The doctors in the GMC are a bunch of self appointed reactionary tossers who love nothing better than to sit tn judgement over the misdeeds of their peers .When did they last do a
hard days work at the coal face?
This story is indicative of the inherent prejudice that useless organizations like the CQC have against single handed practices . Single handers are often much beloved of patients -you always see the same GP!
What happened to the phrase "parity of importance between mental and physical illness" bandied around by politicians several years ago-never happened-
and in the meantime social media, academic pressures and austerity have conspired to create a perfect storm for our children and adolescents.
such a lot of shroud waving bullshit. Brexit will not affect medical recruitment -we will be free to decide who we want in our country based on the skills they have to offer.
My sympathies Anonymous Doctor-did you immediately refer her to Euthanasia Outpatients ? If only....
The time is ripe for change -the partnership model is well and truly broke for many practices . As a free wheeling locum Ive seen all sorts and the most agreeable practices are the low demand small population practices. Everything else is impossible at least as regards being in partnership . Huge high demand inner city practices are best serviced by salaried doctors with no responsibility for management., Forget the romantic notions of health promotion ,strategic planning -leave that to others and get back to the core of general practice -the patients. Even better become a locum when you can get high satisfaction by being totally focussed on the patient and then at the end pushing off with a clear conscience.
For the time it takes to visit an isolated patient in rural Suffolk one could see 3 or 4 patients in surgery . There must be a better way even for the Billy no mates /no car / no money type patient such as a patient participation group volunteer taxi service.Reserve home visits for palliative/terminal care .
Someone (one of her senior colleagues) should have spotted that she was struggling to cope. There is conscientiousness in ones work and then there is obsessive pathological conscientiousness which is ultimately
self destructive. Where were her mentors?
Brave man Copperfield using irony on the entitled thick who sadly are becoming more widespread.
Your anxiety(last contributor)about where the doctors to staff these hubs will come from-dont forget that there is a substantial body of locum doctors (having left their practices, hit the road and become "a gun for hire")who will be attracted by the generous fees on offer not to mention those other doctors who work permanently in OOH.So fear not -it works well in my neck of the woods - Suffolk and is known as GP+.
After these apopleptic responses, pause for a moment -imagine a leisurely 15 min appt in which you can treat your patient like a human being and not as a packet of sausages on a conveyor belt. You have time to arrange investigations ,dictate referral letters and pat little Johny on the head like a real old fashioned GP all within the 15 minutes .The only draw back is that you spend an extra on average 75 minutes in surgery .I have tried it as a locum and absolutely love it -you have to put in the extra time but feel less exhausted by the end of the morning .Go try you endless cynics and naysayers!
No politician is ever going to bring in payments for GP appointments or home visits as it is an automatic vote loser and the sacred cow of free at the point of use would be killed. However when we are now virtually run as a one party state, Labour being in hopeless meltdown, why not give it a go!!
I totally disagree with the sentiments of this article and all following contributors . This strike is in the main only about money not by high minded principles of patient care as the increasingly militant Junior Doctors Committee would have us believe.The BMA negotiators agreed a perfectly reasonable deal with the government which it recommended to its members only to have it thrown out by the JDC. The JDC are totally against balloting all the juniors as they know there ISNT support for these totally disproportionate set of rolling strikes. They are asking the juniors to give up a quarter of their pay by taking part in these strikes whilst the organizers of strikes at a local level can claim £250 a day in expenses including first class travel and hotel accomodation from its union the BMA. There is a strong left wing bias including political activists Momentum and Corbynistas within the JDC. The JDC does NOT represent the views of the vast majority of juniors and brings the medical profession into disrepute by playing politics over this issue.
Despite your erudition, Des you are obsessed about the evils of "Big Pharma" your bete noir during your time as a BMJ columnist. Drugs work brilliantly in ADHD -ask the relatives and so called Big Pharma is dont forget the jewel in the crown of British Industry.
Highly noble sentiments from an enthusiatic idealist -how I started out 40 years ago. The reality is that social work is becoming a less attractive profession largely because they end up being excoriated in the media and professionally when things go wrong.
Keep up your idealism but remember we are not social engineers.
David Turner -Im afraid you have totally missed the point about why a majority voted to leave and it has nothing to do with excluding Eastern European care workers which you seem to suggest . They do an invaluable job and are welcome here now and in the future . The point is we will be able to control and be selective about the numbers . Im afraid like many of you from the metropolitan chattering classes are simply bad losers!
Dear Professor or should I say Witchfinder General of General Practice,
Thanks for wasting our time in pointless bureaucratic exercises . Thanks for reducing morale to an all time low and for those unfortunate practices judged inadequate (witches) thanks for watching them burn at the stake. We dont need you -the vast majority of practices self regulate .
Dear Witchfinder General of General Practice,
Thanks for reducing morale to an all time low.
In the long run unless you have a medical degree you wont be the one carrying the can when things go wrong.The ultimate responsibility is always the doctors.
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