A well written precis of the current malaise
They are a joke
I've saved 24 x £500 = £12K by declining to pay subs
That buys about 600 cardigans to distribute among the great and good of our Royal Uselessness, including one Extra Large
A poisoned chalice
Had ours a few months back
2 weeks of sheer hell staying til 8pm every night
PM new, didn't know what to do
2 GPs were on leave
As registered manager I did it all - practice definition, KOLY's, and the whole presentation
One night couldn't sleep and came in at 2am to work all night on it
Memorised and reeled off everything to do with mental capacity, information governance, audits, significant events, policies A-Z
Result - got a good in every single domain
Felt like I'd climbed Everest
It's called 'don't interrupt internal search'
in Roger Neighbour's 'The inner consultation'
Hunt, whatever you suggest, I will do the exact opposite
'My precious NHS'
Cardigans and bleeding hearts please get a life
It's gone and it's because of your collective inaction to the imposed political ideology
Another pointless petition
Camoron, Hunt, Osborne et al - liars interested only in lining their own pockets - UK is now a communist European state with no recognisable democracy
This lot have been exposed as the most despicable and reviled politicians in history
So what do we do - a petition?
Please give me strength
An accurate reflection of the current malaise.
But whether the nasty self interested pocket lining triumvirate of Cameron, Osborne and Hunt give a flying f$%k is quite another matter.
Dear anonymous nurse.
God help us when us GPs have been replaced by nurse practissioners.
Visits in my opinion are the most time consuming and intrusive (and unenjoyable) part of my day.
There's a pile of steaming sh1t waiting for me at the surgery to complete when I return.
And I am hungry and need to eat my lunch, just like any normal person.
A few extra quid for driving around in bad traffic for someone outside the area?
This DES can be rammed right back up where the sun don't shine.
'Power' seems a word ill-suited to this venerable 50 who despite whatever efforts they have put in, have made not a jot of difference to the terminal decline of general practice.
Sitting on committees and spouting ' another kick in the teeth for GPs', 'we will try harder with the contract next time', 'we all need to federate to survive', 'these are difficult times for GPs', 'start a campaign saying your GP cares' is not 'power' and has irreversibly damaged by job.
Well done, my 'powerful' colleagues!
A court of law would hardly find in favour a patient who had been referred, never turned up and never let the GP know!
There is nothing stopping the GP referring - we are then medicolegally covered.
If the surgeon declines to operate due to his personal objection to lifestyle issues, that's his problem to deal with, not ours.
I don't see where GPs are at risk here.
For example, I refer lots of fat people for knee replacements and lots of people with partial slipped discs for neurosurgery who may be 50/50 for surgery - it's the specialist's beef what he does with them - frankly after I've done the referral my job is done medicolegally.
But there is a workload consequence here - if pts are being sent back to us not having TKR for being fat and not having CABG for smoking, they will be straight back to us with ongoing symptoms.
A well written article.
Not just the content, but so refreshing to see proper sentence structure, spelling and order in the writing.
So many GP contributors to this blog can barely write proper English or construct cogent arguments!
usual lies and platitudes
U R so rite!
There will be many more.
I empathise with your pain and frustration.
Good luck to you.
Dr Helen Stokes-Lampard: 'We are delighted Pulse is highlighting the crisis facing general practice'
That's exactly the problem.
There are far too many smiley RCGP spokespeople who are 'delighted' about everything.
That's why you were selected for medicine in the first place.
Let's see how delighted you are when your practice closes (if indeed you still do any GP sessions)
PM above is spot on.
I'm always surprised by some GPs' spelling too.
Naomi - it's emasculated not immasculated.
Clearly an A in English is no longer a requirement for our young doctors!
As for the David and Goliath metaphor, for all it's worth you might as well use George and Mildred.
Another Pulse campaign?:
Don't make me laugh!
Posturing and bleating is falling on deaf ears.
It's terminal, it's a done job.
Secure some sort of exit plan and get out.