The work shy seem to get assessed as unfit. It is the genuinely ill who often play down their problems who are declared fit for work.
Who said "spare me from interestng times." I don't want exciting just steady manageable workload. I send the exciting stuff to those hospital Drs who probably don't find it exciting after their 500th. Super specialisation and all.
"Mirror" I am not sure GP needs a mirror in this conversation. The problem is when resources are stretched priorities have to be made. No senior officials with whom the power lies are patently to politically weak or chicked to make these hard decisions so defer them to the coal face. Then snipe from the safe place away from the front line. Triage means occasionally leaving one potentially retreivable injury to deal with 10 more easily retreivable injuries. Based on available resources nd doing the most good. GP is at this point I feel. And as CQC don't see resourcing as an issue affecting quality they become another nail in the coffin rather than the resus room the system needs.
The problem is that the contract is engineered to deny GP's the opportunity to control their workload. Money from enhanced services is lost if you close your list. So you are financially penalised for controlling workload.
I feel the big problem is that in areas with commuters they will register near work and been seen rarely for easy stuff. Resources will follow them to the place they work. But when they really ill they will then expect a GP where they live to provide often a short period of highly intensive input especially if it is palliative care. But there has been no resources to provide said GP for several years until suddenly it is needed. And if they re register for 3 months the GP will likely only be paid £20 for multiple visits and lots of work.
It is a bit like going to tescos 20 miles away for years in your car, then losing your license because of ill health and finding the small shops within walking distance are not there.
It can only work if GP care is done on an item of service basis. So much for an appt and so much for a visit. But the government will not go for this as it transfers the demand financial risk on to them rather than GPs who are carrying that risk essentially on a fixed price all you can eat buffet.