Ha Ha, It just goes to prove that the National Health Service cannot function without us Indians!! Love us or hate us, we are 'INDISPENSIBLE......'
Is this an April Fool joke? If it is not, the NHS England should be sued for this crass wastage of money. This is so disgustingly awful that I feel like shouting at that lot of stupid imbeciles. What a bunch of impossibly stupid idiots....
The NHS England does not give a toss for smaller practices. It believes that big is beautiful and small is crap. Even though small print practices provide good personalized service. Even the CQC reports show this. Screw the NHS England. Unfortunately the NHS England rules the roost. The only alternative is to federate.
The out of hours care was literally forced out of the hands of General Practitioners. As far as I am concerned, I was literally bullied into signing off this cover by the Health Authority, threatened with loss of contract if I did not sign up. It is just not acceptable to blame General Practitioners when the fault lies with the previous government and their advisors.
NHS 111 is an absolute shambles in Liverpool. These half baked ideas mess up everything and only increase our work load. Today, this evening, I had to stay in my surgery till after 19:00 hours, trying to sort this problem out. The IM & T department were panicking, despite being told that the system was not working. I still am not sure if the system works. We have had to redirect calls to the Out of Hours again. I just fail to see how such stupid plans get passed by the Mandarins above, who screw things up big time, have no responsibility towards the general public, get paid fat salaries. I despair!!!
I believed that every change brings a challenge and I revell in challenges. However, this current set of changes are quite impossible. Like lots of colleagues around me, I have decided to throw in the towel and am submitting my notice to retire. Sad, but one had to protect one's sanity.
It is high time we looked to working differently and smarter. It appears that we will be paid for improved outcomes. It is high time individual practices were coached with a view to improving performance. Whether we like it or not, we will have to change. It really is not all doom and gloom out there. we have to review our management of chronic diseases.
This is a fallacy that dieticians across the board appear to approve ( unlike dietary advice offered in the USA). Excessive carbohydrates leads to weight gain. I agree that wheneverI advice my patients to reduce the carbohydrate content, the dietician tells me off. Limiting carbohydrates is the key to losing weight increasing vegetables and fruits and salads is what we should be advocating.