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CAMHS won't see you now

All for one ?

  • Why I resigned as a PCN clinical director

    All for one ?'s comment 16 Jan 2020 8:29pm

    Touted as wonderful by BMA at the ARM. The GPC cannot see that declining numbers of GPs is due to their inadequate protection of their workforce and their acquiescence to utter rubbish. The accountants are saying today that PCNs staffing will cost GPs more money for doing more work!!
    This is idiocy negotiated by the GPC !!

  • Ten top tips on frailty in general practice

    All for one ?'s comment 07 Jan 2020 9:03pm

    Thank you for this. Of course, we are only delaying the inevitable, but that is what we do.

    I thought for a moment you were writing about the frailty of General Practice itself!! and trying to delay the inevitable !!. I hope not and GP land will get better!!

  • GP acquitted of ‘assault’ after serving 15 months in prison

    All for one ?'s comment 05 Jan 2020 6:08am

    The poor child deteriorated suddenly AFTER transfer and administration of ACEI in another ward. He probably would have actually got better and went home if he had not been taken away from Dr BG's care.

  • GP acquitted of ‘assault’ after serving 15 months in prison

    All for one ?'s comment 05 Jan 2020 6:05am

    Dr Sellu. Dr Bawa Garba equally convicted for neglect of ' obvious deterioration ' when the patient actually improved from unresponsive to jumping about and transfer to a general ward.

    Not only was the accusation incorrect, it was the opposite of the truth. She was convicted none the less for a child who improved and was discharged from her care. This is UK justice. But unfortunately, there are thousands on thousands who still want to be doctors.

  • Revealed: Why you are earning less than your neighbouring GP practice

    All for one ?'s comment 23 Dec 2019 3:57am

    Personally, I look at profit per patient year, which is only about 51 pounds per year. [ 2000 patients x 51 = 102,000 ]. For about 25 contacts [ 6 consultations + 19 [ lab, scripts, letters etc]. 2 pounds per contact, each fraught with Gross negligence manslaughter].
    We are truly a vocation, as take home pay is just about half of that [ 28 x 2000 = 56000] take home, but only about 1 pound per contact.

  • All rise for NICE

    All for one ?'s comment 23 Dec 2019 3:45am

    You mean you did not refer to ENT?

  • Maths made simple for politicians

    All for one ?'s comment 10 Dec 2019 10:13am

    Are these new GPs needed to suffer the continuing, continuous penance and punishment imposed by Mr Hunt ?
    if you punish people and impose penances and other hellish Heath Robinson hoops, why would you wish to increase their numbers ? I do not understand. If we are a failed, miserable lot that need a lot of punishment, they should be glad to see falling numbers of such abominations, unless of course they are masochists guised as health secretaries.
    There you have it, GP land is purgatory, bordering on hell.

  • Tenth GP practice hands over contract to foundation trust

    All for one ?'s comment 11 Nov 2019 11:19am

    Unscepted is so right . Trust patients receive 25% more for admin alone. I think the extra funding provided would have sustained all GP practices that were taken over. But the NHS has always been thus. Some GP surgeries get 200 , others 120/ patient. Of course, there are likely to be some variation as say London vs Fermanagh, but profit per patient year can vary from 120 to 40 pounds. Trusts are all better paid per patient and perhaps while we may lose independence on the swings, we may gain workload controls, safety and stability on the hobby horses.

  • This election needs proper initiatives around GP workload

    All for one ?'s comment 11 Nov 2019 11:07am

    Jaimie, we GPs do not define safe workloads. It is pointless to keep saying 'excessive' without any definition of ' normal' is.
    We accept a Patient number based contract with no definition of appointments/ consultations per patient. So, if consultation per patient goes up threefold in 20 years and continues to rise year on year, but we continue to stick to the same patient number mantra rather than define workloads by appointment number, which we can quantify as safe then we can only blame ourselves.
    BMA ARMs through the years have decided against appointment based Contracts or even defining safe consultation/ day/week.
    I remember Clare Gerada [ I think ] saying she would not like to the GP's 50th patient that day, but did not stay to define what number she would like to be.
    I did maths once and it is still my hobby. I believe the Universe is mathematical. How many GPs we need [ eg 6000] has to be based on some mathematical concept of appointment numbers/ WTE GPs/ workload capacity to define a few parameters.
    The ball is not with the Govt. It lies with us.

  • Told you so

    All for one ?'s comment 01 Nov 2019 9:31pm

    I love the practice of medicine, it has become a cherished hobby and checkpoint inhibitors and MABs for malignant melanomas and blockers that affect b3 receptors and all this wonderful, magical profession we belong to; but I cannot stand the unfettered demands anymore and I and leaving with a heavy heart. When will the BMA, our Union, realise that unless you look after doctors by defining safety in workloads and conditions, then there will be fewer of them left?

