Pulse Power(less) 50
Well kid man woman
Wonder if the RCGP has anything to say?
Interesting article about babylon..
" someone waiting for me at the other end of my flight with antibiotics".....(?!)
Perhaps Matt Hancock should resign
due to conflict of interests with his apps
and private company links
Vote of no confidence
If only there was someone to hold him to account
RCGP.. BMA ...
Nice to see Jeremy Hunt
plus: Trying to appear to help Nazanin
plus: trying to appear to highlight Rohynga genocide
Negative: No deal brexit more likley
(as only trying to appear to help)
Funny how safety is no longer of any interest on leaving a post ??
What came of the reviews he ordered into manslaughter in medicine
Who cares now ???
Kicked into long grass??
The grade entry reduction / Clearing entrances
may not necessarily be a bad thing
Sometimes those with drive and ambition
may have not made the grade in the past
In Scotland, the Government has announced 85 extra medical school places, with courses to be 'focused on general practice', starting from next year.
With a decline in people choosing medicine
the grade entry requirement may have been lowered allowing accessibility to some
What is the point of churning out more gp's
1. if there is no funding for practices to take on more partners
2. Unlike dentists qualified GP'S cannot simply start up and run their own businesses
Sort out the above and
the ship will not sink
‘They become very anxious that they’ve made an error and the anxiety compounds if they aren’t able to go back to the practice and actually see what they’ve done.’
General practice is about making hypotheses and starting treatment
if you get it right great
if no improvement you revise your thinking and try something else
that's how the process works
Two words "SAFETY NET"
Review in ....
Urgent attention if any deterioration
p.s. there's nothing stopping you from going back to a practice to check something..
Its hard to do a patient feedback questionnaire with all this poor staffing and pressure
Thanks a lot appraisal process...
Maybe the 1 in 10
are responsible for
the poor staffing and pressure?
The lucky few
would rather just supervise the salaried slaves
With the cause for the rise in claims numbers found in the legal climate rather than a decline in GP standards, legal reform is necessary, the MDU said.
How does this affect nurse practitioners
who are propping up the service
Vicarious liability for GP'S ??
OOH is exponentially more risky
without case notes
Its about time our pay reflected
these rising risks
hourly rate in line with lawyers would be lovely
‘We will reflect on the decision and the judges’ full comments, as we do in all cases.’
AND THEN CARRY ON REGARDLESS !!
Post Bawa Garba
1. No trust in the appraisal process
2. Extreme caution in reflections and reporting
3. GMC still appealing medical tribunal decisions right up to the last minute when they are no longer able to do so
4. Doctors still have to fund the GMC
Though all we get is an unfair lynching
and being treated as guilty untill prven otherwise
5. Trusts managers politicians never held to account for organisational failings..
6. No advise on a doctor refusing to work if arriving to find unsafe work conditions.
He said: ‘One of the messages coming through very forcibly so far is about the importance of a competent and fair local investigation in the aftermath of an unexpected death of a patient which focuses on what has gone wrong and why, and what lessons can be learned, rather than on finding someone to blame.
This speaks volumes about the whole NHS / GMC culture..
its basically a confession !!!
You should not need the message to be sent to you forcibly..
we have always expected the NHS
to have an open culture of support learning and preventing relapses..
Will this cover OOH ??
Its always next year .. by next year .. etc
its always carrot on a stick in General practice
bet you that something will come up and next year they say should be here .... next year
(Del boy: This time next year we'll be millionairres ...
Grandad: that's what you said last year )
Maybe its time for the newer generation to hit the world as it is today and just get on with it.
just the sort of doormat attitude the Gov likes
oh yes .. "it was harder in my time"
attitude of some
come on this is too easy
CQC Costs Beaurocracy
APPRAISAL / REVALIDATION Beaurocracy
Named responsible gp (in a failing nhs)
NHS ENGLAND funding everything except GP'S
GMC Scapegoating in corporate failures
Rising medical indemnity
Complaints and litigation culture
Health secretaries serving their own interests and passing through
RCGP BMA All talk no action
Did I get them all ??
According to the university, trainee doctors are anticipated to specialise largely in general practice or psychiatry, which may help to address the chronic shortage of doctors in the north east.
I wonder if the medical students
are aware of this?
Not sure if General Practice as we know it will still be around by the time they graduate?