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Una Coales. Retired NHS GP.

Una Coales. Retired NHS GP.

Media GP. Retired from the NHS.

  • RCGP urged to remove Sultan of Brunei's honorary title over gay rights stance

    Una Coales. Retired NHS GP.'s comment 06 Apr 2019 3:52pm

    The college archives show the RCGP executive committee of GPs posing with the Sultan of Brunei in 2013 in full knowledge of his brutal treatment of homosexuals and express gratitude for his £1m substantial donation.

    It was a gay GP who showed me the way when he resigned membership of the RCGP in 2014 in protest and I followed suit. In my opinion, he had more integrity than the entire RCGP executive committee. I wish he had not ended his life because his family could not accept him. His partner continues the fight for openness and acceptance of lgbts.

  • RCGP urged to remove Sultan of Brunei's honorary title over gay rights stance

    Una Coales. Retired NHS GP.'s comment 05 Apr 2019 10:10pm

    Correction it was 2012 and not 2013/14 when President Iona Heath visited Brunei and I objected to the RCGP acceptance of the Sultan's £1 million donation to cover the building costs of the auditorium. The RCGP auditorium is even called the Brunei auditorium! How many lgbt GPs had to sit in this Brunei auditorium during their MRCGP diploma ceremonies? It makes my stomach turn to think this room was funded by a country stoning gays to death. Surely the RCGP could find a more ethical donor?

    Yes @Stelvio, the ethical and moral action would be to return the £1 million, rename the RCGP auditorium and remove the title. From my years on council, I would not bet on the RCGP returning his donation.

  • RCGP urged to remove Sultan of Brunei's honorary title over gay rights stance

    Una Coales. Retired NHS GP.'s comment 05 Apr 2019 9:39pm

    As a past RCGP council rep, I raised concerns at the time 2013/14 when then President Iona Heath travelled to Brunei to meet with the Sultan of Brunei for a £1 million donation to the RCGP to fund the costs of the auditorium. I made it clear to the RCGP Chair that Brunei stoned homosexuals and that gay GPs would object to both the donation and receiving their MRCGP diplomas in an auditorium funded by him. How would they feel if they put his name on the auditorium door? He was given the title of Honorary Companion of the RCGP for his £1 million donation and the RCGP accepted his money in full knowledge of his country's barbaric treatment of gays.

    I don't envision the RCGP returning the £1 million donation in order to rescind his honorary title.

    I am only surprised it has taken 5 years for the lgbt medical community to object to the RCGP's actions.

  • NHS England's top GP resigns following Pulse comments

    Una Coales. Retired NHS GP.'s comment 06 Aug 2018 8:47am

    @PatrickMcnally appreciate your blog. Yes I sat down with the GMC in a roundtable to discuss updates to the GMC guidance on social media and pushed for no anonymity for doctors if using social media publicly as it may lend itself to trolling without consequences. I was a St Thomas' GP SHO for CG and AM in their Hurley clinic many moons ago. I did notice they preferred hiring salaried GPs instead of handing out partnerships and now they run a string of surgeries with predominantly salaried GPs. This model of salaried GP alligns itself with the US HMO model. I would much prefer GPs adopt the Pamela Wible MD model of independent practices like dentists, plumbers, salons, etc. Always better to be one's own boss than forever an employee.

    That said if you are a salaried GP in a lovely NHS practice that is stress free, then that is fine too as is being a freelance locum. But I have had several salaried GPs approach me for help when their bosses do not comply with employment law so I know it may not be perfect. The key to financial freedom is independence. My two cents.

  • BMA: GPs 'likely' responsible for care of psychiatric inpatients in their area

    Una Coales. Retired NHS GP.'s comment 10 Apr 2018 5:00pm

    The reform thinktank were suggesting giving more work to GPs, ie offloading from hospitals into the community as GPs were cheaper and there were more of them. I was aghast! I still remember a lovely but overworked S London GP partner and trainer who told me he felt he was not equipped to look after patients with acute schizophrenia but because the hospital were offloading into the community, he was now in charge and had to manage weekly like a hospital consultant psychiatrist. Next I heard he had a brain haemorrhage and died young in his 50s. I never learned about his funeral until too late so I was never able to show my respects. I was a maternity locum for that practice as well as ad hoc locums for years. Devastating.

    Please make your plan B asap. Yes, even in your 30s. Even if your practice closes, patients will find another and another until they are all turned into supersurgeries. Your patients will forget you as the NHS is the medical care bargain of the century! It is free! It was rare for me to see a working patient when I was seeing patients so I would venture to say that many who used the services may also be the ones who do not pay NI. And once you are retired, you stop paying NI yet enjoy free full cover medical care.

