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Independents' Day


  • NHS England gives GPs until Monday to review patients who should be shielding

    Borat's comment 09 Apr 2020 2:38pm

    I hope this isn't a stupid question but is there a contractual requirement to do this?

  • GMC re-registers nearly 4,000 former GPs to join coronavirus battle

    Borat's comment 28 Mar 2020 7:56am

    Why isnt the mainstream media explaining to the public that doctors have not returned but have just been allowed to return, instead of allowing the public to think the cavalry is coming?

  • The sound of many hands clapping

    Borat's comment 28 Mar 2020 0:00am

    Shame you have to put your life on the line just to get a clap. Maybe electing a government that provided you with adequate PPE would be a more appropriate gesture.

  • ‘Reassuring’ evidence on surgical masks for GPs but only in use with other PPE

    Borat's comment 27 Mar 2020 11:24pm

    @KevlarCardie. Great article. UK Goverment - complaicent & penny pinching. Massively false economy which will cost thousands of lives and billions of pounds.

  • ‘Reassuring’ evidence on surgical masks for GPs but only in use with other PPE

    Borat's comment 27 Mar 2020 10:05pm

    Grateful thanks to the academics who have conducted this study of whom this comment is not a critisism. Just wondering why, as this is a meta-analysis and therefore the data already existed, the UK Government did not do it and sooner.

  • GP practices prescribe controlled drugs electronically in NHS Digital pilot

    Borat's comment 12 Oct 2018 7:55am

    This should have been done ages ago. Why would you treat CDs any differently?

  • GP practices and pharmacies told to 'swap stocks' amid flu vaccine supply issues

    Borat's comment 22 Sep 2018 10:34am

    "Pharmacy chain Well confirmed today that it is supporting a number of GP practices by allowing them to refer patients to its pharmacies to get vaccinated."

    Supporting practices? In what way exactly? By taking their business, that's how. What a joke.

  • GP resigns from CCG leadership over links to private online provider

    Borat's comment 17 Sep 2018 12:40pm

    Totally agree with Unscepted. What was the basis for the letter of no confidence? Are there concerns over mismanagement of conflict of interest? If so, a formal investigation should take place.

  • Top GP issues mental health warning as 400 doctors die by suicide

    Borat's comment 06 Sep 2018 8:20am

    Great pitch. The current contract is only worth 19.5 million pounds.

  • NHS England reveals new interim primary care director

    Borat's comment 10 Aug 2018 9:18pm

    Can you guess who recommended her for an MBE? This just gets better and better.

  • GPs should be ‘pleased’ when small practices close, suggests NHS's top GP

    Borat's comment 04 Aug 2018 2:42pm

    Conflict of interest? Make that conflictS. What about econsult and Dr Maden's interest in it? Dr Madden published an article in pulse extolling the virtues of the econsult product.

    He was a director of the company at the time. The article was written like a good news story and the sharing of knowledge with colleagues. It gave no clear indication that he stood to gain from the product financially. The timing was great too. Clearly he knew he was appointed to the role of Director of Primary Care, so managed to have his article published just before he officially took up his post only days later. Do his omissions meet the Nolan principles for standards in public office? Certainly not on transparency methinks. And once in post, why is it that it took so long for him to reveal the NHS is definition of online consultations? And why was that definition so much like a description of econsult? By keeping his cards so close to his chest, the rest of the software market could not respond in the time allowed for the funds to be spent. He may now have resigned his directorship of eConsult but does he still hold shares? Even if he does not, he is so closely linked with those that do, that he is indirectly conflicted.

    Whilst conflict of interest may be unavoidable sometimes, it must be managed appropriately. Who is managing this man's conflicts?

  • Every GP practice's medication errors could be published 'within weeks'

    Borat's comment 16 Mar 2018 8:55am

    Great! Publicise a problem rather than solve it - unless of course GPs will be shamed into improving. More likely they will be driven closer to retirement/career change. How about some creating some simple clinical system protocols which alert GPs when there is a potential prescribing error? Nah - that would be far too constructive. It is so much more fun to demonise GPs.
    I work in a hospital as a GP and have encountered a number of patients with GI bleeds who have taken OTC aspirin with no clinical indication and without PPI cover. Will their pharmacists be named and shamed too?

  • Why it’s time to re-think guidance on 28-day prescriptions

    Borat's comment 15 Mar 2018 5:18pm

    28 day prescribing has never made any sense to me for all the reasons identified in this study. The difficulty is that Medicines Management Teams in CCGs focus only on their own budgets and not the cost to general practice or the wider health economy.

  • Diabetes prevention programme sees patients lose an average of 3.3 kgs

    Borat's comment 14 Mar 2018 1:18pm

    This is a diabetes prevention program and not a weight loss program. How many cases of diabetes were avoided? I agree with copernicus. In the absence of a control group these figures are fairly meaningless.

  • Hospital wins contract to take the lead on providing GP clinical services

    Borat's comment 26 Feb 2018 4:13pm

    Sally you are right. These are Community Services and not GP services. The headline is misleading.

  • Healthcare bosses pay consultancy firm £6m to make budget cuts

    Borat's comment 05 Feb 2018 9:55pm

    I wonder if these consultancy firms would be so interested if the NHS offered this type of work on a no save, no fee basis.
    In my experience, it doesn't matter how bad things are in the NHS as long as you have a plan, preferably drawn up by a management consultant to give it some sort of credibility. When it fails you just draw up another plan at great expense the following year.

  • GP practices missing 400,000 clinical letters due to Capita handover

    Borat's comment 02 Feb 2018 1:21pm

    I agree with Neo. Either NHSE has failed to include a significant workload in the service specification, or Capita is in breach of contract. If it is in breach, has a breach notice been served?
    People wonder why companies with poor reputations are awarded new contracts. When procuring services, commissioners have to disregard any negative knowledge of a provider and objectively evaluate their bids. However, if a breach notice has been served in the past then this must be declared and can be considered. Unless commissioners are more willing to serve breach notices, we can expect more of the same.

  • Jeremy Hunt stays in health secretary post with extended social care brief

    Borat's comment 08 Jan 2018 10:24pm

    Why is everyone so worried about privatisation of the NHS? We already have it and it is called General Practice. It has been that way since the start of the NHS and GPs complaining about it is hypocritical . Stop worrying about who provides the care and focus on the resources. Mr Hunt has been happy to be the hatchet man for the government rather than the advocate for the NHS. It is not that the conservatives want to privatise the NHS (there is too little money for their mates to turn a decent profit) but rather they simply do not really believe in the concept of free care for all. Why would they want to help the great unwashed receive healthcare when they have nothing but contempt for them?

  • Patients to be able to track availability of NHS services in new app

    Borat's comment 14 Dec 2017 11:21am

    I used to avoid using my local refuse centre as the queues could be massive. Then the local authority put a webcam online which showed the car queue in real time. Now I use it more frequently as I can go when I can see it is less busy. I cannot imagine why this app will not have a similar effect - smoothing the peaks in attendance (ticks the 4 hour target box) but increasing overall demand.

  • Patients need to be more 'accountable' for their health, suggests GP mental health lead

    Borat's comment 08 Dec 2017 0:56am

    Alan, like you I would love it if there were some sort of recourse against unreasonable patients, but as you point out it ain't never gonna happen and I suspect that Dr Gerada knows this. Still, her comments might endear her to a few GPs.

    By the way, I think she is a qualified GP and also has psychiatric qualifications.