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Independents' Day

Peter Lacey

  • Government to blame for poor doctor morale, says former health minister

    Peter Lacey's comment 21 Dec 2016 2:40pm

    Yet more taxes for the NHS? No fear. It would be throwing good money after bad. What we need is a more efficient private system that runs in parallel and is integrated with the NHS. It would quickly improve the standards in the NHS AND the private health systems (PHS), which are dragged down by the standards in the bureaucratic NHS. By introducing a well-regulated and partly funded tax deductible PHS that people can step into and out of according to their circumstances, there would be mutual incentives for both sectors to get better. It would also keep the PHS costs down by introducing proper competition. Right now they are spiralling.

    It takes working outside a system for a number of years to realise how atrocious the NHS has become, and it isn't the money that has made it so. It's the massive hangover from the old Socialist bureaucracies, monopolies and institutions that were started in the Post WW2 and have largely been discarded but kept in the NHS by successive governments of both persuasions who are terrified of the Marxist rhetoric,dogma and fear which is then spread by the likes of the Daily Mail.

    Every nation in the free world has an NHS of sorts and I agree with the slogan'Save our NHS, Save our NHS' that seems to be shouted on every picket line of junior doctors But the best way to 'save' the NHS is to do what most nations in the West have done which is to give people an efficient tax efficient alternative that they can use without embarrassment or fear of ridicule for being 'elitist'.

  • GPs told to refuse third party script orders in bid to cut medicines waste

    Peter Lacey's comment 05 Oct 2016 9:36pm

    Let's hope GPs are as efficient as pharmacists in dealing with RPs.

    So far I haven't been very impressed with GP responses to essential medications.

  • Jump in private referrals after GPs are told to ask patients about insurance

    Peter Lacey's comment 05 Sep 2016 4:26pm

    Makes perect sense. It's been happening in other countries in the world, who realise that the 'free at the point of contact' idea is a sham.

  • NICE: GPs should develop individual care plans for patients with multimorbidity

    Peter Lacey's comment 31 Mar 2016 10:45am

    The Aussies have done this for years - and they get paid extra for doing them.

  • Practices to pay almost £2,000 more in CQC fees from April

    Peter Lacey's comment 30 Mar 2016 8:52pm

    Please guys. Go public. Anonymous is a waste of your time. You could all be the same guy!!!!!!!!!!!!!!!!!

  • Practices to pay almost £2,000 more in CQC fees from April

    Peter Lacey's comment 30 Mar 2016 8:46pm

    Bye Bye NHS.

  • Only one in 100 GP returners pass new fast-track induction exam

    Peter Lacey's comment 08 Mar 2016 4:08pm

    Then the system is wrong. Can't be the GPs. They have proved themselves in other infinitely better systems than the NHS. What arrogance!

  • Mr Cameron, the NHS is not safe in your hands

    Peter Lacey's comment 05 Feb 2016 2:03am

    This NHS is not 'the envy of the world'. Neither is it the best in the world. It might be the best as compared with the third world, I grant you.

    The only people who envy us the NHS are the bureaucrats in different countries who see that General Practice and the rest of the NHS can be meddled with, controlled and manipulated in a way no other country could hope to achieve. They envy the government's power.

  • How the GP fightback began - and what happens next

    Peter Lacey's comment 01 Feb 2016 12:53pm

    Never mind Hunt. Barbara Castle was far,far worse. And she was labour.

  • GPs told to inform patients of 'state snooping' on sick note records

    Peter Lacey's comment 25 Jan 2016 11:48pm

    Remember that lovely line uttered by Sharon Stone? 'Waddya gunna do, arrest me for smoking?'
    Just ignore it.

  • Come up with a plan to make general practice 'sustainable', NHS tells all areas

    Peter Lacey's comment 23 Dec 2015 12:30pm

    I use the word Physician in the old sense of the word. Steve Fields sadly has a point. WE relinquished our role years ago. I did the LMCC (Canadian qualification) in 1980. Passed it easily. The consultant rheumatologist sitting next to me failed it three times. The consultant I met the other day didn't even know what bisoprolol was for. Believe me, we know more...

  • Come up with a plan to make general practice 'sustainable', NHS tells all areas

