Dear June Greaves, I absolutely agree that the crisis in the NHS is affecting many groups - GP Receptionists, nurses, pharmacists, and patients. We need to support each other, and all lobby for better funding.
So - are we going to impose this also on engineering, science, and economics graduates - as the UK economy needs their expertise, and has contributed to the cost of their education?
Sad to say I despair. Very hard to remain working when I totally disagree with many long term proposals for Primary Care. Most of us are intelligent, self- motivated individuals. The micro- management, and lack of ability to work in a way that we see fit, only serves to demoralise us. I am taking some time- out. I may locum - or I may give up on the NHS entirely. This feels so sad after years of training and hard work.
Please do not describe " gender reassignment" as a sexual preference. This is shockingly ignorant and deeply offensive. Please go and educate yourself more about transgender issues.
Loved this! How I wish I could think on my feet - like a politician! Will have to study DC - note responses, and do some role play. Meant to rate as 5 stars - but hit wrong button and came out as 1. Apologies.
To repeat what others have said - action speaks louder than words. Let's see some positive action to support GPs to do their marvellous work.
You've hit the nail right on the head! It's obvious anyone can do our job. Nurse, pharmacist, physician. My husband's an engineer, but he's spent nearly 30 years chatting to medics - so I'm thinking of roping him in. My kids say their friends often ask them health advice given their Mum's profession - and they're surprised at how much they've picked up over the years. They could do Saturdays. Now our dog, she's very clever, has spent 10 years jogging alongside me, and I'm sure her vocabulary is greater than 50 words...
I worked in New Zealand 20 years ago where patients chopped and changed between Primary Care Providers. This had disastrous results for continuity, chronic disease management, and turning up in A and E with minor illness. Seems to me that losing our model of Primary Care would have disastrous effects for the cost of healthcare and put even more pressure on secondary care. More importantly I observed that the more dispossessed of society seemed least able to access continuity. Well - I guess this Government really is aiming to make care more expensive for worse outcomes. What a surprise!
Oxford medical school director: 'The variation in GP numbers between medical schools is not undesirable'
I find some of the above comments by GP colleagues unnecessarily aggressive. I think GP is remarkably intellectually interesting, combining use of insights from biomedical sciences, sociology, psychology, philosophy, art and literature. However there is value in having people who contribute from detailed understanding of all these fields, including the traditional biomedical sciences. Why not have medical schools that set out their stall, and are open about the emphasis of their course?
I have no chip on my shoulder about being a GP. It is an intensely challenging field to workin. We deal with complex webs of health, social , ethical and emotional issues, and have to make sense of them in order to facilitate decisions, all under pressure of time. It is easy to criticise, as in most cases there is no " perfection" or single answer to find. But I feel the way we practice can make a huge difference to people's lives. I still think it can be immensely fulfilling. ( PS - have to admit though, I work part- time so I can get to see my family!)
I think the bigger problem is the dearth of specialist mental health services for children and adolescents. Yes, training for GPs would be helpful, but that doesn't mean that we will be able to deliver the time consuming interventions that are often needed. We can't pick up all the pieces left by underfunded secondary care.
I certainly think that after 2004, some GP Partners have been responsible for exploiting other GPs, and hence demoralising and splitting the profession. It isn't just about money, it is about being treated with respect, and being able to have some influence in the organisation of the practice.