already given up hope NI GP
we never phone patients re results except under exceptional circumstances which is very rare.This would be an occasional abnormal result that required immediate action,most can wait
When a patient has bloods/test arranged we explain that its their responsibilty to follow up that test.The patient only has to worry about themselves and it gives them a proper sense of ownership. With your system we would be required to worry about every test carried out which is not practical
Others may disagree re governance ect but we couldnt function with this system
forces Dark in you me thinks
22000 extra staff where are the GPs?
smoke and mirrors everything buried in the Global Sum
Pension help? what a joke pay 50% less get 50% less and 40% more tax on whats left
Oh I nearly forgot a shed load of extra work thrown in for good measur
alanalmond we are all concerned re indemnity/workload ect but pensions are important.One of the reasons to take on this public service job was the good pension that came with it.Be careful what you wish for the government would love all docs to scrap their NHS pensions. my guess is that you are a 2008/15 scheme member realising that you will be working till they drop before you get anywhere near a pension payout.If you think a "private scheme" is better then good luck with that.It will be interesting to see what you will be living on come 67/68
My point is dont knock the older GPs they may want to work but the pension rules make it impossible and its not what they signed up to in the first place.possibly if we had all stayed together when the pension issues arose then we wouldnt be in this pickle
agree with everything said above regarding confusion and ever changing guidance re diagnosis but the elephant in the room is QOF.COPD is paid as second only to diabetes for points GPs are only human and will find it counter intuitive to hunt down possible mis diagnosis that results in less money.Remove QOF and its perverse incentives to diagnose and shift to a set payment for the job (salary)
as above we need a breakdown of the numbers that are still working in each age band from 55-60 compared with 16/17 to make any meaningful sense of these figures
Lies,damned lies,and statistics
ME THINKS DR REFLECTION IS WEAVING A MYSTICAL WEB OF BULLS**T
Oh dear Tom;
You marched us up the hill without a plan B
You asked for resignations it was plain for all to see
But soon the troops realised the futility
We hunkered down to GP reality
You welcomed some secondary care booty
This will have no meaningful effect on GP capacity
The only solution is a salary
me thinks you are thinking about your legacy
I still wish all the best Derry/Londonderry city
Will soon be joining you in blissful retirity
This has to be a joke!
I'm sure Google wont be happy about the monopoly on advice as issued by Amazon.All those Google Home and Mini's will be redundant with their non focused NHS advice.Tongue firmly in cheek
Apparently a new contract is about to be negotiated
Number 1 on the list should be making all GPs salaried
Todays GPs want to see patients not manage a business
Take all this crap away and the job will become instantly more attractive
You are all Dinosaurs
The partnership model is as dead as a Dodo
Young doctors don’t won’t partnerships
They want protection and a life
Wake up and smell the coffee
The times they are a changing
Sorry for all the metaphors but you can’t polish a turd!
Any monies are to be welcomed
Just wondering where all the GPs are going to come from to front up these MDTs?
well put Dr Mead.One of the many elephants in the room that no one seems to talk about.LTAs and AAs.Superann payments are compulsory if you chose to stay in the system.This year I have breached both resulting in extra tax now and future tax to be paid.Try to reduce your hours to reduce obligations no chance no Sessionals or GPs to be had to allow this.This will force many of us into early retirement just to stop these taxes never mind all the other issues.It does seem like a no brainer to fix, allow those GPs with large pensions to continue to work without fear of over taxation by removing the limits from Health service only earnings.The GPs get a bit more cash in the end and they continue to work on to help fill the potential gaps surely a cheap option to prevent melt down
What a surprise they wont name individual practices.Hospital admissions are multifactorial in origin including what the punters are doing to themselves outside our influence.If the government start naming practices the solicitors would have a field day hunting us down to see who they can sue
Sessional GPs in england being paid at upto £400 per surgery,£20000 equals 50 sessions or 25 full days work.These 30 pieces of silver would appear to be a pittance.Am i missing something here?
The problem with scrapping any part of QOF is where the re distributed money gets lodged.Usually it goes into Global sum equivalent not Global sum and this penalises small practices and could destabilise many
Are they referring to side effects by any chance, a possibility of any prescription?
Initial focus on GI bleeds who knows what the buggers are taking over and above what we prescribe (ASDA best price brufen "every little helps"/grannies wee pink pills "they worked great for our jimmy")
This has the appearance of some sort of mis-guided witch hunt
For many GPS in the over 57 age bracket it doesnt make financial sense to keep contributing to their pension
They are hit with LTA limits
Annual allowance limits
At 57 you will take a 15% hit but this can be outweighed by the Tax penalties for continued contrbutions up to 60
Sometimes I feel that its better to go early take the hit and possiblty live longer to enjoy it!
seems fair enough as GPs are required to do everything anyway.The more considered approach is to send them away to a more appropriate place for treatment/assessment after triage.Medical care needs to remain free and accessible at the first point of contact
Sam I will have to sound a bit reactionary initially in my reply.You and I trained at the same time my training consisted of 6/12 rotations in numerous specialities which provided the backbone of my knowledge base and is something that i rely on everyday.I think that the problem is that medicine has moved on and young doctors dont think the same way as us anymore they expect a "life work balance" and quite right too.I feel that the first change to GPS is to bring us into line with our hospital colleagues ie SALARIED.This will then start to breakdown the idea of secondary/primary care.We will have medical care only doctors will be employed by Trusts/CCG/Federations whatever and will be trained/employed to provide that care in whatever setting.All doctors will have the same terms of service and can gravitate to which area/areas that they choose