    Peter Lacey's comment 23 Dec 2015 12:03pm

    1. Fee for service. That will mean that the harder you work the more you get paid. Right now the harder you work, the less you get paid, based on an average income per GP/Patient encounter. If incomes increase, reduce the interference of government in the ways that GPs sort out their retirement.
    2. Open access to any GP you want to see. That will mean that the best GPs get the rewards for their competence and hard work and the less competent or hard-working will learn that they can improve their income and ability by hard work. ALL doctors are clever these days, so they can all improve if there are incentives to do so. No such incentives exist at the moment.
    3. Give GPs the freedom to charge privately if they see fit. When patients get a receipt they should be able to get some or all of that money back from the NHS. In other words,integrate the public and private sectors and suddenly there will be a surge in availability of health professionals in both the private and the public sectors. There need be no such thing as a two-tier system.
    4. Trust GPs to be more in charge of the investigations and management of their patients. Let them take patients to a higher level if they feel comfortable in a particular area of medicine. One GP might have an expertise in skin disease but be less competent in psychiatry. Or vice-versa. Recognise we cannot be 'all things to all men', encourage diversity and discourage conformity.
    5. Recognise that the best advocates for patients are the GPs themselves, not some jumped -up bureaucrat, RCGP presidents (politically to the left of the mainstream), all GP CQC 'professors', government meddlers, self-appointed guardians of 'patient safety' a specious and overused concept anyway - we all know that they feather their own nests at the expense of real quality.
    5. Listen to the experiences of the 'returners' from systems elsewhere, the ones who have seen how general practice can be done when the leash has been loosened and GPs become the true 'generalists'. GPs know more general medicine than most specialists other than in their chosen, narrow, fields, and we certainly know more than the general physicians of 40 years ago. Trouble is, in the UK GPs are highly trained and have nowhere to use these skills. One of the biggest problems we have had over the years in Australia is teaching UK GPs how to use investigations properly, teach them procedural skills and get them to think independently - to 're-skill'. The most admired skill a GP has in the UK is how to 'refer'. The skill most admired in other countries is how to 'manage'. In the UK those two words are synonymous. In Canada, Australia and NZ they are very different.
    6. Use GPs wisely, reward us with trust and a proper income and you will see a massive return of the new GPs to the joys of general practice in the UK, an outcome that would good for the patients and the doctors themselves. Too late for me, but it could save the NHS for future generations.

  • Professor Steve Field says GPs have 'failed as a profession'

    Peter Lacey's comment 16 Dec 2015 10:34am

    hear hear 1034 15th december!

  • Half of GPs willing to resign NHS contracts in protest at state of general practice

    Peter Lacey's comment 11 Dec 2015 7:20pm

    No you won't resign. Not even 10% of you will resign. You'll bumble on, whingeing, and tell yourselves: 'Oh well, it'll all be over in 20/30 years and then I can retire.' That's what GPs in this country do.

  • Seven-day GP access scheme causes ‘mayhem’ in out-of-hours workforce

    Peter Lacey's comment 18 Nov 2015 10:34am

    meddle, meddle, meddle, meddle, meddle.

  • Pharmacies ‘discouraging’ patients from GP flu jabs

    Peter Lacey's comment 14 Oct 2015 9:18am

    I had to make an appointment to see my GP at 8pm two days in advance. I could have had mine done at the local pharmacy immediately.

    Match the service, then GPs can complain. A flu jab takes ten seconds.

  • Pharmacies ‘discouraging’ patients from GP flu jabs

    Peter Lacey's comment 13 Oct 2015 10:11pm

    I had to make an appointment to see my GP at 8pm two days in advance. I could have had mine done at the local pharmacy immediately.

    Match the service, then GPs can complain. A flu jab takes ten seconds.

  • Escape to Australia... oh, hang on a minute

    Peter Lacey's comment 17 Sep 2015 9:38am

    6.59am. I wholly agree. No one in their right mind would pay heed to the 'anonymous' rubbish that spouts from people's keyboards.

    As for Australia, I commute there four times a year. It beats the nonsensical GP system in the UK hands down, both on professional satisfaction and income. There is so much that's good about the NHS but the GP set-up is awful. THAT sector of the UK health care system s where there is contempt and general mistrust at what GPs can achieve if they are given the chance.

    And no, the OMGs in Australia are not treated with contempt., unless they deserve it - and that usually means they are the standard whingeing Poms that everyone writes about.

  • Brave GP challenges the health secretary to his face

    Peter Lacey's comment 27 Jul 2015 6:42pm

    She is 'brave' because she has put her name to her comments. If some of the 'anonymous' crowd above had any moral fibre they would do the same. What do you think will happen if you actually put your name to the comments you make? It will, above all, give credence to them. The politicians might actually start to listen, rather than smile quietly to themselves and say inwardly: 'They have no balls.'

  • Dr Emma Nash: Why my plea to patients on Facebook hit home

    Peter Lacey's comment 27 May 2015 9:58am

    Dear Emma Nash,

    This is such a well-written piece I have copied and pasted it to myself.

    I came back from Australia in 2012, a very stupid thing to do professionally, but drawn back to family. The reasons I say it was a stupid thing to do are so well summed up in your article that I have pretty much made up my mind to retire from general practice in the UK and devote my time to flying in and out of Australia where you can get things done, and where bureaucrats, with their specious arguments about 'safety', do not exist to anything like the extent they exist in the UK.

    Please note that I have a name, unlike most of the people who have written in, probably afraid, as in the Nazi Europe article writer's case, that some nasty little gnome will make his/her next revalidation that much more difficult and denounce them as 'subversives' and 'enemies of the state'.

    Thank goodness I'm 65. I still like being a doctor - just not in the UK where GPs, sadly, have always been viewed with disdain and pity.