This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

Cobblers

  • Dr Nikita Kanani: ‘This contract provides the beginning of a response’

    Cobblers's comment 02 Mar 2019 1:07pm

    As above. Repetitive political admindroid drivel.

    What price short clear answers that offer something? 92p per patient is not one of them!

    The GP decline will continue as those in charge suffer from group mindthink.

  • We've lost momentum in our fight against cervical cancer

    Cobblers's comment 19 Feb 2019 2:54pm

    Food for thought.

    Cervical cancer mortality rates have decreased overall in some broad age groups in females in the UK since the early 1970s, but have remained stable in others. Rates in 20-24s have remained stable, in 25-34s have remained stable, in 35-49s have decreased by 67%, in 50-64s have decreased by 83%, in 65-79s have decreased by 75% and in 80+s have decreased by 65%.

  • We've lost momentum in our fight against cervical cancer

    Cobblers's comment 19 Feb 2019 12:29pm

    Not sure that screening of any kind should be part of a GPs remit. We have done it in the past, sure, but now with the pressure of work?

    Happy to be shot down on that but don't use the argument that there's no-one else to do it!

  • CQC tells patients to complain about GP care to improve services

    Cobblers's comment 19 Feb 2019 12:20pm

    **News Flash**
    CQC research is not unbiased.

    Feedback perhaps but complaints are rarely without a negative impact especially on clinicians who can find them hurtful, depressing and demotivating.

    Another newsflash that NHSE can use a complaint to browbeat doctors. Although it is a promo the MPS have a video on how one crap complaint instigated a witch hunt.

    https://www.medicalprotection.org/uk/protection-in-practice/complaint.html

    And then there is the establishment. How I hate the bland, anodyne, "We have taken on board the complaint", "We have made changes (not)", "The responsible people have undergone further training", "We welcome complaints".

    The complaints culture needs to be independantly re-examined. Even feedback gets on my tits.

  • GPs must email patients instead of sending letters, says Hancock

    Cobblers's comment 14 Feb 2019 10:47am

    "Leave it aht" AlanAlmond@9:29pm. Tell us what you really think?

  • RCGP drops gender dysphoria course due to 'unrealistic expectations' on GPs

    Cobblers's comment 08 Feb 2019 11:06am

    This is worth repeating, if necessary ad nauseam. "GPs should not have to bear the brunt of poor access to specialist gender reassignment".

    In fact one could remove 'gender reassignment' and insert almost any secondary or tertiary care service.

    GPs are not a dumping ground!

  • GPs to get £5 extra per child vaccinated under new MMR catch-up scheme

    Cobblers's comment 05 Feb 2019 1:20pm

    A fiver?

    Dear me, that shows how much GPs are valued doesn't it?



  • Puppy dog Hancock still needs house training

    Cobblers's comment 30 Jan 2019 11:51am

    I'd be more inclined to jam the cricket bat up his fundament. Trouble is I think he may enjoy it.

  • No-deal Brexit fruit and veg prices could cause thousands of extra cardiovascular deaths

    Cobblers's comment 29 Jan 2019 10:32am

    Dodgy Brexit bollux.

    Seriously? So we want veggies and the EU wants to sell them. If the tariffs, and subsequently the prices, are too high then consumer pressure kicks in and sellers source non EU veggies.

    Result relatively stable prices, Spain goes bankrupt, and UK citizens hearts are saved. Hurrah!

    I think I'll go sit down and monch a carrot stick.

    Might there be mileage in a "Dig for Victory" news story? #Justaskin

  • Four in 10 GPs asked to provide public health services without payment

    Cobblers's comment 29 Jan 2019 10:21am

    Is it me in that I find this exasperating? 40% of GP numpties work for nothing?

    With friends like this the GPs need no enemies. No wonder NHSE and PHE dump work and laugh if 40% of you roll over and do it!

    Learn to say NO loudly and often and if asked why say "You no pay I no work".

  • The health secretary’s vision for general practice

    Cobblers's comment 29 Jan 2019 10:16am

    "GPs are the bedrock of the NHS" says Handcock but his vision is a swiss cheese vista.

    It is a sh1t job with sh1t pay with a pension that practically requires you to leave in your mid 50s.

    I see nothing but hot air and more of the same treatment from Her Majesty's Government.

    I am sooo glad I'm out of it.

  • My short-term plan to save general practice

    Cobblers's comment 28 Jan 2019 11:03am

    Zoe what's that I see in the air? Is it a plane, is it a bird?