  • A third of GPs have reduced their hours over the past year, says GMC

    All for one ?'s comment 01 Nov 2019 9:19pm

    At Cross roads
    So sorry to hear of your troubles. Retirement age of NI women GPs is 41, I believe.
    But in some ways, we GPs have ourselves to blame for this.
    We accept an unlimited patient number based Contract, instead of a limited appointment based Contract. W cannot accept something legally and then complain of workloads, when we do not define safe workloads.
    I have tried, times without number, in BMA , ARMs, LMC meetings to define workload safety and/or appointment based Contracts.
    The meeting have voted against these defined workloads every single time. I have given up. I may be wrong anyway in worrying about the health of GPs, burnout, litigation, Gross negligence manslaughter all due to workload issues [ as in Dr BG ], because the numbers of GP trainees is increasing.

  • The real fraud

    All for one ?'s comment 26 Sep 2019 6:39am

    It is bizarre to so tarnish an entire profession and then say you need 5000 more of these lazy, fraudulent, overpaid GPs who spend most of their time playing golf !!!

  • GPs should not prescribe antibiotics for impetigo, says NICE

    All for one ?'s comment 17 Aug 2019 8:44pm

    More than 80% of the total world antibiotic use is by 2 countries in farming.These reactivate genes for antibiotic resistance that are millions of years old [ found in bacteria buried deep in permafrost long before antibiotic use by mankind], washed down through rivers into oceans and ship's ballasts and multiple ways of spreading. Our use of antibiotics is probably about 0.01 % of world usage.But we still need to be careful, even though we do not make any difference to global AMR genes.

  • GMC was advised to appeal Bawa-Garba case to 'protect reputation of profession'

    All for one ?'s comment 06 Aug 2019 8:06am

    Dr BG was found guilty for ' ignoring obvious deterioration' as stated by the expert. But, in actual fact, Jack improved under her care and was transferred to a general ward where he got an ACEI. He was unresponsive on admission and very ill around 10 am. Yet at 7 pm, he was well enough to be transferred to a general ward by ANOTHER clinician [ not BG].
    YET, DR BG was convicted for the following, according ti Sir Thomas QC prosecuting [ under expert witness advice] :
    ' Due to their neglect [ Amaro and BG], Jack Adcock's condition declined to a point of no return before transfer to a general ward.'
    I find this absurd as a prosecution statement, because Jack was unresponsive on admission and if he declined he would be moribund and could not be transferred to a general ward.
    The whole case is actually absurd and the expert witness is squarely to blame for that, for stating decline, when Jack actually got better.
    It is not the GMC is at fault, it is the expert witness who stated that a diagnosis of gastroenteritis in Jack who had vomiting and diarrhoea as negligent.
    I despair that no gastroenterologist has written to GMC or law society defending Dr BG's diagnosis and the expert witness has gone unchecked by the defence team.
    I even heard a professor in Hobart, Tasmania, state that had Jack remained under DR BG's care, he would not have got the ACEI, as she had rightly thought it contraindicated in V+D, and he would have gone home.!!
    A case could easily be made that it was because Jack was transferred from DR BG's care that he died!

  • Four in 10 GPs have reduced shifts over pension tax penalties, reveals BMA

    All for one ?'s comment 02 Aug 2019 8:22am

    Perhaps this is a blessing in disguise and we should all work less and more sensibly any way.

  • GPs being named a shortage occupation is not enough to stop the staffing crisis

    All for one ?'s comment 24 Jul 2019 6:47am

    Truth finder.Jack had been unresponsive on admission and had improved so much he was discharged to a general ward because he was so well by another clinician.
    Ye Bawa Garba is convicted for 'neglecting decline to a point of no return', according to the expert; which is completely the opposite of clinical reality. How did this ever happen and what can we do about this? Where was the defence team?
    No wonder no one wants to work as a doctor here in the UK. No one should in these GNM conditions.

  • Number of registered patients per GP rises to almost 2,100

    All for one ?'s comment 12 Jul 2019 4:56pm

    Truth finder is right. These ghostly figures are all fraudulent, they are just spooks from a quantum unreality.

  • It’s not up to GPs to sort out national recruitment problems

    All for one ?'s comment 04 Jul 2019 11:14am

    Yet the BMA ARM voted overwhelmingly for the new 5 year Contract with PCNs.

  • Practice asked to pay half a million in service charges for 'non-existent' services

    All for one ?'s comment 04 Jul 2019 11:07am

    Truth finder
    Sadly, Dr BG did work so hard covering so many doctors. This was used against her as she did not see the XR earlier because she was attending to other children with meningitis and sepsis, children that should have been dealt with by absent doctors.
    You don't get thank yous here in the UK, you get GNM instead.
    Why would any doctor wish to work in this insane country? Look at pensions. If you earn 1 pound more you pay 2 pounds back.
    The UK is becoming insane.
    NHSPS and Capita are examples of this madness.

  • Practice asked to pay half a million in service charges for 'non-existent' services

    All for one ?'s comment 04 Jul 2019 11:01am

    Also needs to be sued for fraudulent billing.