Problem with saying no is There is the implied or often explicit threat of complaint and resulting paperwork. For which we have no time if you value your sanity. There is too much regulation which hopefully the Americans will insist on paring back if there is a trade deal.
None, its traditional
Well, if we worked in GP chambers contracting directly with health commissioners we will be better off financially and have more control - no more staff worries (except a manager to bring in the work)or CQC or financial liabilities. Could work well. But would cost tax payer about 30-40% more but with reduced productivity.
We should have gone on strike when they introduced the pension reforms. But we did not probably because older GPs who had already built up their pension pot did not care for the younger generation.
Well, having read the contract, you can leave giving 3 months notice.
Oh dear, those in government are not listening. Well, GPs will continue to vote with their feet. In the long run it will cost HMG more, but I guess that they are not in it for the long run.
Haha, what new money, seems like she presided over cuts and more cuts. She was a useless prime minister who should have been removed after her election fiasco.
Problem with Canadian/Oz model is that Joe Public does not want to pay. That is the main problem. If Joe public had to pay directly they would think before they used a service. We either have to accept the NHS with its problems or move to a insurance based system (and accept its problems of many people not having any cover). The choice is yours (Joe Public), be careful who you vote for :)
Oh dear, GMC really has no idea of what its like on the coal face. Suggest some of those Drs try full time practice for 1 year. Really subjective assessment like these are a waste of tax payers money.
Ha Ha, will never happen in UK, I see on average 30 patients per day + visits
We stopped doing these and housing letters ages ago, it was taking up too much time, which we do not have. Also the patient`s often wanted to dictate to us what to put in the letter !!
Pay is too low and made far worse with unnecessary paperwork (CQC, revalidation, crap open ended contract). They need to move to payment per activity and fund it properly or risk it gradually fading away. I do not think anything will change until we get to the point of 5000 less GPs and some areas having no qualified doctor cover - then patients will really start to moan.
Salaried workforce, here we come. But it will take a labour government to do and then realize many years later it costs more to run. I will get nice sick pay and not have to bother about who will cover on annual leave and better pension contributions.
I think MDO are saving their own business, they stand to loose the most from this, especially when there is real competition.
And you really will need a magic wand to solve the problems you face. otherwise you will be blamed for everything. And don't drink that potion, or you will find yourself trapped in that ever shrinking contract.
It will only happen when more GPs leave. That's the only message the managers will listen to. Because it does not look good if patients have no GP access - which is what will start to happen is more GPs leave.
We need to move to a activity based fee, then the real cost will deter minor problems (and encourage self help) and we would earn more and do 50% less work
Exactly, this is the problem we are dealing with. They are not realistic.
Public health physician, emotional blackmail no longer works when colleagues are devalued and have already had numerous pay cuts.
It is only in name, we have no real power. Otherwise there would be a lot of fired people.