    Self preservation has got to be the motto now for you and for your family. When I retired from 17 years of service for the NHS, I quietly disappeared into the night. No medals or gold watches. You are simply a worker who has ceased to be of use.

  • Fighting the fight

    Una Coales. Retired NHS GP.'s comment 07 Apr 2018 6:08pm

    Jaimie and pulsetoday need your voice to amplify this petition to save a NHS GP trainee from being chucked out of the country 5 months before qualifying. I am so gobsmacked.

  • BMA applies to 'intervene' in Bawa-Garba appeal case

    Una Coales. Retired NHS GP.'s comment 07 Apr 2018 11:53am

    In my opinion, having seen how the BMA got involved in the IMG fight for a fair CSA exam, I would advise against any involvement of the BMA in the B-G case. I agree with the thoughts of posters.

    This B-G case highlights the flaws of this gross negligence manslaughter charge. The hospital should be held to account for system failures, not a mother working as hard as humanly possible with lack of staff and support.

    Dr Chris Day highlighted the flaws of whistleblowing, ie that training doctors cannot fight at ET as their job contract is renewed annually and does not count the many years they have already spent in their specialty training programme. So the hospital managers can apply the clipboard phenomenon and find any dubious reason to remove a whistleblower from his job. If you are a trainee, check to see if your hospital has a £150 million PFI debt like the QEH has. It means management are under enormous pressure to cut costs to meet the monthly interest repayments so they are less likely to use a locum staff agency to fill gaps.

    And doctors who have been referred to the GMC have highlighted how their medical defence org has discretion NOT to represent you or help you in your response. Imagine facing a GMC appointed barrister in a fitness to practice trial on your own if you cannot afford £10,000 to pay for a lawyer and that again for a barrister. GP partners pay £10-£12k in indemnity yet the coverage has a discretionary representation clause!

    Also doctors are not aware that each time you ring your mdo for phone advice, that counts as a mark against you and yes there are doctors who have been refused insurance by all the mdos! Imagine, you then cannot work! You cannot control the number of complaints when they have an online complaint form for anyone to fill anonymously on you. I have heard of an ex gf of a GP getting even by filing a practice and GMC complaint! Go figure!

    And finally there is your mental and physical health to take into consideration. Do a head count of how many GPs you know who have died early, retired early, are burned out, are about to crack, have emigrated. What makes you any different? Soon it will be your turn. Chronic stress leads to both mental and physical illnesses. Self preservation becomes a priority for your family's happiness as well as your life.

  • Fighting the fight

    Una Coales. Retired NHS GP.'s comment 06 Apr 2018 7:30pm

    Couldn't have summed it any better. No wonder you got the editor's job! Congratulations!

  • Minister blames 'counsel of despair' GPs for poor training uptake

    Una Coales. Retired NHS GP.'s comment 06 Apr 2018 5:19pm

    Sadly in my opinion, we may have been sold out by the BMA, our trade union, as Hunt is now tipped to be the next leader of the Conservative Party for taking on the doctors and WINNING! Apparently the only Secretary of State for Health who beat the doctors! He is a hero within the government. Yes there is now talk behind the political scenes that he may be our next Prime Minister! I told you we lived in a topsy turvy GB! I was gobsmacked to hear this from reliable sources! Best to think of yourself folks. There should be a rule that as a doctors's trade union BMA chair, one cannot accept a gong! Major conflict of interest in my grassroots opinion.

  • Minister blames 'counsel of despair' GPs for poor training uptake

    Una Coales. Retired NHS GP.'s comment 04 Apr 2018 7:18pm

    It is a shame the public can't read the pulsetoday comments. If they could they would see the truth of how NHS GPs are working themselves to an early grave for the sake of their patients, their vocation and their mortgage and children's school fees. Remember the entrepreneur billionaire who said that doctors are the lowest people in (British) society. Doctors do not even get a mandatory 30 minute break after 4 hours or 1 hour for 8 hours of work and certainly no extra pay for overtime.

    I recall my bls training and it said to make sure you were in a safe situation before you approached. But the NHS has made work high risk and simply unsafe for both doctors and patients. The government are selling off the NHS as if it were simply a commodity to the highest bidder. The national debt is now closer to £1.6 trillion that means forget cashing in a pension any time soon as the pension pot may be depleted by the time it is your turn to dip in.

    Of course our young doctors need to be informed of the dire situation so they can make a fully informed decision. The Bma once said the safest GP to patient ratio was 1:1,500 not 1:12,000. I did my own risk-benefit assessment and decided to retire. Chronic stress, the threat of involuntary manslaughter charges for fatal human error, ocd bureaucracy, etc...well I couldn't think of one benefit so it was all pretty much risk, risk, risk.

