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GPs buried under trusts' workload dump

Robert Caudwell

  • We must convince graduates that general practice is 'exciting', says Ashworth

    Robert Caudwell's comment 15 Nov 2019 5:35pm

    You could argue Russian roulette is "exciting". I can only assume he's using the same definition of exciting in this quote

  • How GPs are being buried under secondary care work

    Robert Caudwell's comment 29 Oct 2019 11:19am

    A number of trusts have admitted outright breaches of their contract in the above article. What action will NHSE/I be taking (rhetorical question, obviously). The fact that they feel comfortable publically admitting they are in breach of contract (with the subtext, "It's only GPs we are dumping on") speaks volumes.

  • GPs requesting ambulance will have to provide a score for level of emergency

    Robert Caudwell's comment 27 Sep 2019 10:44am

    NHSE really, really hate GPs don't they (sorry if I'm late to that particular realisation)? Why on earth would you put a barrier in place to request an ambulance when they've been assessed by someone trained and experienced. Unless of course it's to continue the subtle drip feed that GPs are the problem "by requesting ambulances more urgently than they should etc etc". Patient who stubs their toe and tells 111 they have a pain score of 10 will have an ambulance at the door before they've put their shoes on, whereas if I need an ambulance for an ill patient, I have to jump through hoops, calculate meaningless scores, and probably wait longer for it to arrive because they deprioritise patients at a GP practice.

  • Government's flagship named GP scheme 'is not effective'

    Robert Caudwell's comment 24 Sep 2019 10:33am

    Has it really taken 5 years to work out that this was a waste of time? I'm sure most of us could've predicted the outcome within 5 minutes.

  • GPs in England receive over 250,000 inappropriate NHS 111 referrals per month

    Robert Caudwell's comment 19 Jul 2019 12:07pm

    Best one I've had "?cutaneous anthrax - contact GP within 2 hours". The patient had a spot.

  • NHS recruits 120 overseas doctors towards target of 2,000

    Robert Caudwell's comment 06 Jul 2019 10:54am

    They're going about this all wrong. Surely you'd target countries where it is worse to work as a GP than in the UK (if you could set aside the moral issue of stealing countries with a likely underdeveloped healthcare system's staff). I don't know enough about other countries to know where that may be; nowhere leaps to mind. I suspect it's unlikely to be in the EEA, or Australia though.
    An interesting question might be, "how much has each international GP recruited (defined as still here 12 montsh in), actually cost to recrui?" Suspect the number will be mind boggling

  • Digital GP consultations make spotting signs of sepsis 'a challenge', says PHE

    Robert Caudwell's comment 11 Mar 2019 10:46am

    So, actually examining a patient is better than not doing. Who'd have thought it?

  • Proper state-funded indemnity would reduce NHS demand

    Robert Caudwell's comment 29 Nov 2017 1:54am

    Forgot ombudsman, so 5 avenues of complaint.

  • Proper state-funded indemnity would reduce NHS demand

    Robert Caudwell's comment 29 Nov 2017 1:49am

    Disagree entirely. Litigation is only one aspect of GP complaints. GMC/NHSE/CQC/CCG are all complaints patients can make, and are all investigated seperately, at enormous cost in both time and emotional energy for the GP concerned, however unfounded. The ship has sailed unfortunately.

  • The real conspiracy of NHS England

    Robert Caudwell's comment 04 Aug 2017 11:16am

    There are probably well meaning people in NHSE, you may well be one of them. You haven't specified any of the positive actions that have been taken, and in terms of assessing the evidence, when I started as a partner I left work at 18.30, indemnity was way less than it is now, there was healthy competition for Partnerships, training places over subscribed, sveeral less layers of regulation and the profession seemed stable and well respected. Compare to now, 12 hours days, usuall in at weekend to catch up, not a hope in hell of recruiting, training places unfilled, CQC et al making an almost impossible job that much worse, sppiralling indemnity and anyone who can get out planning to do so. I don't know the motivations, but the results speak columes. It's either deliberate (NHSE or DOH, lines increasingly blurred), or incompetance. End result is the same though.

  • A call to arms - time for a new trade union?

    Robert Caudwell's comment 23 Jan 2017 10:44am

    The GPC have shown they either can't, or won't represent the profession and the grassroots GPs working within it. Either way, the collapse continues at an increasing pace. Are things bad enough, for enough colleagues, for them to do something about it? Who knows? Perhaps with effective leadership and more like this piece enough might be moved to act?