A virtual nobody
..pretty much everything I believe is totally bonkers
This is an intrusion and not something I am going to do unless i judge it to be directly relivant to the problem they are consulting with, otherwise I refuse.
Observation of differences in employment and wealth amongst different racial groups in society is interesting and needs addressing. What these observations do not tell us is the underlying cause of the differences...which have to be inferred. It seems from your article that you asume these differences are almost entirely due to racism. This is no more than an assumption, and is similtaniously highly divisive and incredibly simplistic. Some of the most disadvantaged members of our society are white boys. How does that fit with your all encompassing racism hypothesis? Complex issues like this require careful analysis, not this kind of mush.
JH can’t fix general practice, his job was to break it and he’s done that very effectively. Well done Jeremy.
She sounds like a robot. No creative thought, just a lot of guidelines memorised and regurgitated on cue. All ready to be replaced by a computer program...hang on perhaps she had been already.
My gut says this man can not be trusted, hope is telling me it sounds like good news. I couldn’t see why we should expect cover for private work, private work is not compulsory, If it doesn’t make financial sense to do private work either put up your fees or don’t do it. I suspect what will materialise will be some kind of tax linked reimbursement, or price control monitored by an independant regulator - like in the energy market. I can’t see a conservative government nationalising private businesses like the MDU/MDDUS/MPS or putting them out of business by offering crown indemnity in their place. I’m sure the government is subject to fairly aggressive lobbying by these companies who would do anything to prevent that happening. The bottom line is this government cares about business not public services. They will be talking to the indemnity companies first, the BMA won’t figure much. We will still be paying indemnity fees, the change will come in the form of regulation, not cash or anything which would actually cost the government any actual money up front, it doesn’t have any.
'It added that only two members so far had questioned their increases.'
Well that's the biggest load of blatant crap I've read in a while, I'm with the MDDUS and my fees went up a little over 12% this year. I can confirm I certainly complained to the poor woman who had to break the news to me.
Maybe I'm one of these mysterious 'two members' ...but really? Give me a break.
The increase kicked in for me in June. It equates to an instant 2.2% pay cut out of my monthly salary. My practice have since refused to cover the increase (I pay my own indemnity) I truley am stuck in the crappiest profession anyone with half decent A'levels might have naively stumbled into. I feel like a total idiot...GPs are so tied up in regulatory and financial knots were basically being suffocated. How did I end up in a job like this ??
Classic media manipulation.
'Big announcement' that JH will soon be making a 'Big announcement'. The announcement is going to be 'very substantial' and JH is a really great guy.
This wonderful (impossible to challenge and essentially meaningless ) statement of government spin will wash around the media for a while creating positive news for the government at zero cost. And if/when the announcement is actually made? ..expect empty crap, with a myriad of strings attached. But what does it matter, the important thing is that everybody was informed the government was making 'Big generous announcements' ..that's the news that will stick...doubly so, because noone was able to challenge this when the 'we're going to be making a Big announcement' announcement was made.
...and when we realise there was nothing much on offer and we point this out, the wider public will ask 'hang on you guys, I seem to remember the government made a very substantial and generous announcement, I remember that well ..why are you guys moanimg again?'
The announcement of an announcement is more important than the announcement itself ..that is certain
Very interesting article, thank you.
...and further to the last comment, yes indeed, what about pharmacies issuing medication that has not been requested by the patient simply because it’s on their repeat list? Seems to be almost routine round my way and must be costing the NHS an absolute fortune in lactulose and diprobase the patient didn’t want but which was delivered anyway and ends up stacked in their cupboard or thrown away.
Stick the screening algorithm in a computer.
I’ve got a brain, I use that and the assessment takes less than 30seconds.
‘The situation is that there are not enough GPs available currently to service the needs of the populations in these areas,’ he said.
Not a problem of any interest to anyone in the wider media it seems. No doubt someone will correct me and tell me the disappearance of your local GP is big news somewhere, but as far as I can see the UK media establishment doesn’t give two hoots. There’s too much else for people to worry about, unaffordable housing, BREXIT and Mrs Mays cough.
Healthy people with clever looking thick black rimmed glasses and quif hair cuts are the ones who analyse the news for us on the BBC. They don’t often need to see a GP..it anit an issue of much interest to them...so it anit on the news.
Isolation, loneliness and chronic ill health
...most of these issues are about our wider society and how it's structured. If we want to make a serious difference the discussion needs to occur out there in the public domain and not conveniently boxed up 'for the attention of the healthcare system'.
Probably better this isn't discussed in the wider media. Might produce a run on the local surgery, folk trying to withdraw their health care before all the surgeries have closed down.
How does guidance from NICE telling us NOT to prescribe paracetamol help exactly? Ok medication often doesn't help - agreed ..so we get guidance to avoid using the medication LEAST likely to cause addiction or adverse effects. Smart that. Genius. You got my back NICE, thanks very much.
Do anything and everything you can to get more GPs
Anything ..so long as it does address why there is a recruitment problem in the first place.
Hopefully sometime in the not too distant future all our Drs will have been born and raised in a different country. It will certainly make all the patients they see who were also born and raised in a different country feel comfortable, and right at home, which will be marvellous, and really all that matters ..to me anyhow..because I was born and raised in a different country, I'm already over represented in the profession I work in, compaired with the population I serve and I'm really keen to increase that over representation... and aren't all British people lazy, crap and xenophobic anyway..look they just voted for BREXIT ..there's your proof.
How many themes do you recognise. Do you find any of this offensive. If so why?
Answers will of cause not be read by anyone much and are likely to only make you more entrenched in you current point of view. Besides which what does it matter ...none of us are here for long anyhow. Enjoy the sunshine when you can and give out as much love to whoever needs it as you can get away with.
I’m sure Mr Hunt will read it and smile. He despises GPs.
“Dear Mr Hunt we are so desperate that a little over half of us might think about possibly...not taking on any more patients...we really are that livid”
He’ll think..”..ok go on then you bunch of feeble self-imports..make my day”
Really this is the worse we can threaten? It’s just so depressing. I’m embarrassed to be a GP, I really am.
Rofique Ali | Salaried GP03 Oct 2017 5:44pm
doctors make correct diagnosis 50-80% of the time.
google is 50-60%.
Most of a GPs job is not about the diagnosis
He’s quite right. It is.
Technology is driving change through disruption at a grass roots level. This kind of change doesn’t happen because self important ‘Jonny come lately’ politicians impose ‘apps’ across entire swaths of a country’s healthcare system from above. The centralised top down model so beloved of people like Jeremy Hunt is the complete antithesis of the change that technology is bringing and as such is doomed to failure. JH sees technology as a way to control his NHS...from a philosophical perspective that is exactly what is NOT going to happen.
Dr Google is simply an online encyclopaedia. Tell your patients noone would be so stupid to self diagnosis by looking up their symptoms in a book and they soon shut up. You can’t learn experience by reading a book. It’s a lack of experience that makes Dr Google difficult. Once you know what you are doing, you know what you are doing, and Dr Google is exposed. If you don’t know how to apply the knowledge you have access to ...it’s useless.
DecorumEst | Salaried GP03 Oct 2017 2:13pm
DCC Hampshire - salary 162k+ in 2015. What does she do for that?
...not a lot of ‘wider reading’ that’s pretty obvious
...anyone ever watched Hollyoaks? Not a profession on there that’s isn’t totally corrupted...teacher, policeman, lawyer, doctor..everyone on there gets the twisted psychopath treatment. And it’s all passed off as ‘normal’. With that kind of stuff out there as bread and butter culture no wonder your average punter is a bit off track.