Retired. Done. Dusted. Too bloody dangerous to practice medicine safely now. You hear that GMC?
"Dr Nikita Kanani, NHS England acting director of primary care, said the move to curb half-day closures is to free up ‘hundreds of thousands of appointments’ to patients."
Showing your ignorance of how Primary Care is run doc. Good job you're only 'acting' director of primary care. Might be a good idea to get back to politics, in which you are admirably suited.
Maybe we should have licensed "Shooting Galleries" which have been shown abroad in Denmark, Canada, Australia to reduce fatalities associated with drug taking.
As much as those supreme egotists, elected MPs, might think, in the main they are elected for their party, not their person. (You could put a gibbon up for election at Henley and as long as it had a blue rosette it would get a stonking majority)
My point in the preamble is that should you change parties then a by-election should become necessary. That it is not current law suggests an extreme arrogance on behalf of the law makers. No surprise there.
I have read and reread this and it makes me very uncomfortable. This is a FY1, a Houseplant, a gopher, a dogsbody and the lowest of the low on the medical scale. No doubt this advice is the council of perfection and medico-legally sound BUT my head is screaming that if the FY1 has noted the problem then others more senior will have too. Why are the seniors not dobbing this person in? Probably because they know that by adopting the three wise monkeys’ approach (see no evil, speak no evil, hear no evil) that they can keep their heads down and avoid the inevitable shit storm that will happen to whistleblowers. A FY1, or probably anyone, who acts like is suggested by bypassing lower managers and going up the feeding chain to achieve action will get action, against themselves, and find further progress along their career path is quietly blocked.
A cynical approach and, no doubt, some (hello GMC?) may feel that such thoughts heretical and actionable but I am long retired and happily stick deux digits up to the GMC. I am a pragmatist and suggest that doing your own job as well as you can and avoid being a proud upstanding nail (whistleblower) in the NHS as you’ll only get hammered.
King Wiff Waff of the Spaffer clan announces a grant of 2/6d for any intelligence, artificial or otherwise, to show itself in Whitehall.
We will wait in vain for the half crown to be claimed.
This is the trouble with BloJo. He'll have his wicked way with the country, then roll over and turn out the light.
Leaving the country f*cked.
No major hurdle for a determined GP. And it's just Australia. There's the rest of the english speaking world out there just waiting.
30% cut in QEF/LES equals 30% cut in that work done.
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Porcine aviation specialists in Whitehall announce their take off slots.
More likely than GP waiting times coming down.
Very poor pay, very poor working conditions, little back up and very expensive indemnity.
Get out of that Welsh Assembly. Now really suprise me by dealing with it rather than expelling hot air and blaming GPs.
Brexit Schmexit. There is a whole world out there for medical talent and, in the english speaking countries, the working conditions, the work-family balance and the pay are generally better than the UK.
Visa conditions, payments and whatever hurdles HMG wish to put in the way of incoming doctors only hasten the day when the NHS collapses.
Only then, phoenix like, will advances be made to improve the lot of doctors and decisions made for the longer term running of a modern health system.
Capita Crapita. How much more incompetence will it take for those in power to act?
Dump this firm.
If I recall one of the criteria for referral along the 2ww cancer pathway was a 'risk' of 3%.
Your small study suggests that those with a persistently raised platelet count should be referred as 'Cancer ?site (LEGO)'
Indeed you could spend quite a lot of time working these up before referral but is there that much spare time in your surgery?
I recall that same lesson on thin notes back in very early 80s. Sit up, pay attention and investigate early.
As for the fat notes, some requiring a wheelbarrow to transport, it engendered a sinking heart as it would be unlikely to be a quick consult.
Very best wishes David. Look after number one.
NHSE do you seriously think that that feedback was done of their own free will? Or do you think it might have been a teeny weeny bit under duress given that negative feedback might have kicked back on the doctor?
I am impressed that 1 in 8 gave negative feedback nevertheless but those might have already planned their departure and felt like giving the two fingered salute to NHSE.
Google Dr Richard Scott 2012.
Don't laugh the GMC are trying to have another go at him now, courtesy of the Secular Society!!
Pulse may I suggest edit to 'Chaplain'? I suspect RCGP means religious guide so Imam, Hindu priest or even Pastafarian acolyte.
Life is a sexually transmitted terminal disease.
Can I get my GP to fill in a DS1500 please?
I think you have missed a trick Shaba. I agree with your comments on the physical and mental side of things but there is the spiritual as well.
I note with extreme distaste that those who profess to care about doctors and patients (the GMC) are teeing up a second Fitness To Practice procedure on Dr Richard Scott. You may recall in 2012 when he was cautioned for using his Christian beliefs to help troubled souls.
That Richard uses his faith to try and heal people is unremarkable and should be encouraged. I speak as an atheist in this matter. It has long been a truism that Vicars or Imams could do a lot of the work in practice that sees troubled souls. Even the WHO agrees. If the patient is willing why not use every avenue to try and heal (all in 10 minutes)?
Do I have any confidence in this organisation planning for a no-deal Brexit when it seems to constantly surprised that we have winter every year?