Oh dear, oh dear, oh dear. I think I need a few of my diazepam to cope with all this.
Lovely article. I actually feel calmer and less anxious when I am on my own. I'm not sure who said "A crowded room can be the loneliest place in the world"--true in my case.
That nice advice is not very nice.
I can see what you are trying to do. Just doesn't quite work. The Times and Private Eye do similar articles--always a bit hit and miss even with them. I definitely wouldn't give up. You just have to somehow tap in with the Pulse readers. I would have no hope. Copperfield usually has the right idea. Best of luck.
Poor Ellie probably spent a long time writing her article. Totally agree with the wise comments of the readers.
As a newly qualified GP I was very clear that I totally supported the right of a woman to have an abortion. Having referred many women to BPAS and Marie Stoppes I now find the whole process incredibly depressing and sad. I am far more confused about the whole subject now that I know a lot more about it.
Brilliant article. Totally agree that these issues are incredibly complex. I don't agree that morbid obesity and anorexia are two ends of the same spectrum. The patients' with anorexia nervosa usually have a distorted body image and think that they are morbidly obese. I suppose the morbidly obese are similar as they also believe that they are morbidly obese.
I think that individuals have a responsibility to take responsibility for their own lifestyle choices. I also believe that governments can have massive impacts on these choices. Smoking is a good example of positive state intervention. Huge amounts of money is spent by the junk food industry advertising their products. Tax the hell out of them.
The country is broke. The Pensions are a Ponzi scheme. Pension contributions don't sit in a pot waiting for you to retire. They are used--partly to payout those receiving a pension. When we get there there will be nothing left.
Get out of the Pension scheme and put the money into Bitcoin or Gold
The NHS costs about 120 billion a year. 10 years ago it was around 80 billion. I don't support this "free at the point of delivery" concept. The General public have show a flagrant abuse of the service for years. Surgeries and OOHs are packed with patients with minor self limiting ailments. Many would not be there if they needed to pay to see the doctor.
Time to fundamentally change health care in the UK
New Zealand and Canada still viable options
Many years ago I was referred to the GMC for refusing to prescribe strong pain killers to a patient with ME. It took them 15 months to decide that there was no case to answer. During which time I was told not to do any locum or out of hours work.
Patient remained registered with me until he ended up in prison.
Patient is mad--keep asking for more details
I've got to give up being a Partner
Dear anon 2016
I am trying to work out what you meant to say as I think "despite" was a typo. Here are some guesses
I'm guessing "4"
The CQC is a quango. I dread their inspections which do nothing to improve patient care. They cause massive damage to practice moral. The CQC are my number one reason for quitting the Partnership.
Apologies-no offence intended. Feeble attempt at humour. Just trying to paint a picture of how we have got to where we currently are.
GP training has evolved. Initially no training at all. There was an apprenticeship model. Then there was the Trainer "Certification of satisfactory completion". You only failed that if you inadvertently slept with the Trainer's wife. This was eventually replaced by either passing the MRCGP exam or the Summative assessment exam (for the thickies). Eventually this merged into the MRCGP. Videos of a surgery were sent to the exam board. Seemed a good idea initially but became increasingly artificial as the candidates devised cunning ways of deceiving the exam board (get a friend in as a pretend patient etc). CSA was then conceived. Initially served a useful purpose but has once again been distorted by cunning candidates learning crafty techniques to get the actors to spill the beans. The process has become increasingly artificial.
It is an unfair exam and "BME" doctors are at a disadvantage.
Looks like Catherine Tate closing the surgery? Maybe she is planning a comedy about General Practice.
For what it's worth I've changed my mind. I used to think the CSA was a fair exam and a good way of making sure that trainees have a basic level of communication.
Now I think it is unfair. It massively favours white English speakers. Girls favoured over boys. When I employ a doctor I want someone who is clinically competent, hard working, cares about the patients and does their best. The CSA is a game that has to be played out. I think it worked well the first few years--but has become increasingly artificial.