    You will live longer if you retire early. Please think of how you can achieve financial independence sooner. Do not put all your eggs in the nhs basket. Your life depends upon getting out before the job kills you. A good GP partner friend said he had bloody diarrhoea throughout the day yet still had to see patients. I ask myself, if he wasn't under years of chronic stress, would he be cured of his autoimmune disease? I pray he gets out alive. There is life after the NHS. He should read Dr Adam Kay's book.

    It is okay to quit being a doctor and to change career paths or to emigrate as a doctor. And it was a Health England statistic that said female GPs leave on average at age 34, that made it ok for me to quit in my late 40s.

  • RCGP reviewing whether MRCGP exam is ‘fit for purpose’

    Una Coales. Retired NHS GP.'s comment 02 Aug 2017 7:52am

    I commend BAPIO (British Association of Physicians of Indian Origin) for taking the RCGP to High Court over the acting CSA exam. A moral victory was needed to expose how failure to control unconscious bias may have resulted in the huge disparity between white and non white doctor pass rates, which had not existed when real patient video consultations were used to assess doctors for the MRCGP exam. It is incredulous that the acting CSA exam is still operating in the 21st century. IMO Martin Luther King Jr would be turning in his grave.

  • GPC to submit mass resignations once 60% of practices opt in

    Una Coales. Retired NHS GP.'s comment 26 Jan 2017 6:30pm

    Well done BBC NI and GPC NI!

  • GPC to submit mass resignations once 60% of practices opt in

    Una Coales. Retired NHS GP.'s comment 26 Jan 2017 3:48pm

    @Downtoearth you are right! Complete media boycott on news of the historic NI GPC vote to ditch the NHS GP contract. I even emailed the link to the BBC health editor. I wonder why government wants to keep this news hush, hush...? Afraid that English GPs will seek independence too from an untenable underfunded contract?

  • GPC to submit mass resignations once 60% of practices opt in

    Una Coales. Retired NHS GP.'s comment 25 Jan 2017 9:24pm From Pulsetoday to the houses of 2 million C5 news viewers. I made sure this breaking NI GP news would not be buried. The public need to know how hard GPs are working with a fraction of the funds they had before MPIG cuts. It is only a matter of time before they fight back and regain their self respect. And it is not just general practice, a junior doctor has been made to work 22 days in a row without a day off! How long before hospital doctors crack too?

  • GPC to submit mass resignations once 60% of practices opt in

    Una Coales. Retired NHS GP.'s comment 25 Jan 2017 2:27pm

    Congratulations N Ireland GPC! Having Ireland as your neighbour showed you how both patients and GPs can benefit outside of the NHS in a free market and not under a monopoly employer. Now come on England and grow some balls! You know the senior GPs may be trying to keep you as slave workers to top up their million pound gold plated NHS pensions with its 10 year protected status from 2012. Don't accept concessions, slave labour, is slave labour. Emancipation will end burnout in our profession.

  • GPC to take historic vote on GPs leaving the NHS

    Una Coales. Retired NHS GP.'s comment 25 Jan 2017 2:11pm

    Well done. Sorry auto correct hijacked my post!

  • GPC to take historic vote on GPs leaving the NHS

    Una Coales. Retired NHS GP.'s comment 25 Jan 2017 2:11pm

    We'll done Northern Ireland GPC! You are doing what the BMA GPC in England should have done to save general practice and keep it safe for all patients.

  • Pulse news team wins prestigious award

    Una Coales. Retired NHS GP.'s comment 07 Jun 2016 11:15am

    Well done Pulse team! Your honest and open writing have truly benefited UK general practice. Thank you for sticking up for GPs!

  • 30% of GP training places remain unfilled

    Una Coales. Retired NHS GP.'s comment 04 Apr 2016 7:23am

    Time to survey the 70% of doctors who accepted GP specialist training and ask for a show of hands as to how many plan to leave the country upon completion? according to a classroom in Birmingham, over 50% of their 2nd year med students plan to work outside of England upon graduation due to the new 7/7 junior doctor contracts.

  • 30% of GP training places remain unfilled

    Una Coales. Retired NHS GP.'s comment 02 Apr 2016 3:47pm

    What % of the 70% intake intend to use GP specialty training as a golden ticket to general practice in Canada, New Zealand or Australia? Without addressing this major confounding factor, we do not really know how many plan to remain as newly qualified GPs working for the slave socialist state NHS system?