If you have to be paid 20k to agree to being a GP partner that says it all !??
Maybe the government needs to pay GPs more for the time being instead of less - (either by grinding down pay, making GPs work longer hours, increasing stress with CQC meetings of limited value etc, removing money from pensions by increasing contributions and capping them etc)
The removal of seniority pay is a clear trigger for senior GPs to leave as they are not rewarded for their experience.
The laws of economics would work to tide the country over until enough doctors are trained.
Flexible working, salaried well paid service, support, paid training and less ‘extended hours’ would all help.
I think GPs rather like marathon runners hit ‘ the wall’ and become worn out and dejected but this could be reversed
All is not lost, just the political will to act
A sad situation caused by lack of the 5 Ps by governments
I am ashamed to be British
An excellent summary
Now about 111?
Thank the Good Lord Boris J did not take up medicine !
An excellent evidence based article ( or maybe not)
The Carr Hill formula and greater numbers of establishment / medico politically involved GPs in leafy suburbs ensure funding for practices in deprived areas is grossly inadequate and remains so !!
After 34.5 years working in the second most deprived area of a city I remain frustrated by this unethical situation
I now work as a half time Locum OOH
Doctors would flock to and work hard for and with deprived populations but the pay is less, workload more, recruitment stymied by cash and all this is hard to cope with
Please let’s have genuine fairer funding and more support staff and allied clinicians poorer areas
Let’s deal with this equitably and honestly
The rules quite simply need changing
Is this a surprise to politicians?
You reap what you sow
The time has come to charge patients and lat them reclaim some or all of it
The only was to put more money into the nhs is to charge users
We have moved on a long way since the late 1940s
Also why not scrap the 111 service and just have gave to face triage again paid for or contributed to by direct charges
There is an imperative to improve the system and then maybe the cancer outcomes
Help us to help patients
The main risk to patients is the lack of doctors and nurses and underfunding which is not connected with locums who help underpin a failing service
If we had lots of clinicians there would be more
time for navel gazing - sorry I mean research into safety and robust clinical governance
I enjoy working as an OOH GP
Granted the hours are anti social but I do see lots of variety. Some simple things as well as complex, and things I have never seen before.
I feel I am doing the job I was trained for not spending half my time on MOLV (meetings of limited value) and filing pathology results, managing other clinicians and trying to cope with the increasing demand for appointments
I agree delegation of all the simple stuff doesn’t work well and de skills us.
Perhaps the lesser skilled clinicians could take all the histories from the complex
Patients and We can spend 10 minutes completing the assessments?
When I stop working part time in a few years I hopefully will feel not needed?
The CQC is not fit for purpose if it has just realised there is an NHS crisis
My experience with having precious CQC inspections in the past has been very mixed
My feedback they solicited after the second assessment was scathing and honest but as I received no acknowledgement I suspect Is was binned
What is the point of an inspection system where the system is fundamentally failing
Why not redirect the money and staff from the CQC into direct healthcare services.
I have a few more ideas but with the perinatal mortality increase, probable increased morbidity and mortality from so called austerity including reduction in longevity I believe the government are dead to radical but sensible ideas to improve the lives and health of people
Perhaps the government has already projected forwards to the worst point in this continuing shortfall of GPs
Perhaps there needs to be a fundamental approach in making a GP s job more sustainable with appropriate remuneration and a work life balance that is sustainable.
Make current GPs an offer they can’t refuse and thus encourage more retention of part time retirees.
In capitalism supply and demand are corrected by paying more for highly skilled people and working hard to retain them.
Oops looks like the government is doing the opposite ?
A sticking plaster for a ruptured AAA
But long queues at Dover after no deal Brexit ?
No hat and no rabbits just hot air!
Proper funding of primary care would help and ditching all the time consuming meetings and work of limited clinical value would make a significant difference
There is a large retired work force who might be tempted to work 1 or 2 days a week for the right deal and support
We need to support retain reward and incentivise GPs much more until more are trained
Jeremy *unt and his idea of GPs doing penance for the 2004 deal was crazy
If the MP s shadow clinicians in the front line they might just ‘get it’
Glad I’m a locum now
Won’t GPs principals fall foul of IR 35 soon?
How about a phone call
at 5-30 on a Monday morning from a patient who has just consumed the last of their lactulose so expects to be able to rock up to a
PCC to collect some more as it’s difficult to get a GP appointment
2 minutes was too long ?!
The reference to Soviet type control is very true
Now whistle blowing or often just mean attacks wrapped up as ‘concerns’ means everyone can report their neighbour
Investigations of sort follows as in the Lenin era without thought for the consequences and risk to patients and clinicians lest a major scandal be missed
The RCGP and BMA should be assessing the CQC
It seems not to practice to the ethical standards we all adhere to
I am soooo frustrated even though I have left the practice after 34.5 years
Practices are starved of resources, paying high Locum rates, working extremely long hours and expected to excel in all aspects
A recipe for poor retention, high mental heath illness in GPs and collapse of he system
Only saints or misguided optimists are holding the system together with sticky tape