Crazy talk. He needs to watch a couple of episodes of Doc Martin or Doctors to understand the subtle nuances of General Practice.
Dear Readers' Comments
"We know a very small proportion of practices are struggling"
Many of us are struggling
Recruitment is dreadful. The workload is awful. The regulation monstrous. The CQC inspections are not helpful and I certainly don't welcome them. I don't look forward to a Training inspection but I do find them purposeful and helpful. The CQC inspections are unhelpful, inaccurate and demoralising.
Absolutely right to close this practice down! My understanding is that several notices were not correctly laminated and the cleaner couldn't remember all 5 principles of the mental capacity act.
999 "What's your emergency?"
Me "Ambulance please-patient has a PE"
999 "What' the NEWS"
Me "We have a Zombie Government and the country is up the creek"
999 "Sorry doctor I can't send the ambulance without a NEWS score"
Me "The score is 180"
999 "Thanks-ambulance on its way. That sounds really high"
My local CAMHS (18 month waiting list)have some clever tricks
1 Any referral not made on DXS is rejected.
2 They don't let us know that the referral is rejected.
3 The DXS referrals are also rejected as it is the wrong DXS referral form that you are taken to on the prompt
I now do the correct DXS referral with the parent/s present. I suggest that they ring CAMHS once a week for the first 4 weeks and every day thereafter. They are to refuse any request to go back to the GP as I forewarn them of that old tactic.
I don't like to be difficult but action is needed to highlight this disastrous service.
Its bad enough when they had thermometers. Now they have BP machines, sat monitors, apps, Fitbits and Dr Google.
My observation--purely anecdotal. I know 4 trainees who failed AKT twice. They were all advised to be tested for dyslexia as a positive diagnosis would give them extra time in the AKT exam. Dyslexia was diagnosed. This late diagnosis of dyslexia seems odd in individuals who have excelled at school and got through medical school.
I declare an interest as I also have issues with the over diagnosis of the following conditions
3 Adult ADHD
Still if I fail my revalidation I'm going to get checked for dyslexia and all of the above.
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