Very well said
Of course we should look into all factors which may be contributing towards ill health.
But the name lifestyle disease is not a good one as it implies guilt and blame.
Of course, GPs were always the ones practising holistic medicine, until we got shackled with the trappings of performance related targets and QOF
But the title of this conference was very upsetting to anyone (like me) who has lost a family member to covid
this is a fantastic column because sometimes grouping all BAME together is not the right thing to do when Asians do so well academically and black males do not.
I would like to see many more black, male intellectual role models - we have virtually none at present and it's 2020!
Thank you for all the supportive and respectful comments.
My beautiful mum died this evening and, despite Covid, we managed to ensure a blanket of kids and grandkids wrapped around her at different times.
I was happy she had such a peaceful death with my kids singing to her.
Rather than avoiding death, we should focus on how to make it the best experience we can when the time comes.
Richard Johnson:Locum GP26 May 2020 12:00pm
"I objected to this letter when it was proposed and was accused of being a Tory troll and threatening with banning from the group. So it is written by those who do not tolerate an alternative view of events"
I feel I must respond to Richard's comment
I am a member of the facebook group GP Survival. I have nothing to do with the running of it. I have signed this letter
What you have left out, Richard, is the delivery of your message. You accused us all of being left winged tw*ts with a hidden agenda. I am ashamed to say I didn't even know who DC was until all this kicked off so I clearly had no other agenda
I am completely incensed by the ruling Tory elite to basically make up the rules as they go along. His situation was no more special than mine, which was no more special than millions of parents up and down the country, faced with the challenges of parenting whilst unwell, when there is no family nearby. We are all obviously negligent parents
And my instincts were strongly telling me to go and console my family members by giving them a hug, after a death in the family due to covid. I did not allow my instincts to kick in because I knew this was not allowed.
As for the trip to Barnard Castle to check eyesight, which happened to be on the day of his wife's birthday?
Do they really think we are all so stupid and inferior?
This is truly inspirational
Well done Sharon 👏👏👏
I'm sorry to say, I didn't find this guidance remotely useful.
We all know what the risk factors are.
What we need is consistency in how we implement them, like a scoring system.
Without this, employers are left confused and workers are at risk of being exposed to areas they should not be working in.
And I don't think the excess mortality in BAME communities is entirely down to obesity or co-morbidities.
Diet and genetic factors are likely to be highly relevant.
Well done Nasir
Nice tributes Pulse
Really really thought provoking article.
Stay safe Coppers
Jaimie - this is super helpful
Will go into my daily staff briefing. Thank you!
Lots of misconceptions about this research.
I am proud to have been one of the GPs involved with this study and I'm certain I have over estimated benefits of treatment.
This research is a forerunner to actually doing something constructive about the problem.
The problem is that there are no up to date, system-wide tools to assist clinicians with making treatment choices in partnership with patients.
Ivan - of course it is about making decisions in partnership with the patient as there are 2 types of expertise - the doctor and the patient. But as this research shows, sometimes the doctor's expertise is factually incorrect.
As for being bulldozed into treatment by NICE - this is also incorrect if you read the first few pages of every guideline, which emphasises the importance of a patient centred approach.
Shared decision making with proper documentation actually helps you with managing risk and doesn't increase it
I am left wondering:
1. Why you are blaming patients for your poor access system?
2. Why you think a nominal fee won't have the same exemptions as prescription charges?
3. Whether you are in the right job?
I am also struggling to make sense of this article.
There are valid points about the gender pay gap and it appears you are working very hard. But I'm baffled that you are blaming this on the sexist partnership model, rather than your personal domestic arrangements.
I'm not sure you appreciate the privilege and choices you have at your disposal. Being in a relationship with another GP means that you can both work as part time partners (or salaried or locums) and reap multiple benefits of retaining your personal tax allowance, a lower pension rate and possibly retention of child benefit as it's based on individual income and not household income. If you are salaried, you can also claim for a salary sacrifice scheme for childcare vouchers.
It also means you can have an equal share of childcare which makes you less burnt out.
I am entitled to none of this as I am the only earner in my household. When I was a Partner we had a fantastic Partnership relationship and we sat down and talked about our values and work life balance. This is something which is more difficult to do as a salaried GP.
I think job shares are the way forward and as so many partnerships are desperate for succession planning, they are likely to be open to negotiation.
I think it's difficult to negotiate an easier day every single day as someone still has to be on call. But if it's only once a week, you can make arrangements for cover with your husband and visa versa.
But maybe I have misunderstood the issues - I'm not sure
Please stop being tribal - Sam and Margaret are the good guys and have campaigned tirelessly against stupid non-evidenced based government gimmicks
They are trying to help!
"The other week, I had to drive a frail, elderly lady with advanced lung cancer and 02 saturations of 80% to A&E myself, because it was 8pm and the emergency ambulance I’d requested failed to turn up."
The system is broken. Not just because of the failure of the ambulance service, but mainly because we have somehow normalised a scenario of prolonging life at all cost.
It's not just about politics. It's also about rethinking what we are doing in medicine, at what cost and for whose benefit.
I'm sorry David but I think you have over simplified a very complex issue
Is there evidence that working classed doctors are more prevalent in deprived and under-resourced areas? If so, is this because they choose these areas or because it's the only place which will accept them?
And it's much easier to be a "champagne socialist" and do your bit for mankind when you have a huge safety net in the bank of mum and dad and their inheritance. So many "posh GPs" end up in challenging areas as they are doing their bit for society
I came from significant poverty. I never want to go back there so money was very important to me in partnership conversations. I wanted to work in a nice leafy suburban middle classed area but no-one would have me. So I ended up in one of the most deprived areas of the country!
I agree you don't need academic intelligence to be a good doctor but you do need emotional intelligence, good problem solving skills and resilience.
I think all universities have become overly competitive for all subjects and it's leading to an increase in mental health issues in the young
What the hell is full-time?
Difficult to interpret this report when there is no definition of full-time.
We all know that working more than 6 sessions in practice is more than full time
This is why asking people where they are from is really, really annoying
Wow - what an amazing GP and human being