Young doctors have not taken up opportunities and some older guys are running gp businesses with nurses, hca and ecp support. Patients seemed to have been ignored by CCGs which should have supported practices and taken services local...the reason they were formed in the first place. Instead they have some leads with all the contracts and most of the money in hospitals with increased consultants etc
Ignore the gatekeeper and lose the value of this fundamental function.
Again CCG staff too busy helping wasteful secondary care overdrafts.
Primary care is forgotten and many young doctors leaving for better places.
Poor communication and poor proactive actions ..just watchful waiting towards a cliff edge.
No doubt historical charges were lower .Some cost rent was also incorrect . There is an appeal through the dv
Mergers will cost and staff are lost in that process.
Often the partners profit from the merger. Ccg really to blame as they don't care and don't look after small practices.
They are the old pct staff with big redundancy payments and gps with fat cat salaries
End of the small practice personal care . Treat disease forget distress . There will be forced marriages by some practices which hate neighbours.
After 40 years work ,I will settle with my £80 k pension.✈️
Welsh gps will get more pay than England
Better to pay us all ans forget these des and admin
We have 6 staff for a 2 gp and 3000 patient list
I did weekend nights for years and happily helped casualty ..great
The issue is rationing. The problem is that the staffing simply ignores we live in a climate of high expectation and this dumbing down of personal care will have consequences in higher admissions and complaints.
As a GP it has always been about patients .The market now has a rate for doctors .If you don't pay you will have no doctors.
We have several patients on off licence treatments.
Any advice on now stopping as these patients find the drugs help
Our accountant and solicitor both have posh offices like Harley st.
They charge £250 per hour and are less qualified and trained than us.
We have to blame our CCG leads for not chasing this money. Lansley said they were to manage to provide local services. They failed
I think the main issue is the qualifications and part time high earning leads.
It has been easy to support big practices or friends.
Smaller practices have poor input yet are key to good care .
You can't cut paperwork in such a crumbling organisation as all this monitoring will continue
Vinci ho says what is typical.
Some partners are earning several 100k as bosses of large practices and I know 2.
Most of us earned £35-40 k pa as part time doctors and pay £4000 in defence subs
When I became a GP there were 350 applicants for each job .I was proud to see doctors recently choosing this career path.
I believe that meddling with good services has wrecked the whole NHS . Hospitals, patients and doctors and nurses are let down.
The leaders should jump to help or let it rot with stps, CCGs etc
You will not regret retiring if you have plans to stay occupied.eg travel etc.
The money is not worth the stress
Remember 10 % drop in income from weighted list in some practices.
Some branches will close losing patients, cost rent etc
It's what we do and get no recognition
Great to see you still working doctor.
I don't waste doctors time .
How is the mechanic work ..you know my receptionist said you did a good job on her car.
Great, but I need a letter for pip and mobility car
What is the issue.
Pain in back and all over. Can you write .....
I worked ooh from 1978 to 2001 when I reached 60 yrs
Average was 20 hrs per week
Out of 90 calls overnight on weekends maybe 1 admission or none and 6 home visits.
It is hard risky work and cover can be for 200-300000 patients ,depending on other doctors in adjacent areas .
There is no need for 7 day working as good ooh work can cover well.
The problem is poor ,slow or defensive work.
Looking back, I would advise against adding this to ft GP work.
The quality of students and their coping strategies need examining .
I fear for some admitted to a tough environment
Many are part-time