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GPs buried under trusts' workload dump

Loves General practice

  • This back-door reorganisation spells the end of NHS general practice

    Loves General practice 's comment 25 May 2018 3:11pm

    @Nick Mann SPOT ON !

  • We need zero tolerance of bullying of GPs

    Loves General practice 's comment 09 May 2018 10:00am

    Couldn't agree more @Thurnout the lights Bullying and being bullied is everywhere now, at every level in the NHS.In the airline industry if someone at any level of the hierarchy finds a fault, they are rewarded because passenger safety is everything – in medicine the opposite has been true. I agree,BMA has to take a very proactive role to eradicate this menace which is destroying many carriers.

  • We must tell people the truth - the Tories are deliberately wrecking the NHS

    Loves General practice 's comment 11 Apr 2018 8:33am

    No doubt the NHS is suffering because it has become a political football !

  • GP leaders instruct GPs to stop written reflections in light of Bawa-Garba case

    Loves General practice 's comment 09 Mar 2018 4:29pm

    It's high time GMC appreciate that they have abondoned their Slogan “Protecting patient and supporting Doctors”.
    They have become the arm the Govt . Why should profession put up with the regulatory body
    who exploits the subscriber?

  • 'Indemnity fees are killing our profession' - sign this letter to Jeremy Hunt

    Loves General practice 's comment 01 Sep 2017 12:41pm

    Dr Kailash Chand
    Ex deputy chair BMA council

  • Jeremy Hunt reappointed as health secretary

    Loves General practice 's comment 13 Jun 2017 2:16pm

    Reappointed Jeremy Hunt's the longest-serving Health Secretary - and the worst in history http://www.mirror.co.uk/news/uk-news/jeremy-hunt-now-longest-serving-7925617 …

  • A call to arms - time for a new trade union?

    Loves General practice 's comment 29 Jan 2017 9:26am

    In regards to the article by Alan Woodall, I had made comments which were clearly inappropriate. I don't want to ruin the apology by giving any excuses or explanation .I would like to offer an unreserved apology for any offence,hurt I might have caused the author or readers. That was not my intention but on this occasion I fell well short of my usual rigour and standard in posting my own commentary.
    Alan has very kindly accepted this and would like us to move on to fight for the profession.
    Kailash

  • A call to arms - time for a new trade union?

    Loves General practice 's comment 25 Jan 2017 9:02am

    Alan's blog is divisive and not helpful. GPC is what you all elect....Remember in democracy,you get the leaders you deserve.
    Those who pray for your downfall are concentrating negative thoughts towards you, without taking cognisance of the slippery ground in which they are standing, which could lead to their downfall.
    It may well be that we will have to repent in this generation. Not merely for the vitriolic words and the violent actions of the bad people, but for the appalling silence and indifference of the good people who sit around and say, "Wait on time".
    It's time to unite,not to divide....United we stand,divided we fall!😥😥😥

  • A radical way to encourage self-care - fines for inappropriate attendance

    Loves General practice 's comment 20 Jan 2017 12:29pm

    Very good ideas,however, I agree,A slow process which will take years to fruition if stared now!

  • Failure to fully consider the costs of seven day access is irresponsible

    Loves General practice 's comment 16 Jan 2017 1:28pm

    Shaba Nabi,
    Brilliant response to Ivan.But I fear,if this will cut any ice with him!

  • Failure to fully consider the costs of seven day access is irresponsible

    Loves General practice 's comment 12 Jan 2017 12:04pm

    NHS and politics have formed a toxic mix.
    Seven day NHS is ill thought political initiative.
    We don't have manpower resources or need for 7 day routine services!

  • GPs want to remain independent but collaborate more, shows BMA survey

    Loves General practice 's comment 13 Dec 2016 8:42pm

    "It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change." -- Charles Darwin

  • GPs and patients 'misled on statin harms' claim top researchers

    Loves General practice 's comment 09 Sep 2016 9:02am

    The Lancet paper does not contain any substantially new information or data. Many of the studies used in the analysis had run-in periods, “which means that people who complained of side effects from statins were excluded from the trial. For example, 35% of the statin users were excluded during the open-label run-in in TNT. Thus, the actual adverse events rate are certainly higher than in the trials. None of the CTT(Clinical Trials Unit) data has been made available to other researchers, despite multiple requests. All of this data is from industry sponsored studies, with concern for bias No one has seen these data except the trialists. The Oxford Clinical Trials Unit receives hundreds of millions of pounds of support from the pharmaceutical industry. Adverse events are underreported in these trials, as they do not ask about the common ones and many use a definition of muscle problems which requires a CPK increase, yet many patients have muscle weakness without CPK bumps. It is estimated that closer to 20% of statin users have muscle problems The higher estimate certainly reflects the many patients I saw when I was practicing, who are or were miserable when put on statins. As a matter of fact I have personal experience. My myalgia and fasciculation’s were so severe that I needed neurological and orthopedic intervention. All symptoms eased once I stopped taking Statins. Lancet paper definitely, exaggerates the benefits of primary prevention.

