just saying .. the picture above is the wrong way round .. it needs to be like "dads army"
england on top
and then europe...
??? are these to send none nationals back ??
just joking just joking
a special place in hell
for countries leaving the eu
(are they talking about general practice )
Reduced quality service
You cannot have your cake an eat it
i.e. expect the service standards to remain high whilst funding and staff levels fall..
oh well let the public scapegoat gps for government failings
I blame austerity
(stealth austerity in this country)
Complain to whoever is actually responsible
The Government / via MP
CQC tells patients to complain about GP care to improve services
GP'S complaining about CQC/GMC
HASNT LED TO ANYCHANGES IN SERVICE HAS IT
Looks like CQC would like more fuel with which to burn practices
NHS CHOICES website complaints has been around for a long time. Good place for malicious feedback
Return the services to the remit of the hospital departments..
Infectious diseases unit...sexual health
Gynaecology to get Family planning.. complex cases.. procedural cases
Falls clinic... ENT or Elderly care..
The lions share of funding goes to secondary care ...
So the work will get sent there as required..
Problem is..it will now take much longer
?? Unless you have private cover
?? Is this the underlying aim
Looks like nothings free
No wonder America didn't want Obama care..
but that was on their rationale of keeping taxes low??
How long till the next general election??
Will there be anything left to salvage by then??
It's not funny in this country .....
Things are going from worse to worse...
Brexit hasn't even started yet...
Highest fuel prices
Wheres all the money going?
The national debt and serving the interest on it
Time for hard decisions..
Several appointments at various locations with staff of various skill levels
- Collusion of anonymity
- Loss of continuity
- Increasing patient
- Exacerbation of condition
- End result A+E..
- Discharge ASAP..
- Chronic issues
sent back to GP
Primary Care Connect Everton Road
Primary Care Connect Anfield Health
Primary Care Connect Garston
Primary Care Connect Netherley Health Centre
Primary Care Connect West Speke
Primary Care Connect Park View
EVEN AS A LOCUM
Its not nice going here
quick one session at a time
helps limit liability
p.s. did these use to be SSP practices
who next Virgin to run the same ??
no new funding = no new improvements
but by the time anyone notices
they should have creamed away a healthy profit
You need to analyse why no one wants to work in these practices
1. Deprived areas and demanding patients
2. practices rum with bare minimum staff
one doc one nurse
3. unlimited liability for the doctor
4. excessive workload with admin tesrt results letters
never ending treadmill
5. limitless home visit demand
How to correct
funding needed so pure sessional work only
as per locum
hand back responsibility for home visits to alternative service
Fund pure admin role for test results and letters
Stipulate no single handed cover
minimum 2 docs on site at all times
only then will things work
There i saved the NHS thousands in management consultant fees..
p.s. What are the previous pulse editors doing now ?
it's sad that pulse has to highlight what the RCGP / BMA should be doing
The fence must really be hurting their backsides
All the whiles the lay public is blissfully unaware the General practice service will soon disappear
Payment per items of service would soon correct everything
Make the care of the patient your first concern
Does this apply to private practice?
Where profits and shareholders come first ?
On the NHS it seems to imply
extra unpaid work?
Remember Jeremy Hunts PASS THE BUCK
Named resposnsible doctor
so that whilst the system is starved of funding and things inevitably start to collapse
the blame will sit firmly with the mnamed responsible gp
and never go back up the chain to government
how about ending this "named responsible gp"
and the limitless liability this carries
and change it to
"named responsible practice"
All companies are ltd
If Gen practice was a true private business without so much external interference
Truly being your own boss
it would become attractive again
Dentists seem to have this
Numbers entering Gen Prac
Post Brexit ...
1. loss EU entrants ?
2. ? External / Asia recruitment
Plug the drain
Stop deportation of those fully trained here and ready to work
it's sad but the numbers in gen prac go up when secondary care is considered worse..
i.e. turned away from hospital rather than attracted to general practice
The lesser of two evils ??
where are you less likely to be scapegoated for organisational pressures
A consultant surgeon once mentioned its not paradise and easy street on getting to consultant
but its a long slog in a lot of specialities
with lots of dues to be paid
The partnership with all its benefits was the main attraction in the past
but not now
with unlimited liability and long hours
and never ending bureaucracy and external costs
Salaried - all the work and none of the benefits
Advise to kids
Think twice about Medicine altogether
and if you do enter ..
SpecialiSe in a speciality
with better private work capacity
better career progression / earning potential / Work life balance / Opportunites abroad
or become a medical management consultant for the NHS.. heard they get paid tonnes
Why don't governments buy buildings and maintain them as public services
like a library say ??
WHat about secondary care running gp practices .. Gov is happy to fund secondary care first and foremost
@the clap... cynical ploy by company to close down this surgery?? .. to ensure their new one up the road prospers ??
What if these docs just planned to move to the new premises being built up the road ?
Like the missiz always get the last word...
-- oh well.. at least you've got
some peace of mind now
-- come back if you need to...
-- nooo problemmo ... here to help
( wink click click )
Easy to say when the prescriber carries medico-legal risk for complications and side effects
keep it safe