    No it's the porcine aviation department I'm sad to say.

    /shuffles off to feed his unicorn too.

  • Fear of side effects the main driver behind patients not getting vaccinated

    Cobblers's comment 26 Jan 2019 1:09pm

    Society, via Government, should state that being vaccinated is a part of a citizen’s responsibility to each and all of us.

    There should be no compulsion as it does not take Einstein to see how that could be abused but freedom of choice, as a right, does come with the downside (responsibility) that choosing the antivaxers’s route does produce children that can cause harm to society. (I ignore in this discussion the damage caused to the child itself by having antivaxer parents, which is more a Child Protection Issue and, as such, an even bigger discussion)

    Should then society not try to mitigate that harm by ‘encouraging’ the genuinely worried to discuss their issues with professional health people and the refusers, the feckless, the can’t be arsed, the haven’t got the time, contingent be warned that society isn’t willing to embrace their children, either with money (Child benefit) or schooling?

    It sounds harsh but with herd immunity dropping and measles and polio rearing their heads again ready to cause death and long term disability (iron lung anyone?) isn’t it time to show a bit of backbone?

    /rant over

  • GP contract would include MMR vaccinations under PHE proposals

    Cobblers's comment 25 Jan 2019 12:15pm

    This is a PHE problem and it does nothing to foist it upon GPs who are already overworked.

    I agree with previous comments and would go further. Not only should PHE commence a public education campaign but also there should be a requirement to have a fully vaccinated child presented to school for enrollment. No vaccs no school. The further bit is that I would make child benefits paid on recognition of an up to date vaccination status.

    With rights come responsibilities.

    COI. Am currently walking the walk with my grandchild as she goes through her primary vaccs. Not fun for either of us. But being of an age to recall children dying of SSPE, Wakefield can caminar con satanás.

  • Seven in 10 medical students cannot afford basic necessities, finds survey

    Cobblers's comment 23 Jan 2019 11:46am

    Old news.

    Back in the day (late 70s) I worked every holiday and sometimes weekends to get me through med school. As the time commitment to medicine ramped up so did my overdraft, so much so that my bank manager 'requested' to see me and said that the business model was for them to make a living from my money not the other way round. As it was I pointed out that I was less than a year to qualifying and paying them back. He smiled.

    But, of course, at that time I believed medicine was a career worth continuing. Not so sure now.

  • GPs should consider childbirth as a risk factor for breast cancer

    Cobblers's comment 18 Jan 2019 12:14pm

    Scene Hospice bed circa 2060.

    Q So Mrs X I see you are lying here on your own?

    A Yes my husband died 2 years ago and we decided in 2019 not to have children based on a breast cancer study that showed that childbirth increased the risk of breast cancer.

    Q If I may ask why are you here?

    A I am dying of breast cancer.

    Carpe Diem is not a bad philosophy.

    Children do give more to your life than they take, usually.

  • Matt Hancock’s vision for IT is the worst idea I’ve heard in a long time

    Cobblers's comment 18 Jan 2019 12:06pm

    It was seem that Matt Handcock either doesn’t know or prefers not to know that the Government and IT ventures have a very very poor record.

    Defence Information Infrastructure cost 4.8 BILLION.
    NHS National Programme for IT cost 10 BILLION
    Universal Credit shambles cost 15.8 BILLION (admittedly not all on IT)

    I also noted a comment on researching this that those projects delivered with a fanfare are the most likely to blow up. “Ta Ra” anyone?

    So another vote here for Evolution not Revolution in IT for the NHS.

    Matt Hankook are you listening?

  • Staff shortages could stop NHS funding boost being used effectively, says NAO

    Cobblers's comment 18 Jan 2019 11:42am

    STOP PRESS - NHS has problems with recruitment and retention!

    STOP THE STOP PRESS - BMA surprised. (That powder must be tinder dry by now)

  • Stop supplying hypertension drug potentially containing carcinogen, GPs told

    Cobblers's comment 16 Jan 2019 5:53pm

    Pulse that is wrong. It is the combination drug Irbesartan-Hydrochlothiazide and NOT Irbesartan on its own.

    Please amend.

  • I’m sick of being the fall guy

    Cobblers's comment 14 Jan 2019 5:54pm

    Shaba: "I have already received a written warning from my Responsible Officer about a previous offering."

    Care to share?

    My personal experience of these people is that they may have a Dr in front of their name but the rest that follows is pure unadulterated gong chasing admindroid.