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Gold, incentives and meh


  • Over 150 overseas doctors join NHS from international recruitment scheme

    Cobblers's comment 09 Oct 2019 5:41pm

    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

  • Is the workload dump from secondary care subsiding?

    Cobblers's comment 09 Oct 2019 5:33pm

    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?

  • Digital consultations should be taught in GP trainee curriculum, says HEE

    Cobblers's comment 08 Oct 2019 12:42pm

    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.

  • RCGP chair: 'I advise patients to take photos of their hospital notes'

    Cobblers's comment 08 Oct 2019 12:31pm

    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??

  • All practices in crisis town restrict patient lists over patient safety concerns

    Cobblers's comment 07 Oct 2019 10:54am

    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.

  • Have I got NEWS2 for you

    Cobblers's comment 30 Sep 2019 6:50pm

    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.

  • Boris's evil hair 'responsible for ludicrous promises'

    Cobblers's comment 24 Sep 2019 5:34pm

    Merkin = 'Little Jimmy' on her minnie.

    Yeuk. I need brain soap.

  • Government's flagship named GP scheme 'is not effective'

    Cobblers's comment 24 Sep 2019 5:31pm

    Many years ago the named GP scheme was examined for 5 seconds by my practice and discarded with yesterday's chip paper.


    We were single handed. It was utter bollux. People knew the doctor they had. But policy decided single handers were to be made extinct. And so it came to pass.

    i will allow myself a wry smile.

  • I've learnt to put my needs ahead of patients'

    Cobblers's comment 24 Sep 2019 5:26pm

    This lesson should be compulsory reading for newbie or wanna be GPs. Look after number 1. Number one being you and your family.

    It is but a job NOT a vocation. Don't sweat it if the system conspires to feck up patient care, as it seems to all too often.

  • Tribunal rules that locum GP was entitled to sick pay and holiday

    Cobblers's comment 18 Sep 2019 10:36am

    Surely noww Dr Reshma Narayan should be interesting HMRC under the IR35 rules?

    If not, why not?

  • We need to be more positive about general practice, says new RCGP chair

    Cobblers's comment 27 Aug 2019 9:54pm

    Well roger me rigid. Postman Pat has left his black and white cat at home in Greendale and has deigned to pontificate about what GPs need to do to survive in thrall to the NHS.

    Lady Double-Barrelled tried much the same and GP is still in the merde.

    Might be better to have a rethink on this and start seriously supporting GPs rather than offering platitudes. If not slink off back to Jess (the cat) and your letter round.

  • GPs told to stop closing for half-days or risk losing £40k in funding

    Cobblers's comment 19 Aug 2019 12:43pm

    "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.

  • Deaths from drug poisoning reach all-time high

    Cobblers's comment 17 Aug 2019 9:34pm

    Maybe we should have licensed "Shooting Galleries" which have been shown abroad in Denmark, Canada, Australia to reduce fatalities associated with drug taking.

  • Dr Sarah Wollaston moves to the Lib Dems

    Cobblers's comment 16 Aug 2019 4:32pm

    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.

  • Answering trainee doctors' medicolegal queries

    Cobblers's comment 08 Aug 2019 7:01pm

    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.

  • PM pledges £250m for artificial intelligence in NHS

    Cobblers's comment 08 Aug 2019 6:35pm

    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.

  • The new Prime Minister is out of touch with reality

    Cobblers's comment 31 Jul 2019 11:58am

    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.

  • Stricter rules will deter GPs from working in Australia, say recruitment agencies

    Cobblers's comment 31 Jul 2019 11:54am

    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.

  • CCG to cut up to 30% of its discretionary funding for primary care

    Cobblers's comment 31 Jul 2019 11:50am

    30% cut in QEF/LES equals 30% cut in that work done.

    Note from moderator: Part of this comment has been removed.

  • Boris Johnson pledges to reduce GP waiting times in first speech as PM

    Cobblers's comment 24 Jul 2019 6:48pm

    Porcine aviation specialists in Whitehall announce their take off slots.

    More likely than GP waiting times coming down.