The cavalry isn't coming
The BMA have all the evidence and are doing what exactly to protect their members????
Resignations, moving abroad, retiring early, portfolio careers, changing careers are all rational individual action that will only continue.
You do massively generalise about private providers / single handed professionals set up in this country. They are not in it wholly for a profit. I do it so that I have time and space to provide the service that I am unable to provide in the NHS.
I am already regulated by my professional college / appraisal and insurance firm.
Why would doctors agree to this? Can they say no?
Having done an appraisal today on a great Hospital Consultant who has moved abroad, it’s not just GPs who are treated badly by the NHS. . She looks back on NHS changes in the last 10 years and says she would rather move to the Middle East than return to UK. Her colleagues have all reduced their sessions due to tax issues and she noted how colleagues were stepping back from anything outside their standard clinical work because you don’t get enough time to do it and then a load of grief when you have dont your best. She spoke of ‘impossible demands’.
The NHS is creating ( actively or subconsciously) a salaried workforce in hospitals. She lamented the loss of the team, pride, support, going the extra mile.
This is not the first doctor I have had with the same story.
This is kafkaesque.
Hope it is legally challenged.
NHS England don’t care and don’t have any insight because the majority of them have never actually worked in a healthcare role.
Too many patients. Not enough specialists. Reduced funding.
Hospital consultants start on £76,000 a year minus tax and training and indemnity etc.
And this is why the NHS is screwed. Nobody doing the diagnostics. All only doing the risk management due to time constraints and concerns over GMC/ complaints etc.
I see that Simon Stephens has got his knighthood.
D in vadar. Totally agree. Unfortunately ‘trained psychologists’ are not trained diagnosticians. Patients need a diagnosis first before treatment. You wouldn’t send a person with a query fracture to a physio would you?
The comment went should provide the meds’ assumes that GPs know what to give and how. Often that is not born out.
Patients go to A and E when depressed if they are suicidal.
Secondary care no longer sees patients with ‘just’ anxiety even though it causes significant impairment.
GPs need better (some) specific training in mental health.
Too often they pursue the fallacy that CBT is the better option and medication is bad. Too often I see patients who have not been robustly treated in primary care but never seen in secondary care so they languish partially treated with either the wrong diagnosis or poor treatment.
The contract was always that you worked very hard knowing you would be earning enough on one salary to buy a nice house and could afford private school and holiday each year. Also good pension with no worries.
This contract and expectation has been undermined slowly over the last 10-15 years.
No point blaming BMA if you are all working for free. Absolutely no incentive for government to change anything if you all work for free. Either there will be no doctors as they all vote with their feet and drop sessions or leave or the BMA needs to start to acting like a trade union for those that pay their wages.
Starting salary for consultant is still£70,000 odd after 10 years. Found out that a GP I know who retired early on health grounds enjoys a pension of £60,000 plus income from his old surgery rent. Takes his pension to £100,000.
He didn’t believe a consultants salary now and had to look it up.
Something is very wrong somewhere
Why do you all work for free???
Isnt it more pertinent to ask the patients the question?
I wouldn’t mind so much if the government actually made sensible money on this.
Can’t see a GP, can’t get basic medications, can’t be seen by mental health expert unless you have attempted suicide, can’t be seen inA&E within 4 hours but thats ok because there is money to spend shed loads on a risk assessment for something that may or may not happen in the future.
Yes I agree; the data will be misused. There is something seriously rotten at the top.
Yes. Common sense is now a luxury commodity
This is what happens when you leave the regulator in control of education.
They have too much control over the profession when it is majority lead by non professionals.
The situation will only get worse until this is reversed.
Doctors used to come to this country from outside due to the quality of training and high internal standards but, although that idea is still prevalent, the reality has changed.