This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

GPs buried under trusts' workload dump

Do good

  • PCNs who achieve targets 'further' and 'faster' to receive extra funding

    Do good's comment 18 Sep 2019 9:06pm

    Started reading- made me vomit- so glad to have retired.
    Nurses nursing and doctors doctoring seems utterly irrelevant to these managers coming up with wonderful utterly impractical and non-costed, non-funded initiatives which are designed to leech money away from all patient-doctor interfaces by huge time draining distracting, eminently unworkable sound-bite initiatives.
    A bit like- prescribe the latest bestest drugs, then get blamed for polypharmacy, CCG MMT's step in to reduce prescribing of stuff which we were actually tricked into prescribing in the first place.....could go on!!!

  • Flu vaccines for over-65s to be delivered on time, says supplier

    Do good's comment 13 Sep 2019 11:40am

    Public Health England has published flu vaccine effectiveness data for the 2017 to 2018 season.

    Published 18 July 2018

    Public Health England (PHE) has today (Wednesday, 18 July 2018) published data on the effectiveness of the flu vaccine in the 2017 to 2018 season. The data show that overall, flu vaccine was 15% effective in all age groups. However, effectiveness varied considerably. By age-group, the vaccine was overall:


    26.9% effective in children aged 2 to 17 years (who received the nasal spray)
    12.2% in at risk groups aged 18 to 64 years
    10.1% in those aged 65 and over


    There were higher levels of protection against flu B and H1N1pdm09, especially in children (60.8% effective against flu B and 90.3% against H1N1pdm09 in children).

    Read the full influenza vaccine effectiveness: seasonal estimates data.

    In 2018 to 2019, a new ‘booster’ vaccine is being made available for all those aged 65 and over which should provide better protection than the current vaccines. We are also recommending that the quadrivalent vaccine, which protects against 4 strains of flu rather than 3 and is currently used for all children under 18 years of age, is made available to all adults in at-risk groups aged between 16 to 64 years.

    Dr Paul Cosford, Director for Health Protection and Medical Director, said:

    Vaccine effectiveness varies year on year as the flu virus changes and is difficult to predict. Last winter’s flu vaccine provided good protection against A(H1N1)pdm09 and good protection for the quadrivalent vaccine in children against the main Flu B strain which circulated last season. This upcoming season we are recommending that all those under 65 have the quadrivalent flu vaccine, which protects against both the main B strains and the 2 main flu A subtypes. We are also making a new booster vaccine available for all adults aged 65 or over in order to improve the immune response.

    The vaccine offered lower protection against Flu A(H3N2), which also circulated. This is likely due to several factors including a suboptimal match between the main circulating A(H3N2) viruses and the vaccine, the strains for which are recommended by the World Health Organization each year.

    Vaccines are the best defence we have against flu and not only protect people who have received the vaccine but also those around them. We encourage everyone eligible to take up the offer of the vaccine this winter.

  • Less than one in five GPs would have voted for the GP contract

    Do good's comment 29 Jun 2019 11:11pm

    ...is the BMA using this voting system to support our voting ourselves to being stuffed first, before being flucked for Christmas, without realising it, ..again?!

  • UK recognition of EU GP qualifications will not be reciprocated in event of No Deal

    Do good's comment 24 Jun 2019 10:24am

    Because they are themselves So oversupplied with their own, just like us!

  • Government rules out review of pension tax charges

    Do good's comment 19 Jun 2019 10:13am

    Standard next step in standard business/ Brexit negotiations and, as we have previously bent over backwards and asked how high we are required to jump, lets NOW do something non-standard to improve the working conditions of the generations of colleagues who follow us.

  • GPs should prescribe 'forest bathing' on NHS, says charity

    Do good's comment 11 Jun 2019 10:33am

    Evidence based medicine anyone?
    50% of Research in the last 50 years remains unpublished due to results not suiting research funders.
    Appalling? Yes- totally undermines evidence through publication bias.
    Hug that tree you just walked by. Good luck!

  • NHS England to offer 'up to' £200k per selected network 'accelerator' site

    Do good's comment 31 May 2019 4:28pm

    I'm an "accelerator site", anyone else?

  • 15-minute appointments are the ‘future of general practice’, says RCGP

    Do good's comment 21 May 2019 11:34am

    Quantitative easing has printed £445 BILLION which appears to have vanished?!
    We are still living in austerity with a growing numbers of food banks.
    No hypocrisy there............

