While appreciating the potential of addiction to OTC codeine, anyone who's serious about it gets it from the GP. An OTC ban could even increase the number of people on 30mg tablets.
What do we have to offer in chronic pain? No availability of psychological services, opioids are out as are gabapentinoids. Paracetamol and NSAIDS don't work. Pain clinics have little to offer most other than a long wait.Seems like capsaicin cream and a lidocaine sticking plaster are all we have to offer. Maybe a public info film telling joe public that GPs have nothing to offer would be most helpful.
Everything points to a terminal decline in General Preactice. Proposed solutions just take far too long to bear fruit to avert the collapse of GP (and therefoe the NHS as a whole). IMO the only hope is a very large pay increase along with the necessary pension chnages. This would at least make more people give GP a go, delay retirements and stem emmigration while loger term fixes have time to work. Meantime we need to train a lot more GPs and give Primary Care a fair share of funding (which it's never had). The job is just not doable with the workforce available and the remuneration is now pitiful. DOI I am retired.
You can't be too careful. Better safe than sorry after all.
Having said that, I'm beginning to wonder if I've ever met anyone who's not on the autistic spectrum and GPs must do more to diagnose them.
Not sure much intelligence is in evidence; ambition, greed, preference for business over core-GP and maybe a little psychopathy. GPs doing anything apart from seeing patients, for the purpose of self-aggrandizement is one of the factors which has killed GP. At least he has the decency to look like an evil dude.
Come on chaps, chin up, after all it can't get any worse. 20 years and it might be completely different.
Lots of celebs claim to enjoy their few weeks in 'I'm a celeb get me out of here.' But few would want to make a career of it.
Even the cardigan, socks and sandal brigade are suffering a dose of depressive realism. The choice now for the College is their members or the NHSB and as usual they are choosing the NHS.
Breaks my heart to think of what I could have bought with the 20 or so years of menbership fees I paid before I resigned. Nothing short of a really big pay increase will tempt people back into GP in the numbers required, combined with the workload controls which never materialized from the last contrick. Trouble is nobody would trust them this time even if they did it. Game over.
Just shows how there are an ever increasing number of sticks to beat us with. No requirement to provide an alternative service, just come up with some unilateral guideline and beat us up for non-compliance. GPs are ideally placed to jump ship and leave the politicians to sort out the mess.
GPs in general: AC/DC, highway to hell.