Excellent article Kamal.
The starvation of the partnership model has been sustained and deliberate, in order to create individual resignations and contract hand backs. This breaks down the model without any conflict.
The profession has not responded with any meaningful rebuttal because our duty of care for patients has been exploited.
We are in check mate.
I still secretly want one of my children to do medicine.
It's a wonderful job. That's why we all do it. It's the NHS that's not so hot.
Firstly, what is "full-time"? Most people have historically regarded it as 8-9 sessions, but we all know this is more than full time. 6-7 would be a more appropriate level for a 40 hour week
Secondly, I agree with Clare Gerada. I work around 50 hours a week but only 4 sessions in clinical practice. My May blog will explain why
Finally, this is not a male/female thing. It is a workload thing. Also - guess what? It's 2019 and men may actually wish to share the childcare with their female partners.
But it's the workload that's making it unsustainable to commit to more than 6 clinical sessions. Because 6 sessions is practically a 40 hour week - even for a salaried GP. For a Partner, it's significantly more.
We're just being paid a part time salary, that's all. What a great deal we have got.
It is heart breaking to repeatedly watch these scenarios over and over again.
No extra money for partnerships but plenty for caretaker organisations with a short term APMS contract.
It's almost as if they want us to fail
The world of medicine is going mad Coppers
Indemnity is not being paid in Wales - it is being subsidised y GP Partners.
If this was happening in England, there would be at least 30 comments to this article by now.
I can't believe how England-centric we have become
Thank you for highlighting this Jaimie
I, for one, was in tears following this speech.
Why? Because we know how close we have all been to the distress felt by many doctors who end up taking their own lives.
We must care for ourselves first
This is wrong on so mamy levels and big pharma will be licking their lips with joy.
Firstly - the emphasis needs to be on population prevention such as smoking, exercise and obesity, rather than process. Legislation is a key part of population prevention but governments are too squeamish for this.
Secondly, all 65 year old men fsll into the high risk CVD category. Why the hell are we medicalising the ageing process?
Lastly, why the hell is the target to increase statin use in 40 - 74 year olds? Surely the appropriate target is to reduce their risk score by stopping smoking or reducing BP through weight loss and exercise?
We have completely lost it in modern medicine when drugs come before lifestyle. Drugs should be last resort, not first.
Jaimie - I thank you from the bottom of my heart.
I have just had 2 consecutive horrendous Friday on calls and yesterday morning I dreaded going into work.
We cannot go on like this.
Oh dear - I have a 2 hour LMC meeting after an 11 hr day on that Monday. Completing the survey will be interesting!
This groundhog day scenario is genius Coppers!
If there is no harm from supplementing those with levels above 25, why bother testing?
Why not just encourage self-care for all?
Our contract is utterly unfit for purpose.
Shame this was not the agreement reached at the last England LMC conference.
I have no idea why we have this misguided attachment to GMS when it is the primary cause of all our problems, as it makes no allowances for increasing complexity, increased patient demand and expectation and wholesale dumping from secondart care.
Who else works for a fixed amount regaedless of what activity is thrown at them?
We only have ourselves to blame. Sadly, we have poor business and negotiation skills and DOH know this.
If evidence isn't there - it is called a RESEARCH TRIAL and GPs are paid to recruit and manage patients within these trials.
If the evidence is there, it is NON-CORE work and GPs need to be paid an enhanced service for carrying this out.
It's simple really. But I could have put a fiver on Ivan defending screening at all costs - I don't think he attended the medical school lecture on risks and benefits of it.
Some really excellent advice Surina - thank you.
An extra tip - find out if there are facilities in your place of work for expressing and storage of breast milk.
A dual electric pump during telephone triage works a treat!
As always, Vinci sprinkles us with his wise words.
Agree with all that has been said already.
But we,as doctors, are the ones that need to change.
Move away from the medical model of co-dependency and the facade of pretending to fix everything.
We need to be honest with patients about our limitations, refuse to become drug pushers and empower them to develop an internal locus of control.
But all that is nigh on impossible in a 10 minute consultation
I would like nothing more than have numerous motions submitted which are based on a plan, leverage and IA, rather than sentiment.
Sadly, we can only produce an agenda based on what we receive.
And even if we did have action based agendas, we need to ensure that the masses are on side.
Pulse,DNUK and Resilient commentators are not necessarily representative of the profession
(Deputy Chair England Conference)
I'm really sorry for your loss to both you and the family.
She sounds like an amazing woman
Unless blackisted and unavailable for prescribing, it will be GPs and CCGs doing the government's dirty work
I'm actually getting really frustrated with this attitude.