This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

GPs buried under trusts' workload dump

F AROSTEGUI-NOVALES

  • 600 European GPs 'in the pipeline' to work in England, says recruiter

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 7:54pm

    Peter Swinyard | GP Partner20 Jun 2016 DO NOT WASTE USEFUL TIME CALLING THE POLICE TO GET YOU RID OF ANY FOREIGN, HENCE BAD, GPs AS NONE SHALL BOTHER YOUR JOHN BULL's CHAUVINISTIC PEACE of/and MIND BY KNOCKING ON YOUR PRACTICE's DOOR.
    I WONDER WHAT DR. HAROLD SHIPPMAN's PROVENANCE WAS.Some see the dot in another's eye but not the beam in his

  • 600 European GPs 'in the pipeline' to work in England, says recruiter

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 7:39pm

    David Jobson I had not been so lucky as to have Primary Care based ORL (Oto Rhino Laryngologist/ENT) but to cover for the other aspects you truly wrote there are and, in my case, HAD BEEN remedies. When I came 13 years ago having had worked for OSAKIDETZA/Basque Health Service, I had to get through various shortlistings. Had to submit first an English written presentation letter with my CV in English attached and recruitment form filled in English.
    Then attended an interviews held in English with a teacher of English as a foreigh language and a panel of GPs from the recruiting PCT and of the Eastern Deanery NHS HEE.
    Having been shortlisted I travelled to South East Essex to have my documented evidence of posts held/work experience, a clearance letter from the Biscay Medical College, Medical Diploma, EU Directive Habilitation Certificate to work in Public Health services checked by a delegate from the GMC; needless to sat that those documents were all sworn translated by a recognised translator. During that May last weekend BH, I had an IELTS (?/alike) 2 hours exam of English, an Objective structured clinical examinations (OSCE) with 10 stations and a short answer medical test.
    The ones who passed this stage were offered a Training Contract as GP which consisted in 3 months of Medical Language, Clinical support for Paediatrics&Gynae-Obst and 3 months more of half working and studying. Finally in February, 6 months later, I was given a 1+1 years GP contract. In Spain most locums/"substitutos" do unsocial hours, WiC; in the later you see EVERYTHING,Paediatrics&Gynae-Obs included.
    I think I was UP TO THE JOB. THESE 3+3 months PREPARATION/MENTORING could help as it did before.
    By the way, the Spanish GP udder is getting dry, 40% of new Family&Community Medicine trainees are foreign and their marks are worse than those from Spaniards, being the last but 3 especialty to be chosen with the greater rate of dropouts

  • NHS England steps in to help practices struggling to recruit GPs

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 7:12pm

    Bob Hodges27 Jan 2014 2:11pm
    As far as I am concerned I feel BASQUE FIRST and European then, but AGAINST my will hold an Spanish passport issued by an EUROPEAN COUNTRY, ESPANA/SPAIN WHRE THERE IS A 3 YEAR MEDICO ESPECIALISTA EN MEDICINA FAMILIAR Y COMUNITARIA TRAINING SCHEME. Accesing to any especialty needs for the 6 year Medical School graduate to sit a 5 hour multiple choice exam which added to your marks along the medical student time gives your points/order in the list to get one of the scarce training posts. That was in "the good times" when in Spain there were 4 graduates per post and the universities capped the Medical School places, "NUMERUS CLAUSUS" such popular Medicine became GRACIAS/THANKS TO TV SERIES LIKE "MARCUS WELLBY,MD" and Chad Everett's "MEDICAL CENTER". The HURDLES DIDN'T STOP THERE. After the 3 year's training you have to be a "sustituto" until getting a "PLAZA"= permanent post by AGAIN SITTING FOR 2 HOURS EXAM about mEDICINE, LEGISLATION, FOREIGN LANGUAGE. EXHAUSTING AND NO SECURITY OF SUCCESS. That's why UK SPECIALLY, but Portugal,France and even Sweden came to fish in the Spanish desperados Family&Community doctors waters.
    NOW THE PROBLEM IS THE CONTRARY, 44% OF FAMILY&COMMUNITY TRAINEES ARE NON SPANIARDS.

