Don't assume private companies will come to cash starved units without potential guarantees. It is messy and needs a new management and culture. If patients don't pay there will be the risk NHS just changes contracts like PMS practices know.
Trusts are stupid to add surgeries when they have no profits .
Free up time by paying a doctor and 4 nurses who don't know the patient...like ooh and is that not the same as doing the visits and doctor does sessions to cover 292 appts
Inflation is really 13%
So we are losing yearly
The LMC has done little to try and get all practices the same benefit.
Some practices get £170 per patient and great modern premises, like the hospitals. Others get £60 per patient and run down premises.
So no surprise ..bad
The CCG was to be doctors doing service locally ..
Rubbish as only beneficiaries are the leads and cronies..bad
UKIP will give £350 m a week to NHS .
I should start a party saying we give £400 m . A load of ....
I thought CCGs were there to help move services and fund general practice. Why are they paid so much that they ignore 5000 patients.
Even pcts and pcgs cared about one patient, never mind thousands.
These guys get paid lots and show little in outcomes. Doctors killed themselves. Patients can't get to see the one helper they know locally and who knows them and their families. When I started in medicine in 1973 , Bristol was interesting for a young doctors doing locums for Gps in garages and front rooms. Practices were bitter rivals. Training gps was beginning and has not progressed as well ..With recent contracts. I have worked 7 days for most of my life and still do enjoy a shorter week.
My case is to strengthen the foundations and train good gps...not this unsustainable nonsense. It is like saying you can't maintain your house.
Translated...I don't know why people don't care when your plea is met by the banal approach of statements we hear from leaders .
I hope we can all do our bit to help, particularly your friends and colleagues.
Please update us on solutions as others may be in your position.
There is no substitute for spending hours with patients and reflecting on ways to improve. The more the better. This soft training was to avoid exploitation. That should be assessed from feedback for each practice.
After 25 years without premises funding , we received money and the main benefactor will be the patient . We see huge spends in hospitals and we are all the same NHS . The idea that gps will get the money is not all true as most gets worn away ,leaving just the capital appreciation. This is not unlike buying a btl property where the loan is paid off by the tenant .
That is stupid. We have 5000 GPs trained waiting. Our CCG and LMC are all pouring resources to help local practices .
Leaders all say £2 billion into the business .
We are all fine . The cqc, appraisers and all the targets are met .
Forget the rubbish about high earning leads and contracts awarded to favoured practices. All is well.
They will come from everywhere . If you father gets an overdose of morphine ...
CCG are going to support GP closures. Hubs and tesco type scan the barcode care is waiting ..eg ..please place the illness in the ... Sorry you have ..
This needs authorisation. ... Don't forget the LMC .They will come
The NHS has invested another 2 billion quid. Your CCG is paid to deliver local contracts and boost GP activity as the central purpose of its creation . RCGP has embraced the future as bright . Your local LMC are paid to support you.
This the NHS dear friend. You must be a good doctor to care so much, Targets not care is the future.
Our list has a 15% reduction for this age adjusted thing . Then we have cuts in PMS and our well paid CCG and highly paid LMC have said ..bad luck , that is it.
Yes these guys get start up costs ,refit costs, cqc upgrade costs and the wonderful CCGs who are our highly paid GP colleagues bowing to secondary care and letting little filter to local services ,other than associated colleagues must be checked by our well paid LMC members.
I may be wrong but we can't see the transparency.
We are going back to gps treated like offal containers of little use and we need to have some support or no one will be a GP.
Get the failures in.
Forget Nepal with the highest number of medical schools per head of population . Forget Grenada for us failures and only or the Eastern Europe like Prague ..
Anyone interested ...profitable and many new professors.
Can I start a 5 day certification course as I have done it and had it done in hospital.
Will the cqc accept I am sane without a certificate?
Do you need a certificate for caring? Examining, and writing letters?
Sorry, but many are in it for a job. Sure some weaknesses were identified. Could the CCG who get such high salaries and many had big redundancy payouts , not easily identified the rotten apples?
Waste waste ...get consultancy not ....
Ashamed to be a doctor.
Millions spent on clinical services review to say close community beds. Millions on NHS it ...wasted... Bad bad.
Rerun you pay to pct staff now in CCGs and leads getting contracts and pay boosts.
It seems time to leave the complaining toxic environment that plagues the service . Get the pension and enjoy some life , away from these increasing wreckers of a healing caring profession.