AlanAlmond is a very important person. He/she has served on numerous committees and contributed to a swath of NICE guidance. He/she has had many different jobs in medicine, all with impressive sounding titles, he/she has gained important medical qualifications and has worked as a GPwSi in a field you probably know little about. AlanAlmonds importance is such that he/she has felt it appropriate to write this biography in a style suggestive of an independent biographer...possibly employed by an eminent newspaper or journal befitting of his/her status...when everybody knows, AlanAlmond wrote this him/herself and is just a little bit of a narcassist. Well that’s AlanAlmond he/she’s really quite a guy/girl. Certainly more important that you, that’s obvious, a ‘Top GP’, or certainly would like you to think so. He /she certainly does. I shall not go on. I’ve said enough already. Just remember the name - AlanAlmond - VIIP (that’s very impressive person but important too, both infact)
is it just me or are the current crop of politicians especially useless at the moment? the country is facing one of the biggest challenges of the last 80 years and random groups of MPs are making 'principled stands' resigning, rendering themselves pretty irrelevant but conveniently avoiding any difficult decisions and collective responsibility ...thanks very much Dr Wollaston, but how exactly is this going to help anything or anyone but you and your delicate 'conscience'?
forgive me ..i googled it and got my stats from the sun - that's where most of my figures come from these days
They're all going to die of something, statistically on average the men within 4 years of their 75th birthday, the women within 7. If it ain't cardiovascular disease it'll be cancer/kidney failure/dementia/sepsis/bronchopneumonia..or something else. Statins won't stop anyone from dying that's for sure
I suggest Caroline is a 'faceless bureaucrat' and my comment is removed. Come on Pulse. I've posted plenty of much more offensive stuff on here and it isn't touched..what exactly is so outrageous about suggesting Caroline Dinenage is a faceless bureaucrat?
..and Ian Trenholm too ..ditto
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"The new GP contract, released last month by the BMA and NHS England, pledged to recruit 22,000 additional practice staff, including pharmacists and paramedics, by 2023/24"...there you have it, a brand new 'GP' contract, who's stated aim is to recruit lots of people who aren't GPs . What utter poverty of ambition. When the official policy, the thing we are all supposedly agreed on and working towards, a contract misleadingly prefixed "GP" is all about getting other people in to do the job ..all rubber stamped and signed off by the Drs union the BMA! Meanwhile we read articles wearily reporting the ongoing reduction in the GP work force, as if this ISNT the official policy as outlined in aforementioned "GP" contract. Step back and take a look at it all ...I find it all rather bizarre.
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so here we are, vast amounts of public money directed on the whim of naive politicians towards vanity projects nobody wants, just basically so they can make their mark in the few years they are 'in charge'. such a clever idea Mr Hancock, maybe you should have asked round a bit wether anyone actually wants this, not just the bubble of well healed smart phone obsessed city buddies you hang out with
GPs should consider the possibility of infection in the under fives with a raised tympanic membrane temperature.
Respiratory tract infection should be considered in those presenting with cough of recent onset where another explanation is unlikely.
Anyone need any more advice please get in touch.
it's f&£k all to do with brexit, its because the job is shite ..unless you don't want brexit, in which case everything that's crap anywhere is caused by brexit. australia doesn't rely on promises of economic and political union in order to secure international medical recruitment targets . brits have flooded to australia because it's a nice place to be and the working conditions are better. FFS there's more going on in the world that the european union and brexit ..if the job was worth doing we'd have no problem recruiting candidates...that's the issue here, claiming other causes is frankly insulting ..enough with the boring brexit axe grinding , i think the entire country is more than a little board with brexit bull shit
It might be interesting to reflect on how may GPs on the day in question aren’t at work. I for one have virtually given up practice because when I do on a regular basis it’s more than I can handle. I work as a Locum because when I have been salaried after a couple of years my mental health suffers and I have to stop. The intensity and demands of the continuous unrelenting slog of seeing patient after patient with all the associated administrative drudge peppered with sporadic, infrequent but highly warring complains makes regular ‘full time’ working, for me personally, an almost suicIdal proposition. This is doubt due in part to my own personal constitution, but I am in no way a flake, and I’m sure there are many like me. I often read comments in the wider media reflecting on the fact so many GPs work part time...this is a consequence of the intensity of the work and I hope this can somehow be drawn out in the survey in some way to guard against the inevitable misinterpretation of GP part times as somehow a sign of us being over paid and lazy..this couldn’t be further from the truth. The level of general attrition in the work force is not sustainable and needs to be addressed. Keep up the excellent work.
this will be a nightmare, notes written as an aide memoir for the benefit of the Dr with no knowledge they would later be poured over by a subgroup of obsessives who will flood surgeries up and down the country angrily demanding the wording is changed. expect an avalanche of complaints and negligence claims. we'll all have to take a month off everyone of us to write letters 'apologising' for hastily written notes that don't correspond exactly to the patient's own recollection of events - from their perspective of cause. there will be zero comprehension that notes historically were written from the Drs perspective and for their benefit to aid in future patient care. this is an idea pushed by people who are ignorant of half the reason why Dr's make notes in the first place and looking forward it will render medical notes half useless. it's total shit. allow access to a summary by all
means but the general public does not have the understanding to interpret raw medical notes - that's a fact
So if they want something 'real', ie not 'virtual', and they want it immediately, they can't. The glaring flaw in this model is that if it is rolled out nationally it will encounter exactly the same constraints as any other model - a lack of capacity in human staff. Unless they out source the human element to other countries - which given recent 'clarification' from the GMC - if probably exactly what is planned. ie online consults with Drs trained and registered in estonia and romania - no offence to the good Drs over there but an obvious regulatory and governance pandora's box
...anyone got a couple of quid for a hostel? I missed my bus
Absolutely Alan, I couldnt have put it better myself, and furthermore I agree with all
the other posters on here (with the exception of Stelvio who got in first) you really have hit the nail on the head about lack
of interest - keep it up fella.
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"He says: ‘I was struck by a figure when I first arrived as health secretary that in a hospital setting there are two nurses for every doctor. But in primary care, there are two doctors for every nurse. There are lots of things that can be delivered by other professionals that GPs currently do.’"
i know this has already been highlighted in another comment but really how vacuous. this guy is clueless ..he's really has no f£&king idea
Babylon is a form of heath provision cancer caused by the fusion of two native viral memes (greed and tech-fetishism). It leads to the eventual death of the host CCG as the tumour rapidly expands forming a ball of healthy 20-30 something tissue with large patent financial vessels leaving the rest of the CCG body to wither and necrose as nutrients and oxygen are drawn away. It will take many years for a cure to be found. DEFRA estimates 90% of CCGs are destined to perish before an appropriate treatment is found. "The problem is there are several variants of the virus and government funding is actually acting to increase their virulence, until the source of this funding is dealt with there is little hope" an unnamed source at DEFRA explained.
you can see by the lack of comments to this article how much the medical profession as a whole cares about this issue. there's very little funding for dedicated homeless healthcare provision which is what is needed, there just aren't the resources in conventional general practice to do what's needed for this vulnerable and pathology laden group. we are overwhelmed by providing basic care to the 'worried well' so it's no wonder we struggle helping a group of transitory infrequent attenders, disproportionately effected by psychiatric and drug misuse problems. it reflects poorly on our government and the priorities of the society who votes them in