Anonymous | GP Partner | 28 January 2015 12:45pm
The good intentions of the college are irrelevant.
We know from the history of medicine how many times drugs and other interventions have caused significant harm despite intelligent and motivated folk aiming not to.
We have a whole range of issues ( revalidation, fast tracked NICE protocols, Healthchecks, Junior doctor training reorganization etc) where the college and its leaders have failed to see the big picture or protect and help its members.
The comments you are seeing are a reflection of doctors who are on the frontline, who are aware of the evidence and are not isolated in an academic ivory tower.
The fact that so many young GP's are bitter should have been ringing alarm bells. At least with Claire Gerada you felt she understood the issues. However she was an exception, those before and after her have been very poor. Do not under estimate how desperate many GP's are right now.
Why when you have been asked about GP pay do you say apologetic things such as 'G's are well paid'?
Why do you not correct the difference between partnership 'profit' and salary and what most GP's are actually taking home?
this is blackmail
patients being excluded from care
Anonymous | GP Partner | 20 January 2015 5:49pm
So what will happen to all the patients whose practices have been shut?
- dumped on neighbouring practices of course! regardless of capacity
- I'm trying to work out why the UK loves shooting down and destroying it most valuable things
One of the few things to be said about US healthcare is that the doctors have no false sense of duty. the economics of health is foremost.
I hated that about it, however seeing where the UK has gone I wonder if the US system however brutal was correct after all.
I can't even start to imagine the stress these dr's must have under, just unacceptable.
This is such a shame. its tragic that the light that was UK general practice is being destroyed by the political media class.
I would like to know what the application numbers in london and the south east were, is it still healthy?
No disrespect to northern areas but surely they struggle most years?
yes its called lying
The partner ship model is why your NHS survives, without it you will be like the USA.
thank you Vinci
This comment has been removed by the moderator.
Before every GP commits self harm. i think the article is interesting. But there is no reason to have chips on your shoulder.
Anyone can be snobbish and try and look down on colleagues. Its cheap and easy.
Primary care does not need to justify its existence. Spend time in India - there is plenty of excellent specialist care - the difference lies in lack of primary care and its associated infrastructure.
In the US we have pockets of joined up care with lots of fragmented areas. Where primary doesn't exist - dr's adapt - become specialists and earn a lot more with worse outcomes across the region.
Primary care really matters, and the UK has been the leading light on this for the whole planet.
What is currently happening is akin to a war crime.
why is pulse accepting quotes from un named sources at the CCG?
You're better then a tabloid - if they are un named they shouldn't be quoted
the stupidity is that this gives the impression there is SOME validity to their techniques. Their whole attitude and methodology is incorrect
lets see what RCGP and GPC say..probably very little. I do think the point it became a joke was sev months ago.
I still feel there are too may of you GP's who still do not realise that you're in a battle. If you want to save quality of care and good patient care then you have to start talking to one another.
Small practices talk to big ones, I find ther is so much local suspicion and paranoia about being 'taken over' its unreal.
You have enemies - called NHSE and CQC and they want a privatised service - nothing less. The cost and quality do not matter. Its pure ideology.
you can see despite the media training this guy doesn' t believe in this. Look at the eye movements!!
It must be part of the NHSE initiation process. To get promoted you must try and convince GP of some complete BS and then you get welcomed into the NHSE inner circle !
Just hope the price for your soul was high enough!
the solution to the problems is to invest in the partnership model.
reward continuity of care, its the only way forward. there are places where it is working but the crisis in confidence will consume the whole of the NHS.
I have met so many young doctors asking about jobs in Pharma or taking time out and surviving with occasional locums.
So very sad.
it would be nice to have the funding model for this, what is the effective funding per patient?
All teh problems with UK primary care seem to be due to this simple issue. If your effective funding per patient is too low - you can't afford to meet the same targets
interesting use of valuable resource, let see where the evidence that this improves patient outcomes is?
there it is..in the gutter
"I am very happy with the whole process of CQC inspections – they can inspect us as many times as they want. But we now have this slur put against
a hard-working practice."
isn't this the sort of naivety that has got UK primary care into trouble.
Undoubtedly this writer is a decent sort, but if you think any of the hurdles you are being made to jump through has anything to do with real assessment then you need to wake up.
The only reason you have multiple versions of surveys and checks is to ensure you fail somewhere. To ensure whatever you do you will always be on the backfoot. Its been used in management circles for years - especially when trying to performance manage someone out of the door.
You are under a full frontal assault
That old management trick, please waste good people's time with'solutions' you have no power to implement and they will frustrate and back fire.
How is it he UK always has money for reorganizations?
If something works , strive for evolving improvements not radical change