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A faulty production line


  • Pulse’s contract verdict: As good as it could have been

    Anonymousgp's comment 09 Feb 2020 9:10am

    If you have to be paid 20k to agree to being a GP partner that says it all !??

  • The GP workforce's faulty production line

    Anonymousgp's comment 05 Feb 2020 9:52am

    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

  • Pulse 2019 review: Practices closing in record numbers

    Anonymousgp's comment 01 Jan 2020 10:53am

    A sad situation caused by lack of the 5 Ps by governments
    I am ashamed to be British

  • How the CQC stole Christmas

    Anonymousgp's comment 19 Dec 2019 3:02pm

    An excellent summary
    Now about 111?

  • Are there too many posh doctors?

    Anonymousgp's comment 04 Dec 2019 8:40pm

    Thank the Good Lord Boris J did not take up medicine !

  • Are there too many posh doctors?

    Anonymousgp's comment 04 Dec 2019 8:37pm

    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

  • High Court rejects appeal from family of locum GP who died on day off

    Anonymousgp's comment 04 Dec 2019 8:08pm

    The rules quite simply need changing

  • Only one in 20 GP trainees will work full-time in general practice in ten years

    Anonymousgp's comment 02 Dec 2019 11:01am

    Is this a surprise to politicians?
    You reap what you sow

  • GPs vote for home visits to be removed from contract

    Anonymousgp's comment 27 Nov 2019 9:56pm

    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
    would improve
    Help us to help patients

  • Little evidence that locum GPs pose greater risk to patient safety, study finds

    Anonymousgp's comment 14 Nov 2019 11:33am

    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

  • Do you want to be stranded at the top of your licence?

    Anonymousgp's comment 09 Nov 2019 10:25am

    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?

  • Wales exceeds GP training places target for second time this year

    Anonymousgp's comment 04 Nov 2019 10:38am

    Good news
    When I stop working part time in a few years I hopefully will feel not needed?

  • CQC, take your own intelligent advice

    Anonymousgp's comment 19 Oct 2019 6:22pm

    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

  • All practices in crisis town restrict patient lists over patient safety concerns

    Anonymousgp's comment 07 Oct 2019 2:25pm

    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 ?

  • Pension issues create incentive for a third of GPs to refuse shifts, admits Government

    Anonymousgp's comment 11 Sep 2019 10:13am

    A sticking plaster for a ruptured AAA

  • Boris Johnson pledges to reduce GP waiting times in first speech as PM

    Anonymousgp's comment 25 Jul 2019 1:15pm

    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’

  • I need something strong for this niggly QOF

    Anonymousgp's comment 13 Jul 2019 10:15am

    Glad I’m a locum now
    Won’t GPs principals fall foul of IR 35 soon?

  • Open Surgery: We only got ten minutes

    Anonymousgp's comment 06 Jul 2019 7:14pm

    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 tragic legacy of our serial GP reforms

    Anonymousgp's comment 06 Jul 2019 7:07pm

    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

  • Patients directed to 111 or 999 as 13,000-patient practice cancels all appointments

    Anonymousgp's comment 01 Jun 2019 3:01pm

    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