"A wealthy, hot-housed, privately-educated student is going to find getting straight As infinitely easier than someone from a poorer background attending an average state school."
It's not clear whether the higher grades seen in private schools are correlated primarily with family net worth or something else.
You will see a high net worth family send a child to a state school and that child perform equally as well as a similar demographic child in a private school.
In the past, other non-academic factors featured heavily in the selection criteria but if anything these form filling extra curriculars were even more exclusive, wouldn't you say?
Where is the family income data for current medical students compared to 2010, 2000, 1990, 1980 and does this data even exist?
The problem with maximum appointments is that’s one gp May see 15 pill checks and another 15 complex elderly. Until the workflow is highly regulated and controlled (which may not be possible with GMS) maximum appointments looks like a dead end..
In theory, this is not one size fits all as you could arrange the MDT in such a way as to suit your patient population.
For elderly, more staff to support care homes and a better social model.
For a more rural population, better visiting services and remote working, etc
This is desperation from Babylon, they’ve been beaten by Ada Health who have a far superior product.
It’s like out of hours but slightly less risky because there’s a video as well as a digital voice connection.
Risk is therefore somewhere between ooh and routine in hours face to face.
Do indemnity costs reflect this?
Interesting times, a more corporate approach is required to avoid falling foul of the rules and regulations. But we know that continuity and owner operators save money and are far cheaper, don’t we?
"But does it have the high paid jobs for the spouse of potential GP? Tax and pension issues mean that gp is more attractive as a second breadwinner part time job nowadays."
The point is a proper city, not some 'coastal resort', is about to lose a functioning GP service. It has 'average' levels of employment opportunity and is near the South Hams, Dartmoor and Cornwall so was traditionally a fairly popular place to come work.
Like all the experiments of the last few years it seems this will be allowed to continue just to 'see what happens'!
‘Downbeat coastal resort’
Plymouth has a population of over 250,000, hosts the largest naval base in Western Europe, has an independent medical school and a 25,000 student university and hosts the UKs largest independent Tv production company.
“Comrades, let us join forces and smash these infernal machines that so threaten our status and rock our quo”
He's not the RCGP.
You can choose an appointment system that gives more flexibility but to do this you need proper funding and a full complement of staff.
And in other news, 95% of people would rather travel first class if given a choice, 87% would shop in Waitrose if they dropped their prices to Aldi levels and over half would consider working a shorter week if didn't mean a drop in salary.
'There will be a night of the long knives' - I think perhaps you should research the origin of your comment and reflect.
We do publish earnings, on our practice websites.
OMG I AM SO POSITIVE RIGHT NOW!!!!!!!
I'd probably chuck ED in there, nothing quite like ED to teach how to spot a sick person.
Don't forget Ocean Health, 30,000 patient practice just handed back contract in Plymouth!
Something isn't right with these figures, presumably its 5.4 billion for 300,000 patients, which adds up to around £2000 per patient per year, which is current spending. Let's hope its linked to inflation otherwise they're doomed!
Continuity is important but may have to be targeted at higher risk groups at the head of a team of people rather than the sole practitioner model. It's mathematically impossible. Des Spence isn't arguing for or against something as responders have suggested. He is describing an inescapable truth based on demographics of both patients and GPS and all that that entails.
This really is a huge motion that should be passed around and handled carefully by the centre.
Sounds like a great day for the registrars.
Just can't quite square how old school continuity works with double the number of elderly patients and an irreversible looking move to part time working in the new GP cohort.