This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

The docbot will see you now

Peter Swinyard

Peter Swinyard

GP. National Chairman of Family Doctor Association.

  • Just because you’re paranoid…

    Peter Swinyard's comment 29 Aug 2019 1:50pm

    Yes. Paranoia is not sectionable here. The Family Doctor Association is happy to use its national influence to help preserve smaller practices for the benefit of its members. All practices in good standing with the FDA will get all our support to the best outcome - we are happy to engage with the bureaucrats on their behalf and provide vital support.

  • The King of Complaints

    Peter Swinyard's comment 05 Aug 2019 12:10pm

    Some years ago, a PCT "mediator" visited me re a rather vexatious complaint. When he visited the patient, one entire wall of their living room was covered in bookshelves bearing bound copies of notes he had made of every single encounter with anyone from "authority", be it local government, doctor etc. Truly bonkers.

  • Professor Martin Marshall named as new RCGP chair

    Peter Swinyard's comment 15 Jul 2019 10:28am

    Congratulations to Martin. Academic? Yes. Front line GP? Yes. A healthy mixture and the Family Doctor Association looks forward to continuing friendly relations with the College.

  • NHS unable to guarantee medicines supply in the event of a no deal

    Peter Swinyard's comment 02 Jul 2019 4:23pm

    What a bizarre and evidence-free contention. Why would Brexit, with or without a "deal", slow down medicine supply? There should be no "at-the-port" obstruction on our side. So why is extra capacity needed? This is soundbite heaven from a remainer and Project Fear.

    We have enough problems with supplies of common medications as it is - pages of commonly prescribed drugs that our patients just cannot get. Sort that out, Mr Stevens.

  • Halving pension contributions 'not enough' to avoid tax charges

    Peter Swinyard's comment 04 Jun 2019 10:48am

    Did you understand all that??? Me neither! That's why we need to employ the services of Paul Gordon or Sean O'Connell (usual disclaimers)

  • The CQC does more harm than good

    Peter Swinyard's comment 30 Apr 2019 9:47am

    CQC inspection this morning. I will leave Kailash's headline on my right hand computer screen when they come in to see me and, as always, ask for evidence of their effectiveness, usefulness etc. They managed to register "Better Health Partnership" in Swindon - the group of 5 IMH practices (including what was mine) as an entity a month before they became a legal entity. Quite an achievement.

  • GPs the target in the fight against antimicrobial resistance

    Peter Swinyard's comment 01 Apr 2019 10:28am

    so, 7-23% of antibiotic prescriptions are not needed. The art, of course, is working out which 7-23% you are in... and to fail to prescribe when you should risks the patient, increases the risk of scarlet fever etc etc. We are already doing better than any other sector of the health economy at prescribing well. Stop blaming GPs and try to attack the hospital sector, where they (presumably) see their inpatients every day...???

  • GPs who took up MDU 'half-price' indemnity offer will not need run-off cover

    Peter Swinyard's comment 26 Mar 2019 4:42pm

    Careful here - this was announced a few days ago. The cover is valid if you retire AT YOUR NORMAL PENSION AGE. For members of the 2015 scheme, that could mean you have to work to 68 to be safe or pay 7 years' run-off cover premium. How many of us will stay in this job until the age of 68???

  • CCGs are trying to 'manipulate' formation of networks, warn GP leaders

    Peter Swinyard's comment 12 Mar 2019 10:55am

    DrDr quite correct. Time for others to fit in with us rather than dictating what we should do. This is intended to be a GP led initiative, whatever you may think of "working at scale"! Look out for Family Doctor Association factsheet series coming to your practice manager's inbox shortly to give you the rules, untainted!

  • ​GPs asked to provide Brexit plan and practice lead in case of no-deal

    Peter Swinyard's comment 05 Mar 2019 10:24am

    1. Show me the regulation on which you are relying to say that I must produce a Brexit plan. The government has failed to do so in 2.5 years. I plan to take the same time to produce one.
    2. Convince me that the world will fall apart with a No Deal - or WTO-rules - Brexit
    3. Remember the Millenium, when all the great and good went and hid in bunkers expecting civil disturbance (GOK why) and all computers were expected to fail? I worked the night, had little to do and enjoyed the fireworks.
    4. Don't waste time on this when we should be concentrating on forming Primary care Networks to bring more money into our practices and improve patient care.