  • GP trainee numbers on the rise, but targets still missed

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 5:05pm

    Today isn't my Grammatics day!! Nobody was able to start in February 2017; it hasn't arrived yet!! I wanted to say "STARTING VTS IN FEBRUARY 2017"

  • GP trainee numbers on the rise, but targets still missed

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 5:00pm

    GP Partner22 Oct 2016 9:40am: Do you mean that we need to have the number of GP TRAINEES THAT STARTED VTS IN FEBRUARY 2017: BUT NOT AN ACCRUED MIXTURE OF STARTERS in 2017 WITH RECRUITED in 2016 which is like counting pears with apples?
    The latter seems to be the spinning Alastair Campbellite "truth"

  • GP recruitment plans face 'hurdles' following EU referendum result

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 4:13pm

    Where written "I WONDER HOW MANY OF THEIR POTENTIAL PATIENTS WOULD EVEN ATTEMPT TO SIT FOR THE PROFICIENCY EXAM, LET ALONE PASS IT!!." should be corrected for " I WONDER HOW MANY OF HIS POTENTIAL PATIENTS WOULD EVEN ATTEMPT TO SIT FOR THE PROFICIENCY EXAM, LET ALONE PASS IT!!."

  • GP recruitment plans face 'hurdles' following EU referendum result

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 4:10pm

    TO Anonymous | Junior doctor30 Jun 2016 8:19am (Proper language tests for a lot of EU doctors will be a very good thing) AND Anonymous | Sessional/Locum GP30 Jun 2016 7:00am(Definitely EU doctors need language tests,otherwise poor patients will suffer)
    Can your EXCELSUS "SAPIENCE" tell my ignorant self WHAT A PROPER LANGUAGE TEST IS? I know a GP from Bilbao (Basque Country) who worked for 5 years in A&E Glasgow 17 years ago and tried to work back in the NHS as GP to no avail.He holds a Cambridge University Syndicate CPE= Certificate of PROFICIENCY IN ENGLISH who has been told that he needs to pass an IELTS exam. I WONDER HOW MANY OF THEIR POTENTIAL PATIENTS WOULD EVEN ATTEMPT TO SIT FOR THE PROFICIENCY EXAM, LET ALONE PASS IT!!. I dare you to sit for it; WOULD YOU, WELL SPOKEN XENOPHOBOPHILE DOCTORS, PASS IT?

  • GP locum notional pay cap set at £80 per hour, says GPC

    F AROSTEGUI-NOVALES's comment 24 Oct 2016 3:46pm

    To-Anonymous | Practice Manager13 Oct 2016 5:44pm
    Do you know that unfortunately GP Locums eat 3 times a day, 7 days a week, 12 months a year? Are you paying them the 9 months they wouldn't be working thanks to stalinist PR chinese Communist "democratic" Practice Managers like your bad self?
    If you do not want to pay what you are asked to, GO TO ANOTHER SHOP!! Sorry TO ANOTHER DICKENSIAN WORKHOUSE

  • GPs to do weekly care home rounds under new NHS England plan

    F AROSTEGUI-NOVALES's comment 10 Oct 2016 3:38am

    Anonymous | GP Partner01 Oct 2016 7:13pm -"It's a good idea if paid properly and you can spare a partner 1 afternoon a week which did require some reorganisation" what needs OVER and FOREMOST is GERIATRIC CARE ASSISTANTS/HCA-Geriatric and Geriatric Trained (if not yet)/Recruitment of Community MATRONS. The complex cases to GPwSI's in GeriatrIcs/Comm. Geriatricians. I am really tired about the "choice"; what needs being chosen is EXPERTS in Care for the Elderly, WHATEVER THE NAME. Maybe because I am a Locum I am more INTERESTED in TREATING the ILLNESS rather than the appealing of the CARER!!

  • Almost one-fifth of GP sessions covered by locums in deprived areas

    F AROSTEGUI-NOVALES's comment 10 Oct 2016 2:59am

    Anonymous | GP Partner14 Jun 2016 6:24pm, you got it COMPLETELY WRONG!! The one who made the comment is a Sessional/LOCUM GP14 Jun 2016 5:45pm. HE IS POINTING AT YOUR KIND, the Locum BASHER" as the culprit. Don't you know English?, because that, possibly denigrated foreign, Locum says that "locums see" in those practices null health-educated patients; and whose patients and surgeries are those? YOURS, "lazy" PARTNERS that are solicitous to push down a COLLEAGUE&GP, thankfully NOT LIKE YOU.

