overwhelmed, burnt out, pissed off, grumpy, unenthusiastic, dissatisfied, but there is a light at the end of the tunnel, a free bus pass and retirement.
I do hope there will be enough younger and enthusiatic colleagues left to look after me in my twilight years.
universities are a lot worse wanting medical certificates for all sorts
Buy fewer vaccines and when they run out signpost to nearest pharmacy
I do think there is a place for senior experienced sensible physicians to work as community geriatricians, perhaps within a community acute nursing team or a few beds and provide timely access to a medical opinion. It has been working here in ~Sefton for some years.
At last some enlightened publich health person daring to stop this clinical nonsense of NHS health checks.
However, it is not right to change this midyear, an adequate notice period to the end of the financial year would be more appropriate.
Be very careful about wishing payment by activity / fee for service. the German system awards points per defined activity in a catalogue of over 1000 items.
The given budget for the area is then divided quarterly by the points achieved by all doctors to define the points value. Everybody works like mad. The more points you score, the less you earn per point, your maximum paid activity per patient per quarter is also capped in pay, so you may end up working the last few weeks every quarter for free.
You are also scrutinised for prescribing and may have to pay penalties if over budget.
I much prefer the British system.
Nice as a learning tool, but if this was a consultant letter back to me after my referral I would be extremely angry I would ask the consultant to do his job in diagnosing the patient rather than dispensing gratuitous advice.
I hate tick box medicine. It is time consuming and does no better then an experienced clinician with old fashioned history taking skills who knows his patients.
The current young generation of doctors are being totally deskilled in the art of medicine and are taught to slavishly follow algorhythms.
What is the accepted definition of a full time GP?
Clinical sessions, admin session, CPD session?
2% difference statistically significant? maybe, clinically relevant? surely not
Current GMS as in 'no new work without new money' is about the only protection there still is, no wonder it is seen as a barrier to dumping more work on GPs.
If these applicants are so bad, how on earth did they pass their medical school finals?
Appraisal and revalidation an insult to my professional integrity!
Read Margaret McCartneys book I found it well written and a good read as well as generating about 20hours CPD including impact.
Stop PSA, breast screening, cervical screening, NHS health checks, acupuncture, homeopathy, statins for primary prevention.
None of this will be popular with the electorate, therefore it will not happen.
I do not think Martin Brunet endorses Homeopathy, he simply points out that a lot of the conventional medicine we practise could do with more critical appraisal.
Bring back Edzard Ernst
MAYBE WE COULD OUTSOURCE THIS TO A VIRTUAL MEDICAL CENTRE IN THE FAR EAST?
No more scheduled meetings to waste precious time please. Adhoc contact re current problems and participation in baby clinic highly valued.
Is there a new dementia drug somewhere in the pipeline? Conspiracy theorists please comment.
Hundreds of GPs hit by pension scheme errors as accountants warn some face five-figure tax bombshell
Are there any other firms of specialist medical accountants that have not been mentioned in the article or posted to the discussion?
'Three week cough' lung cancer campaign prompted at least 200,000 additional GP attendances, new figures suggest
This is a very superficial headline grabbing analysis. If public health England is so sure about the value of doing CXRs on all persistent coughers, then why not make a scientific case for a national screening campaign whcih would need to be properly resourced and evaluated.
As we all know the value of breast screening is at best doubtful, and as for PSA testing, I believe this has been thorughly discredited as a screening tool both in the US and the UK. That does not prevent sound bite hungry politicians such as Boris promoting it.