  • NHS England issues 'letter of comfort' on OTC prescribing for GPs

    Peter Swinyard's comment 12 Feb 2019 11:13am

    What a fudge! Do I need a letter of comfort? I've not been accused of a criminal offence! We either prescribe to all or refuse to all - leaving us to decide if someone can't afford it is really unacceptable. We will always get the "entitled Grauniad reader" patient who insists on a script and has the time to make life miserable as the complaint process (usually direct to NHSE thus involving the PAC) grinds through. Let's just get the clarity of NHS prescribable or not.

  • New GP contract to mandate practices to join primary care networks

    Peter Swinyard's comment 07 Jan 2019 3:04pm

    Just for once this is not something to get all worried about but a mechanism for getting money into groups of practices. The redevelopment of the Primary Care Team as a Multidisciplinary Team at PCN level is very welcome and will reduce silo working where we are working against district nurses etc instead of with them.

  • 'Innovative' single-hander wins GP of the Year award

    Peter Swinyard's comment 04 Dec 2018 11:07am

    So delighted to see Dr Hendow win. Shows how good a small practice can be with a devoted, vocational GP at the centre of the practice. As one of the judging panel, I was highly impressed with the quality of entries - most of whom would be deserving winners any other year,

  • Sympathy for the Devil

    Peter Swinyard's comment 04 Dec 2018 11:05am

    I would do a "routine" referral to the podiatry clinic for patient 3. Worded to make it sound urgent to the lay reader and give the appropriate messaging to the provider.

  • Nearly a third of GPs say they will quit within five years

    Peter Swinyard's comment 03 Dec 2018 1:32pm

    ScottyDog - we only have collective bargaining power if the troops will down tools to fight the government's choices in resource allocation. We had our bluff called over pensions...

  • RCGP backs second EU referendum amid fears Brexit will 'damage' the NHS

    Peter Swinyard's comment 26 Nov 2018 11:49am

    "To encourage, foster and maintain the highest possible standards in general medical practice"
    Seriously? Where in the governance does political posturing come into it? Do they know that the overwhelming majority of their members are Remainers? Even then, it ill behoves them to nail their colours to a transient political mast. I think that they are well-meaning but seriously misguided. They are also fighting against a majority democratically achieved referendum vote. Or do we have to do as the EU would like and keep on voting until we come up with the "right" answer?

  • Hooray! The NHS has freed up time we’re forced to waste elsewhere

    Peter Swinyard's comment 26 Nov 2018 11:24am

    I'm still waiting for the High Trust Low Bureaucracy Contract we accepted in 2004......

  • Hancock’s Half-Cocked Hour

    Peter Swinyard's comment 26 Nov 2018 11:22am

    I'm sure he means well. Andrew Lansley meant well and was very pro-GP. We had some GPs back then.... And Mr Hunt said (repeatedly) that he was the most pro-GP Health Secretary there had ever been. With his diplomatic skills, watch out for WW3!

  • GPs 'should prescribe statins to younger patients' using 30-year risk score

    Peter Swinyard's comment 20 Nov 2018 10:10am

    So what is the NNT and NNH? These are the essentials we need so that we can adequately advise our patients. Statins are not beautiful, side-effect-free drugs. I have no problem in using for secondary prevention, but patients often choose not to take for primary prevention when given the statistics.

  • Losing continuity may mean fewer Xmas gifts – but it will be worth it

    Peter Swinyard's comment 08 Nov 2018 8:39am

    Zoe doesn't expect me to agree. I don't. Personal relationship continuity in medicine has proven benefits to reduction in morbidity. Yes, we have the data, it's incontrovertible. If you need the full story, contact the Family Doctor Association office. It's not just about the fuzzy feelgood factor. It is truly appreciated by patients who indeed do not have to start from scratch each time and hear yet another differing opinion on their management - please don't say we all do the same thing - we don't.