Don't hold your breath. CQC and appraisal are here to stay. I wouldn't bank on anyone with the job title "beneficial changes’ network lead" making good decisions on what bureaucratic activities to axe. It is like an episode of the fabulous comedy "W1".
Too late for me - the damage is done. Late 40's, don't really give a sh*t anymore ( burnt out) waiting to retire (early). Coasting in - if such a thing is possible. Big factors = CQC and appraisal causing peaks of stress through the year.
It is government / NHSE policy and how most NHS managers I know operate. They will say any old reassuring sh*t at the time to get the job done. We are idiots for believing anything anyone says to us.
I mentioned in one of my previous posts on another matter. ...managers, politicians,they will say any old sh*t to get the job done. If you happen die as a result of said sh*t - tough. Sloping shoulders will ensure no responsibility is taken
Can someone tell me what the benefit is of remote working. It is convenient to the patient - but otherwise? It takes the same amount of time, utilises tech which is always inherently unstable and unreliable, often results in having to have two contact with the patient (once to triage once to actually see), carries much more medicolegal risk for the clinician. I get that patients are being really good about remote consults - but do you really think that is going to last post pandemic? I very much remain to be convinced.
Totally contradicts the WHO advice. How convenient that we are told to re use PPE - just when it happens to be in obvious short supply.Trust this?
I am quite happy to have a look through this list. I really don't know what all this fuss is about. I will be right on it as soon as i have sorted this pandemic thing out...ok?
....i would add to my comment above - better give me two brooms in view of the decimated workforce
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Lots of rumours spinning around about what we should be doing with our self isolated worried and not so well....but nothing official. Am I surprised this all looks a bit on the ad hoc side of things? 111 are sending them to us....but what do we do with them?
So - this change in advice was given yesterday afternoon - and I was kind of hoping i would come in to a raft of e mails offering advice to me as to how we respond to patients. Not a jot however. Everything I know is from the BBC website, or from the patient info on the NHS website. Nothing official at all for professionals.
Push to increase practice size, expand extended hours provision in central hubs, take GP's away from front line work by creating PCN's/CCG's/ any other number of political positions/appraisal/CQC, make the job so bloody terrible that no one wants/can to do it full time....and then bleat about lack of continuity. He is an absolute rigid gold plated c*ck
"Others - Wessex in particular - should take note and reflect."
NHSfatcat - "You pay your levy, have your say through them." - I wish! Our LMC tends towards saying what a marvellous deal everything is (including elements of the previous incarnation of this DES). Never mind - just a few years until early retirement. (still waiting for RoboMatt to try and retain me).
Watch the further exodus as the 40% pensions relief becomes 20%. Joined up thinking between departments? No. A government of none of the talents.
I get the feeling that the government sees that the end game is in sight (the game being to destroy primary care). Why they would do this in the first case is lunacy and beyond me - but my experience is that lunacy is seldom a reason for politicians not to behave in a given manner.
You can pay all you want - there just and the GP's or Noctors out there to actually do this.
It's not the economics - it is the staffing - stupid.
It is like an exercise in how to demoralise an entire profession - the same profession in which you are trying to improve retention. It would be hard to make this up......
I can log in - it is just that none of the IT works when I am logged in. It is beyond sh*t.
As with all the PCN (not practice) services it is reliant on the PCN (not the practice) being able to find a workforce to supply the service yes? The care home service is no different. No GP - no service. No funding, no GP - no service. Simples. If one of your PCN colleagues approaches and asks you to go and do a ward round when you don't have time or funding - you just say no....right?