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Do good's comment 18 Apr 2019 11:54am

    What brilliant stuff indeed.....

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Do good's comment 14 Apr 2019 9:00pm

    Chris- you now sound like a homeopathic doctor- the Faculty of Homeopathy has been running courses for people like us for nearly 70 years- even an FRCGP wrote a concise handbook- Dr Jack- have a peek- only £3.29 on e-bay- wouldn't even break the NHS bank, and would be v. interesting to hear your critique once YOU HAVE READ IT, please?
    https://www.ebay.co.uk/p/Homeopathy-in-General-Practice-by-R-A-F-Jack-Paperback-2001/91649459

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Do good's comment 12 Apr 2019 2:25pm

    So Chris, back to £266 million being spent on drugs with side effects and withdrawal issues, proven to be equivalent to placebo, in the increasingly common conditions of mild and moderate depression-reportedly increasing- how could that dosh be better directed or should the NHS be spending even more on these placebos every year?

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Do good's comment 10 Apr 2019 1:59pm

    The United Kingdom has an obligation to respect and promote the right to freedom of expression and information as set out in Article 19 of the International Covenant on Civil and Political Rights and Article 10 of the European Convention on Human Rights, amongst other international treaties.

    The proposals also risk breaking binding international law. The UK is a member of the International Covenant on Civil and Political Rights. And Article 19 states:

    1. Everyone shall have the right to hold opinions without interference.

    2. Everyone shall have the right to freedom of expression; this right shall include freedom to seek, receive and impart information and ideas of all kinds, regardless of frontiers, either orally, in writing or in print, in the form of art, or through any other media of his choice.

    and how are colleagues & NHS England not bound by all this?

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Do good's comment 10 Apr 2019 10:44am

    Hold on Chris- If prescribing SSRIs for mild and moderate depression makes me a snake oil salesman, am I still your colleague? What are your intentions here?

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Do good's comment 10 Apr 2019 9:26am

    The GMC is quite clear about respecting colleagues, and about patients' informed consent, so when colleagues consider a particular treatment appropriate it behoves us to be respectful- you do realise the NHS spends £266 million a year on SSRI's which are research proven placebo equivalents in mild and moderate depression? At least homeopathic drugs are safe and cost-effective. Do respect your colleagues.

  • GPs to receive training on tackling unprofessionalism from GMC

    Do good's comment 03 Apr 2019 10:52am

    ‘All of the evidence shows us that when GOVERNMENT AND BUREAUCRATIC environments are poorly-led unprofessional behaviour goes unchallenged and patient, NURSE AND DOCTOR safety suffers.

  • The new contract recognises the GP crisis – but it has a hidden agenda

    Do good's comment 13 Feb 2019 6:06pm

    Recent Pharmaceutical Journal article stated Southampton Uni pharmacy course closing due to lack of applicants.......!?!?

  • Recruitment crisis forces GP collaborative to hand back contracts on six practices

    Do good's comment 07 Feb 2019 2:02pm

    Matt Hncock might have said 'GPs', but he didn't!! Still he is getting closer!
    NHS leaders have some of the toughest ‒ yet most rewarding ‒ jobs in the country. So let’s support them to do the job they need to do ‒ and that will encourage more to step up.

  • GP contract would include MMR vaccinations under PHE proposals

    Do good's comment 25 Jan 2019 6:18pm

    Why have medical experts advised pay outs of $4 billion in vaccine injury compensation in the USA?

  • Pharmacists to be given power to swap GP prescriptions during shortages from February

    Do good's comment 25 Jan 2019 8:01am

    Last year, pharmacists called for the power to change GP prescriptions to ‘therapeutically equivalent generics’ when dispensing drugs, as this would allow them to make more money, as they earn more money from generics, compared to branded generics.

    GP's obviously have always wanted to make less money and their wishes have been listened to and actioned. Hmm why are GP's leaving and newbies not applying? Just cannot understand that!!

  • A&E ‘streaming’ competition is causing locum shortages for quarter of GPs

    Do good's comment 04 Jan 2019 9:35am

    won't be long before even partners will be approaching CCGs and NHSE requesting £200/ hour and being treated with respect for asking for such a reasonable wage