Unfortunately for Matty there is nothing else for the golden goose to lay! The politicians and their allies- NHSE, media, and worse of all elements of BMA, RCGP have managed to destroy the most effective, cost efficient part of the Health Service. Whatever they will be left with will be infinitely poorer than what they could have had with proper support. At least Hunt will be happy we have done our penance! Even the most pro NHS elements of the BMA must now acknowledge we are being set up to fail, the end game is well and truely underway, we shall probably be held up as the villains but the real culprits are the various elements mentioned above but add in the GMC, legal profession and the small but not insignificant percentage of the population which have totally abused the staff and service over the years. Cannot see any way out of this one folks but as a wise sage mentions "They need us more than we need them."
Totally agree Katie, very well articulated! The truth is the next move by NHSE is going to be the key- they either change tack completely and put their weight behind supporting GPs or (which seems more true to form) continue to expect blood from a stone. If the latter path is chosen even the most ardent supporters of the NHS must realize that we are being totally abused and the BMA must give us an alternative option. Failure will be unacceptable and permanent strike action will be the only solution.
It's hard to know just how ignorant politicians are ? do they really want the system to fail, or are they just, basically,...well, ignorant. I would not blame them for that as after too many years it never fails me how even District Nurses don't know that GP's are self employed! The point is by not grasping the fact that the most efficient, cheapest healthcare system on the planet revolves around General Practice and more pertinently the General Practitioner it should deserve their uniquivocal support. Even if the government doubled the global sum to GP's ( and cut the garbage of CQC, revalidation etc) plus sorting out the legal system of compensation they would have a bargain! Instead they want GP's to inform all and sundry when they have earned more than 150K! The thing that gets my goats is, that the majority of doctors would be happy, the majority of the public would also support this (when presented with the cost of any alternatives!,) and despite this there is no dialogue of the impending end game. The BMA, RCGP, etc really need to stop working on the current model and stop supporting the irretrievable. If the politicians really want the system to fail please, please do not allow our noble profession to be party to their agenda, even if it is by ignorance...and that is being generous! Come on Leaders, the profession and public deserve better, we will not get it from Politicians!
As mentioned previously it will be extremely revealing the reason for what appears to be a respected, popular GP,and certainly one who has taken great personal pride in his Practice is suspended for. I trust it will not be "Lack of insight!" Another victim of the dangerous end game that we are all witnessing. As a system fails the regulators thrash around in throes of self interest instead of supporting the faithful footsoldier.
As we all know totally and utterly predictable and now getting towards the inevitably dangerous end game, both to staff and the public who are on the whole totally ignorant of what is going to hit them! As I have said previously Panorama should be running with this and getting the guilty parties to at least be made publicly uncomfortable, The GMC (Protecting Patients...etc) should be jumping up and down about this and demanding safe staffing at the very least instead of shooting the beleaguered foot-soldier. This country is going to the dogs on so many fronts prisons/schools/social services etc all through funding issues and all we get from Politicians is the usual nonsense of "we are putting an extra few millions into the pot!" One of the biggest cancers affecting all the public services is litigation and the fear of it, why this cannot be addressed beats me. As previous have mentioned, the regulators/CQC etc have to start having a good look at themselves as it is all very well having shiny charts saying how many staff have completed their fire evacuation training when by their efforts surgeries are closing due to the extra hassle! Seems trivial but the cumulative efforts of the regulators have been far from beneficial.
No one entity will even acknowledge this but we all know it to be true and the sad thing is that there is such a waste of knowledge and skill plus unmeasurable quality being totally squandered. Anyone who thinks the current free for all is sustainable is deluded, its obvious the Politicians cannot do their job but before co-payments/insurance etc becomes necessary, at least let the public see the reality of the situation and not postpone it through the shocking abuse of the NHS staff.
" Affordable and phased," same old garbage!.. if no more funding at least make plans as to what the NHS will NOT provide so that the remainder has a half decent chance of doing a reasonable job! There must be millions spent on this wishful thinking exercise that is going nowhere!
Nigel this really is Last Chance Saloon stuff,the next move from HMG/NHSE will be pivotable. We await all manner of incentives to keep going - indemnity,premesis are just two. All we have to date is one kicking after another, the hypocrisy from our SofS re the DDRB confirmed the reluctance to even attempt to address the issue! If you have any influence you really must ensure that resources come rather than platitudes. The Politicians really have to be held to account, you come across as someone of integrity just remember to let the Politicians know that they have no wriggle room left, we are not fools! Good luck!
Yet another open goal that our "Leaders" should be hammering home. What is depressing is that we on the front line are feeling so helpless in the face of this abuse ( add GMC, CQC, NICE and that's just for starters) Joe Public has no idea what is going on with this agenda and where it inevitably will lead and whilst some may say they will get what they deserve, the matter needs to be brought out into the public domain. If any up and coming journalist working for Panorama was wanting to make a name for him/herself "The Wilful Destruction of the Main Pillar of the NHS" would be an eyeopener! Get all these punters who preach Cherry picking Apps, casting aside hardworking popular small GP units, the use of every man and his dog apart from the one person that patients want to see etc. Subject them and the consequencies of their proposals to proper scrutiny and at least get a debate on the subject. This unhealthy abuse really has to be addressed. Can you imagine the Firefighters Union putting up with this! If the whole shooting match goes to pot at least hold the feet of the guilty parties to the fire!
As one of the probably silent doctors on the sidelines, very best wishes against the judiciary! How easy to work with hindsight! It is truelly appalling that we who put ourselves into vulnerability due to the dereliction by others should be hung out to dry! This is a battle we must not lose! BMA come on, you must not let us down, we all knew that something like this would happen now that it has the tragedy would be that it has to be repeated! Please, please support us, who are hanging on! Don't support any compromise if government will not back us please give us an alternative!!
Well at least we all know what we are up against! This doctor appears to have been let down on soo many levels in circumstances that all of us have experienced over the years. I am not surprised Jeremy is uncomfortable, this case should be where we all make a stand.
Patients cannot expect us to continue putting our livelihood and health on the line without appropriate time and resources. Come on BMA this is an open goal!
Cameron Wilson - GP Preston
Totally and utterly true! His response (if at all) will be interesting. However, sadly, will be far too little and far too late!