  • Newly trained doctors to be tied to NHS for four years, announces Hunt

    F AROSTEGUI-NOVALES's comment 10 Oct 2016 1:42am

    Just for the politically correct over-susceptible readers, in Spanish and Spain we do NOT insult anyone with the abbreviation of their country provenance. I have never understood why here some abbreviations are considered insulting. Never heard of anyone reporting abuse for being called "Brit". Until 1971's war Pakistan had West&East parts that is why I used a hyphenated "wordo". If only the Blangladeshi doctorAs might be unhappy of being linked to anything with the alleged by them 1971's conflict genocidal former compatriots.
    It was meant to be written to save typing time, fruitless as just I read it posted here and having lived in the UK for 13 years I have foreseen trouble, so saving a few types has cost me hundreds of letters to take down this "disclaimer"

  • Newly trained doctors to be tied to NHS for four years, announces Hunt

    F AROSTEGUI-NOVALES's comment 10 Oct 2016 1:10am

    This is part of an e-mail I wrote today to answer bthe concerns created by our "Glittering Shining Mind" of Health Secretary in European GP's who have just arrive in England holding a Cambridge Proficiency to defeat the moneysucker GMC-British Council alliance by attending a "how to pass IELTS" course in Winchester.He held a full GMC licence for 8 years while working in Glasgow but surrendered it 15 years ago.
    An example of the numerous "LITTLE HELPS" FROM THE GMC TO TACKLE THE MEDICAL SHORTAGE.
    Here's the extract (in SPANISH):
    Fernando AROSTEGUI NOVALES
    0:36 (hace 32 minutos)

    para XXXXXXXX
    Lo del Jeremy C..t, digo Hunt es WISHFUL THINKING; carnaza para la conferencia anual de los Tories.
    Llevo oyendole a el, 6 anyos ya, lo mismo: "para el anyo 2020 vamos a tener 5000 nuevos medicos y 10000 nuevos enfermeros" y aqui estamos, PEOR QUE NUNCA.

    Ahora lo que el quiere, (yo un Rolls-Royce, please), son 10000 o 14000 nuevos doctores para el 2025.

    Dice que va a crear 1500 nuevas plazas para entrenar doctores cada anyo; no se de donde va a sacarlas si no hay dinero, aunque esta joyita es especialista en aumentar el servicio a 24/24h, 7/7d sin aumentar el presupuesto, ni las horas de trabajo, ni rebajar los sueldos; vamos un genio. Te lo crees, NOOO!; y para prueba la HUELGA de Junior doctors. Los medicos tenemos una ligera idea de Matematicas/Geometria y no sabemos que se haya encontrado el CIRCULO CUADRADO😵. El parece haberlo hecho😱.
    Como muchos Junior doctors se han o van a ir a Australia, NZ o Canada, el tio ha tenido una gran idea❓" Los medicos tendran que trabajar 4 anyos tras graduarse en el NHS o tendran que pagar los costes de su formacion". JA,JA,JA!! Primero habra que ver como va a evitar que alguien se vaya a un pais que te recluta y luego que este pais te haga volver al UK.


    Segundo, Australia, NZ, Canada e Irlanda perfectamente pueden darte el dinero porque capacitar medicos toma al menos 8 anyosl, el dinero se obtiene en horas.

    Tercero. Medicina es una carrera Asiatizada👳 y Feminizada🙈; va a impedir a las doctorAS Hindues o Paki-Banglas e incluso a las Nigerianas casarse y tener hijos?? Es esa la manera de atraer a futurAS Medical students??

    Cuarto. Despues de tantos anyos de minar el atractivo de la carrera en Medicina, donde va a encontrar tantos estudiantes que QUIERAN ser medicos❓, suponiendo que las plazas se creen.

