Retired. Done. Dusted. Too bloody dangerous to practice medicine safely now. You hear that GMC?
"........ a little bit of what’s left of my vocational commitment to the NHS dies."
TC you still have vocational commitment?
You idealist you. In the nicest possible way you're a bit of a dinosaur. And that damn great asteroid is heading for earth.
Oh dear more election based platitudinous drivel.
Message should be sh1t job, sh1t pay.
Never get me elected, would it?
I am aware that in these cases "De mortuis nil nisi bonum dicendum est"
In comparison with recent jokers he was not bad but he did decide, if I recall, that one man's erection could be treated free on the Nash and another's could not. (Viagra)
A quick look at Google shows Dr Fowler to have qualified in 1981 so I suspect he is looking for a way out. He's the only doctor there it seems. A quick tie up with the Trust and off-loading of redundancy responsibilities and retire into the golden sunset. Cynic moi?
policenthieves you use the word 'trickle'. This suggests a small amount.
Deluge is mine otherwise FOAD NHS.
Seriously GPs are underfunded and thought to be a cheap resource. Time for that to change.
Agreement? Jeez PHE would have to come to the surgery on their knees with chocolates AND roses plus an amazingly good payment per vaccine given.
Even then I would have to consider it whilst monching my choccies.
She has zero insight into the malign destructive malignancy she heads. She does not see that the CQC is a big part of the problem. Her only response is to keep up the punishment until GPs 'improve'.
I am so glad I told them to "Go forth and multiply" when they phoned me when I was in practice. I was on the final approach to a retirement landing. All went smoothly and no CQC.
Nobody likes a smart arse but what else can you say to the BMA other than "We told you so".
Will they listen, will they change? I very much doubt it. Meanwhile NHS GP is descending into the first circle of hell - limbo.
I'm struggling with this crock of sh1te.
So, hypothetically if I refused 'extra' staff and refused to fund 30% of their pay could I then tell NHSE to shove their seven specifications up their fundament?
Nothing new under the sun. In the early 1980s a senior GP colleague suggested keeping the patients standing as a cure for heartsinks. It seemed to work too in that a lot of them transferred to other practices.
Mind you one of his other ideas was to leave a bucket of antibiotic samples at the door with a note to those with the snuffles to "Help yourself". Probably not a good idea nowadays but it made me laugh back in the day.
Not sure if the current problem is as black and white as you say Shaba.
Some time back it was normal for a person to see the consultant, who then ordered various tests and they were then followed up by the team for consideration of those investigations, diagnosis, treatment and discharge, letters taking 3-4 days to get to the GP.
But, guess what, pressure came from Primary Care (PCG, PCT, HA, CCG), to reduce the follow ups (thereby saving money) and people ended up with a half arsed job and sent back to their GP. It got so far as the CCG stipulating what percentage follow ups would be paid for and above that number could not be charged. Woe betide a consultant with a higher FU ratio!!
Add to that the recently reported schism in terms of communications between secondary and primary care. The inability of the medical software to talk to each other.
And all this malodorous ordure comes gently filtering down the the place of last resort. Primary Care.
Thank God I am out of it.
OK I'll bite.
Can a woman be emasculated?
"We, as a profession, head towards change feeling empowered --- not disenchanted and blindly following the orders of what someone else thinks a better NHS looks like".
PCNs are most certainly the latter thought.
What a load of platitudinous drivel.
So about 150 ish new GPs from the GP tap dripping into the bath that is the current workpool of GPs. Meantime the huge maw of the plughole is sucking thousands out through age, pensions, despair, self preservation or just getting the hell out of Dodge.
Yes I can see that is working. /joke
Lady Double-Barrelled is suggesting taking a photo of the paper, or presumably computer notes, to take to the GP and Jaimie you're impressed? Dear me. It's a "Make Do and Mend" philosophy no more. It should not be necessary.
40 years ago the system got the letter to the GP in 3-4 days.
Here we are with the admindroids having cut support services to the bone whilst themselves proliferating, nay metastasising. And we can't get letters to the GP in almost any time?
I have had a couple of recent experiences as a patient in OPD. I watched as the doctor transferred my verbal history to a digital form. They then entered the examination, bloods, and treatment, again in the same manner.
So we have a digital record.
That record can be accessible by any number of means or even sent SMS, email, or snail mail.
It is not difficult. It requires a bit of thought. Perhaps the OPD session should not be paid by the CCG if the communication is not immediate? That should be an incentive.
Or should, when I next go to the OPD, take my Polaroid?
IDGAF Aaaah! Landolfi's sign! That would be Aortic regurg.
(Warning Daily Mail)
Agree, online consultations save no time for the doctor and are marginally less risky than phone consults.
Dictating a letter on a dictaphone or similar was routine in OPD in the early 1980s and the letter would be in your pigeon hole for signing and sending within 48 hours.
In today's hyperconnected world it just beggars belief that this schism is there at all let alone being tolerated, and work arounds being suggested, by the high and mighty.
Perhaps bring in people who deal with letters, timetables, patient/theatre lists, calenders, rotas and let's call them, I dunno, medical secretaries? Afford them by sacking a desk jockey, clip board wielding, admindroids.
Or perhaps a more techie AI medical dictation and printing service and into pigeon hole by 48hrs?
/too much to ask??
Looks like Thanet CCG has a forward thinking leader. Very forward thinking in that GPs (if they choose to go into GP AND stay in the area - a big ask) will not be available until 2030+ and then be as green as grass.
Several of those big practices in Ramsgate are lead by doctors close to or even well past retirement age. They'll be gone soon. Implosion of GP beckons.
COI ex Ramsgate GP of 34 years.
TC mate don't sweat the small stuff. "GP to contact" is in the same category as "GP ideally placed to". Non contractual and therefore Foxtrot Oscar.
As for the ambos coming up with the NEWS2 gambit. Come up with your own. Call it TOPCAT1 and state that it means it's a blue light get your arse here in as short a time as possible.
/Dusts hands off. And breathe.
Merkin = 'Little Jimmy' on her minnie.
Yeuk. I need brain soap.