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GPs buried under trusts' workload dump

Kaiser Chaudhri

  • Hark, for I have witnessed the holy grail of GP correspondence

    Kaiser Chaudhri's comment 03 Nov 2017 4:45pm

    Tony I think you are going to find that this is all just a dream your wife had whilst you were in the shower.

  • GPs are not 'crying wolf' about pressures, says NHS chief executive

    Kaiser Chaudhri's comment 14 Dec 2016 12:52pm

    Stevens has been CEO for a few years so he should be ashamed ithat General Practice has come to the brink of collapse under his stewardship. He talks about new models of organisation of GPs. The only new models occurring are over 50s retiring and the rest refusing to commit to partnership or substantial posts. Soon there won't be enough principals to run practices with a predictable collapse of services especially in unpopular areas.

  • We don't need more money, just less work

    Kaiser Chaudhri's comment 21 Apr 2016 5:20pm

    Copperfield is right, this is all jam tomorrow policy and will do little to dissuade older GPs from retiring or persuade young doctors to enter GP. He makes sound suggestions of a Geriatrician-run service that takes over the care of residential home patients and an urgent care service to see those that demand to be seen on the day. I would add the removal of CQC from any involvement with GP services which are already over regulated.

  • GPs must provide routine care to tourists, says new BMA guidance

    Kaiser Chaudhri's comment 05 Nov 2015 11:53am

    The global sum comes out a fixed pot so GPs will essentially be working for nothing, more so for short stay tourists where the patient can't be registered. I agree with Azeem that it is time activity was funded rather than capitation as the number of contacts with all patients is going up exponentially so being paid for a registered list is not fit for purpose. The GPC is also unfit for purpose advising GPs to work fo nothing in the present perilous state of GP

  • Are CCGs a failed experiment?

    Kaiser Chaudhri's comment 19 Jun 2015 3:58pm

    CCGs have struggled to recruit members for their executive boards. Rather than have hotly fought elections it has been a case of twisting GPs arms to get involved. Attendance at membership meetings is seen by most as an arduous waste of time. Local GPs feel like they have little influence on CCG decision making whilst the CCGs have little power over the hospital trusts or to secure a greater share of NHS funding to go to GP. CCGs often have recruited the same staff that worked in PCTs and behave in a similar manner.

  • Mr Hunt, why have you let so many NHS GPs burn out, retire or emigrate?

    Kaiser Chaudhri's comment 22 May 2014 10:26pm

    Gaurav is spot on except in addition to Jeremy Hunt I would add the BMA and the Labour Party as being responsible for the decline. The previous Government spent NHS money in private facilities, brought in extended hours, constantly meddled with QOF and are even now promising 48 hour appts as GPs are at breaking point. The BMA's performance can be summarised as inept

  • Backlash from grassroots GPs as survey highlights fears over contract compromise

    Kaiser Chaudhri's comment 18 Nov 2013 7:26pm

    Allowing registration from a wide area will allow private companies to cherry pick the mobile affluent patients, whilst ordinary GPs will be left to be the named clinician for the frail and elderly. Recruitment will suffer as how many junior doctors want to be community geriatricians?

  • Landmark contract deal cuts QOF by 40% and boosts global sum - but will force GPs to publish their pay

    Kaiser Chaudhri's comment 15 Nov 2013 1:20am

    Peter Holden, a bit of premature high fives amongst some GPs. 2004 contract said QOF had to be evidence based and only changed by negotiation, MPIG was to be paid in perpetuity and contract could only be changed unilaterally in emergencies. That didn't pan out. Once concept of GPs being responsible and sometimes available OOH is established in 2014 DoH will gradually push boundaries and we will doing more and more.

  • Landmark contract deal cuts QOF by 40% and boosts global sum - but will force GPs to publish their pay

    Kaiser Chaudhri's comment 15 Nov 2013 0:32am

    Have to agree with Anon 0.13am. Can't see that we will have lost any work done by GPs on 1/4/14. Work done by nurses might reduce a bit but GPs will have a lot more responsibility and liability. Loss of seniority will see most sensible senior GPs being lost to the profession when taking into account the previously imposed pension contribution hikes and fines for overpayment

  • Reaction: GP contract deal 2014/15

    Kaiser Chaudhri's comment 14 Nov 2013 11:18pm

    It will be interesting to see which QOF points are removed. Normally the easy to achieve ones and those that reflect good practice are taken away meaning that GPs continue the activity but lose the funding

  • GPs should lose independent contractor status, suggests leading GP academic

    Kaiser Chaudhri's comment 21 Sep 2013 0:47am

    15 years ago, I would have said no way, as we would lose autonomy and be micromanaged. That has happened anyway with QOF, CQC and all the other organisations controlling us. However, we are left with the business risk and an open ended contract where endless work can be dumped upon us. If the salary was equivalent then we might be better off salaried. We would have all the protection of an employment contract, EWTD, annual & sick leave, indemnity, etc. I'm not sure why many assume private companies will move in. Consultants are employed but private companies haven't taken over NHS hospitals.

  • Half of GPs in favour of charging for routine appointments

    Kaiser Chaudhri's comment 25 Jul 2013 9:14pm

    Have never been in favour of charging but something has to be done to increase the income coming into GP and serve as a brake on demand. Increased taxation is unlikely, as is secondary care money being diverted to primary care. The BMA and RCGP have no plan of action other than moaning and seeing GPs looking to retire or burnout. GP consultations are estimated to double in the next 10 years so charging seems inevitable unless we are willing to double our workload as income falls.

  • The RCGP must answer CSA concerns

    Kaiser Chaudhri's comment 30 Nov 2012 10:25pm

    The gross disparity in pass rate between international and UK graduates is very suspicious. The difference between white UK graduates and Asian & Black UK graduates (all of whom have passed University exams) is evidence that the CSA is racist unless the RCGP can prove otherwise. The CSA should be suspended until the RCGP can explain the disparity.