    Quinto. Pagar que? y por que?. Pues no ha habido poco revuelo a cuenta del AUMENTO por Blair 😈(a £9000 anuales) las tasas universitarias, ni catastrofes politicas por promesas rotas sobre ello (Liberals😖), para que ahora se saque de la manga que al NHS le cuesta yo que se cuanto el posgrade training. La comparacion con el Ejercito NO vale, porque los CADETES NO pagan, se lo paga todo el EJERCITO y eso aqui no existe en cuanto a Pre-graduate careers; este ha visto muchas peliculas yankees[?]!!
    Se olvida que los HO, SHO SON YA MEDICOS Y TRABAJAN COMO TALES mientras se especializan.
    Que ocurre si una vez con la Licenciatura se dedican a otra cosa o se van a especializar a donde se les ponga en la pirindola o los PEZONES?

    Sexto y concerniente a nosotros, Cuantos de esos "futuros medicos" van ha hacer GP VTS? GP y A&E son las areas donde hay mas escasez. A&E por las horas a-sociales e incremento del workload con "peanuts" de aumento de sueldo por 10 anyos y GP por lo mismo mas el poco atractivo que parece tener, es mas "cool" ser medico de hospital.

    Parece que he encontrado un "alma gemela" en el PULSE. Te copio lo que despues de escribir esto he leido.

    Como ves no tiene, ni pies, ni cabeza esa proposicion. El que cree las plazas, se deje de perseguir a los estudiantes/graduados y recuerde que CHURCHIL, Tory como el, lucho contra el Totalitarismo Nazi y nos puso en guardia contra el Sovietico. Lo digo porque los visos de "legalidad" son NULOS y aunque lo fueren, como he dicho antes, inenforzables.

  • Newly trained doctors to be tied to NHS for four years, announces Hunt

    F AROSTEGUI-NOVALES's comment 10 Oct 2016 0:18am

    Audoen Healy I thought just the same when I heard on Radio 4 about this Compensated Amateur/Forced Labour "bright idea". Just "carnaza" (Spanish for sort of diverting/distractive bait=panem et circus for the Roman populace)para party conference delegates, that's what it is.
    Some female officer from a Kentish health quango was also asked about her views and in a dismissive/agnostic way, detected and highlighted by BBC Radio 4 Today's Robinson, tumbled the Army simile as Medical students PAY hefty University fees like any other university student and that occurrence would be discriminatory and open to legal challenge.
    On top of your "lisergic" scenarios,I can add some arguments:
    # Graduated Medical students are DOCTORS and PRACTICING, hence WORKING, for the NHS is part of their Post-Graduate training. They are not just spectators. That's for the "cost to the NHS for training".

    # If the university fees only cover the Pre-Graduate studies, once a Medical Graduate the "debt with British society" has been paid and they could left behind the "re-education camps" jumping over and abroad from the "Hadrian's Iron Curtain/Britannia fortress moat" or just prosecute another professional career using the degree; no need to "cause" expense to the NHS by carrying on.

    # More worrying; I have seen yesterday on the internet an add about studying Medicine in sunny Grenada. Adding to your remark about middle class families who already pay £9000 annually becoming amused with the idea of sending their progeny overseas seeking liberty.

    WHY ON EARTH IS THIS "TONTO DEL CULO" STILL HEALTH SECRETARY??

  • Hunt: Seven-day access will not require face-to-face appointments

    F AROSTEGUI-NOVALES's comment 07 Oct 2014 6:17am

    I want J. Hunt to praise those hordes of call centre workers who are such genious that can deliver dedicated care over the telephone or skipe or whatsup while playing with their chidren, helping them with the school assignments, cooking a healthy dinner, etc..
    Mr. "EFFING" Cameron could also teach us, idiotic GPs, how prosper in the business of UBIQUITY, AND MULTI-SIMULTANEOUSLY TASKING. Really I would be glad to be surfing and lying in the sun "al dolce farniente" in Cornwall whilst using magical powers to diagnose lawsuitlessly by visual "effusions" my beloved "because I paid your salary" patient´s 7h30 pm sore throat. Or would it be oral cancer?
    I know that the effing PM is able to do so because him and a bunch of more than 500 people that gather by the banks of the Thames are doing so during the BUSY parlamentary RECESSES they have every year.