why is it ''controversial''?? So the BMA feels that if you do your degree in spanish in spain you do not need a english language test....but if you do it in spanish in south america you do need an english language test??
Exactly when did the language test become ''open to abuse' BMA???
i have mentioned before in response to Dr Bennett...essentially he is part of the ''save the NHS brigade''..however most others are not. Its not my responsibility to provide healthcare facility to the population...that is of the Govt. If they need to sell the NHS to virgin care to achieve that then so be it. I think GPs should rapidly push for privatisation of the health service so they can provide what they feel they do best and be paid for it either via Govt or by the punter. I am really fed up of people trying to make this into a moral issue. Its not. Its a service and it need to be paid for and well.
,,There are millions of people working in people-facing careers who work across seven days a week, who are not doing it for the money but because they are committed to helping others (think nurses, carers, police, fire staff, social workers, paramedics etc.).,,
do you want to ask them if they will do 4 hours extra each day and 12 hours over the weekend for no extra pay?? and then lets see who is committed.
Janet Roberts How do i get in contact with you.?? You have the right outlook.I am bidding and am keen on getting guidance. GP services are changing. Its nonsense to stand on a sinking ship shouting SAVE THE NHS. The Govt has decided to change how services are provided....I am the medium that will do it....i know which slice of toast the butter is on.
Ms Hoskin, when will you recommend revalidation for nurses??
want to bet this will be revised in a few days as soon as the first legal notice is received???
''The argument is one of self-interest for GP and practices. It is that without responding by increasing availability we are making it easier for the Government to make the case that independent providers deliver this increased availability. If you fear creeping privatisation then you must accept this argument. I have personally stood up against creeping privatisation, and very publically. I remain committed to stopping it happen. I believe by offering extended availability we will cut off this route.''
This essentially is the fallacy of your argument Ivan. YOU want to ''save the NHS'' . most of the GPs are not bothered even if private providers came in to do the OOH or increase the availability. They will have to be funded well to do the job and then as with OOH GPs can choose to do shifts. Why accept more work without proper funding?? You have no right to expect all GPs to do extra unfunded work by making hare brained schemes.
what experience??? The scheme hasnt even started yet!! Its just a dream ....soon to turn into a nightmare.
''independent'' status........mmmmmm just what are we ''independent'' to do dr Baker ?? other than hire and fire receptionists?? if they say dont prescribe a drug are u independent enough to say that we will??? if they cut your funding are u independent enough to say that we will have to reduce services???
well well well what a surprise. Isnt this what doctors who actually see patients have been saying all along. Dementia is a age related degenerative disorder not a ''disease'' or a illness. its natural progression of life towards death.
so we cant give Paracetamol, NSAID, Diclofenac, Meloxicam.
So that leaves opiods/ tramadol/fentanyl/buphrenorphine. well done ''experts'' in NICE
Dr Tom Margham, primary care lead at Arthritis Research UK and a GP in East London, said: ‘The draft guidelines make the case for more research into pharmacological and non-pharmacological treatments for osteoarthritis including the need for more studies that reflect “real life” use of therapies, or combinations of therapies, used over a significant duration of time.
Er...I think i have the ability to read complicated paragraphs of medicine and make sense of them but please explain what the above crap means?? Please!!
it hasnt ''become'' a poisoned chalice....it always was. the only people who could not see it were those who are full of ...''we must save the NHS'' claptrap.
could you post a link please where the consultation document is.
what about the Americans who have come to UK as they didnt have a job there and could not afford insurance? They came here and got permanent leave to remain as their grandmother was born here!! Should they be entitled for NHS care? or should they be sent back. They have never paid anything into the ''system'' . what do you think ?They are non EU and not South Asian either. and they come without any visa checks.
what about the Americans who have come to UK as they didnt have a job there and could not afford insurance? They came here and got permanent leave to remain as their grandmother was born here!! Should they be entitled for NHS care? or should they be sent back. They have never paid anything into the ''system'' . what do you think Kate??They are non EU and not South Asian either.
Charging short term visitors for health care is fully justified. But what about those who come here to work and pay there full taxes ? why should they pay a levy?? they are already paying NIC which they will not get back as state pension. They also dont get child benefit or tax credits which most of the other posters in this column get. So they are paying a higher tax anyway to sustain those who get the benefits. so spare me the nonsense about ''we pay tax''.
to the poster about the daughter who came for delivery. what about english girls living in US who come back for delivery?? do you feel the same about them??
is it the responsibility of GPs to make sure the NHS survives ''as we know it''''
or should we concentrate on the profession surviving??
we need to be hard headed and business like in our approach. save the NHS attitudes need to be dumped.
First: define access. it should be how many appointments per day per thousand patients and these need to be costed with margins. any appts needed above this should attract a higher charge
2nd: home visits? each visit should be individually charged. if needed 111 or NHS direct can determine need for visit and let practice know.
3rd: Clearly define NHS time.
4th: allow practices to develop and sell privately funded services outside that time . these should be available to all public including practices own patients. so if you want to be seen at 8 pm then pay for it. let the market decide the rate. same for saturday am appointments. each practice if it so desires then becomes a walk in centre
How to keep account?? simple. have a credit card like thing and a reader at the reception. Govt pays for service provided. provide more...earn more.
will this be the beginning of the end of the NHS..?? yes.....so what. Its not my job to prop up the NHS. thats the HMG job. I merely sell them my expertise to do it.