  • GPs and patients 'misled on statin harms' claim top researchers

    Loves General practice 's comment 09 Sep 2016 9:02am

    The Lancet paper does not contain any substantially new information or data. Many of the studies used in the analysis had run-in periods, “which means that people who complained of side effects from statins were excluded from the trial. For example, 35% of the statin users were excluded during the open-label run-in in TNT. Thus, the actual adverse events rate are certainly higher than in the trials. None of the CTT(Clinical Trials Unit) data has been made available to other researchers, despite multiple requests. All of this data is from industry sponsored studies, with concern for bias No one has seen these data except the trialists. The Oxford Clinical Trials Unit receives hundreds of millions of pounds of support from the pharmaceutical industry. Adverse events are underreported in these trials, as they do not ask about the common ones and many use a definition of muscle problems which requires a CPK increase, yet many patients have muscle weakness without CPK bumps. It is estimated that closer to 20% of statin users have muscle problems The higher estimate certainly reflects the many patients I saw when I was practicing, who are or were miserable when put on statins. As a matter of fact I have personal experience. My myalgia and fasciculation’s were so severe that I needed neurological and orthopedic intervention. All symptoms eased once I stopped taking Statins. Lancet paper definitely, exaggerates the benefits of primary prevention.

  • Junior doctors to take five-day continuous strike action

    Loves General practice 's comment 31 Aug 2016 6:38pm

    Only Jeremy Hunt is to blame for the junior doctors strike strike. I wrote this six months back....it's true today as well !http://ln.is/www.mirror.co.uk/new/ZU09f

  • The independent contractor model is being left to die

    Loves General practice 's comment 01 Jul 2016 10:58am

    Reality check and a thought provoking article, Nigel!
    There are now 7,962 GP practices in England – one in 20 has disappeared since 2010. The rate of loss of local surgeries has speeded up – 79 closed and 55 opened in 2010 but in 2013, 126 closed and only 13 opened.

    By the time of next election in five years, the general practice model of the last 67 years will see revolutionary changes, we might begin to see GPs working as part of a broader non-acute sector, in larger teams, in different settings, and for new employers. A new tier of physician associates is planned, along with more nurses and pharmacists. These skilled non-medical professionals could be allowed to take on bulk of work traditionally only associated with GPs. All of this would be unrecognisable to our GP from 1948. Private sector providers want to de-professionalise and down-skill the practice of medicine in this country, so as to make staff more interchangeable, easier to fire, more biddable, and above all, cheaper.
    Time to unite and fight!

  • 200,000 patients 'may have quit statins' following negative media coverage

    Loves General practice 's comment 29 Jun 2016 9:08am

    Well said, Bill Beeby!I think BMJ's chief editor, Fiona Godlee's ' shocking' comment to lack of access to the data is very telling...
    It vindicates the LMCs conference unanimous motion passed, in May 2014 the calling for NICE(threshold for starting treatment to prevent cardiovascular disease to be halved from a 20% risk of developing cardiovascular disease over 10 years to a 10% risk) to recommend such changes only on the basis of a full disclosure of trial data. The decision to increase use of statins is based on trial data only a few chosen people have seen. We need to demand greater transparency about the research on these drugs.

    ' the public debate on statins through media has clearly had a very positive impact on many levels. It's encouraged GPs to take a more critical look at the statin data. Most GPs and patients can now better weigh up benefit and risk and make prescribing decisions based upon individual patient preferences and values as opposed to an ethically suspect financially incentivised blanket prescription to a healthy population.' Instead of converting millions of people into statin users, we should be focusing on the real factors that undeniably reduce the risk of heart disease: healthy diets, exercise, and avoiding smoking.Remember,the researchers estimate, that for every 100 people without known heart disease who take statins for five years, 98 would see no benefit, and only one or two would avoid a heart attack that they might not have otherwise.

  • GPC demands practices be compensated for 'systematic failure' of support services

    Loves General practice 's comment 11 May 2016 11:40am

    Better late than never! Only motive for outsourced private companies is to make profit! GPC need demanding abolition of private provider Capita !

  • Junior doctors are angry because of BMA 'misrepresentation', claims Hunt

    Loves General practice 's comment 09 Feb 2016 9:24am

    The blame for another junior doctor’s strike lies with Jeremy Hunt, who combines incompetence with spin. Health secretary devoted time and energy smearing doctors and playing politics, when he should have been finding a just and fair solution.
    http://www.mirror.co.uk/news/uk-news/jeremy-hunt-solely-blame-junior-7326480

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

    Loves General practice 's comment 05 Feb 2016 10:49am

    Good luck and best wishes, Naomi.