Inner City GP
Many thanks Clare for speaking on behalf of all GPs. I wish CQC will open their eyes and realise that practices are closing and GPs retiring because of them.
All letters from CQC, whether it’s general or invitation to inspect creates a lot of stress, tension and anxiety, distracting us from the care for the patient leading to more harm than good. The quality of life of GPs and staff gets disrupted as holidays have to be cancelled because of them. One of our inspection was delayed because they were on holiday!
Either the approach need to change to make it less stressful for GPs or they should cease to exist.
Hospital colleagues act as if they are a separate 'tribe' from primary care and a lot of the time they are oblivious of the prescribing restrictions we are under, expecting us to prescribe unlicensed meds or meds not on formulary.
There needs to be some kind of 'coordinator' so that secondary care doctors have a better understanding of what goes on in Primary care.
The final year students i teach from Birmingham University have a greater understanding once they leave the post.
I am an ethnic minority GP and therefore have more of a risk. There are many ethnic minority GPs. Face masks should therefore be mandatory.
The whole inspection process increases stress, anxiety and fear, reducing the life span of already overworked NHS professionals.
Can they just let us do what we’re meant to be doing, looking after the sick and forget all the tick boxing? Just leave us alone. Something we can do without in a pandemic.
Common sense is common but nobody seems to follow it! I hope there is a rethink about doing inspections when things escalate. Red tape is something we can do without when our full concentration has to be on the patient. We should not be challenged under challenging circumstabces.
No doubt CQC has something to do with it. If only they were more flexible in the way they assess.
CQC seem to have an awful lot of power. Filming them was not a bad idea. Who do we complain to if they behave or say things inappropriately or can they do whatever they want.
Inspection is important but not in the heavy handed way brought about by cqc and their tick boxing processes. They take the opportunity to bully when they find minor errors that are easily correctable. Our adrenaline should be diverted towards patient care and not towards the day of inspection resulting in mountains of paperwork. I thought at one time it was going to be light touch but was disappointed it didn't become the case.
After observing the unfair way we are being treated in general by the ccg, cqc etc as we are a small practice, there is no way my relatives who are doctors in Australia would want to return here.
Life is very different there and there is a lot more motivation to work, less red tape and less bashing of GPS.
Very well written article.
Sadly the views of Dr Madan are shared by individual leaders. within BMA and LMC where we turn for help but the opposite happens. Cqc have also shown bias.
It is of no wander that many practices are closing.
I work in a small practice. I believe there is a discrepancy in how the figures are interpreted. When we had just one patient given minocycline by the locum GP, data from the CCG graph suddenly showed the curve going from below average to way above the threshold.
We are doing everything possible in this toxic environment to reduce antibiotic prescribing, but i mistrust the way data is analysed. A&E doctors don't help either, telling patients "your doctor should have given you antibiotics," even when a delayed prescription was given.
We are damned if we prescribe and we are damned if we don't prescribe.
Well written. Agree with all what's said.
GP inner city Birmingham