ok when it was just one or two visits but now it can be 10 or 12. trying to drive in lunch hour rush hour traffic can make a home visit over 2 hours in time. It really is not a good use of GP time to be sat in a car stuck in traffic when we could be seeing patients in surgery or on line. the world has changed. so should we.
shared care is a misnomer - unlikely to get paid for doing the work but have to deal with all the consequences - no thanks
why not refuse to provide home visits till we actually get paid properly for them. as long as we offer appointments in surgery for them to attend we are not breaking the terms of our contract and we are not obliged to attend if we don;t have staff available to go in the first place. if its an emergency then that's a 111 or 999 call anyway. time for talk has gone. as long as we keep attending no matter what, the government has no incentive to change anything. even with public pressure it will only be a half hearted measure that does nothing - see pensions as an example - time for action or shut up and put up.
too late mate. even if you go on strike now the government will just remove funding, then surgeries collapse, get taken over by private companies or hospital trusts. there will be no new contracts, no new funding. there is no incentive for this at any government level and they really don't care who does the work as long as its cheap. we lost the boat years ago when GPs failed to fully support the strike about pensions. Its all about holding on till you either retire, move abroad or accept salaried work or leave and go private like the dentists. The BMA and RCGP are ineffective. not sure why you even bother with them at all. they have done nothing over the past 11 years apart from whine from a distance and wring their hands begging for more. plus they endorsed the PCN contracts even though it was obvious they were a huge mistake and woefully underfunded - that's why we didn't get a ballot because they and the government knew we would say no. total and utter farce.
when coaching one should give 10 positive comments for every bad one and be able to take criticism as well as give it, constructive criticism works best to improve performance. telling people they are crap all the time reduces performance. having been part of a team taking athletes to international success and having been subjected to CQC inspections, you could learn a lot from sports coaches. otherwise, in all honesty, you really haven't a clue.
how do you know what it will do? no one else does. you are just guessing. where is your evidence based research on these comments? plus no one is listening to you which is why general practice is dying under your watch. rather than empty words try some actions. you are what you do, not what you say.
it is estimated, that after the second world war 25% of children were not fathered by the long term partner of the mother. you introduce such tests you are likely to open up a lot of cans of worms. once you know the result of a test you really can't unknow it. until you have legislation that bans insurance companies and other such companies from using such data to influence policies in children and their families then it will inflict misery on millions of people. It should also not be used for criminal data bases as a source of information without permission by the child until they are 18. for research purposes i see a benefit but thats where it should remain and only with full consent.
so ban it then