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Bexley CCG cardiology lead

  • GPs set to diagnose Covid-19 face to face in 'hot hubs'

    sceptic's comment 02 Apr 2020 10:47am

    Although PPE is mentioned repeatedly in the article, there is a total lack of clarity on what will be offered to the hubs. Enhanced PPE as in hospitals? Limited PPE with high risk for staff and patients?
    In our area the proposed PPE by the CCG offers inadequate protection and hardly meets the safety criteria and yet we are urged to see face to face suspected cases either at the hub or our surgeries.

  • As a GP who's overcome coronavirus, here's what I want you to know

    sceptic's comment 22 Mar 2020 12:50pm

    One can safely say that, with the exemption of a few disturbed minds, we all celebrate the recovery of a human being from a dreaded disease.
    But perhaps, there is an explanation for the whiff of resentment detected in some comments.
    The whole of the national and medical press, TV channels and radio stations have been collectively celebrating the story and some have gone even further by elevating the ex-sufferer into “a survivor” (a word one should use carefully).
    Moreover, a cursory google search reveals that the story has now gone, how can one put it, “viral”.
    Here is a small selection.
    Times of India: A 60-year-old woman who survived COVID-19 tells how she felt dealing with the disease.
    South African news24: …survivors tell their story… a 60-year-old GP from South London
    Flipboard: I beat coronavirus with paracetamol, chicken soup and lemonade, says survivor and veteran GP…
    Ireland’s RTE : 'It feels as if your body is on fire'

    None of the doctors and nurses deployed to the front-line trenches have yet acquired such a celeb status, but they are nevertheless happy to be known as the unsung heroes.

  • My plan to deal with Covid-19

    sceptic's comment 16 Mar 2020 12:03pm

    "...The NHS has been allowed to become the sick MAN of Europe..."
    Sexism platinum grade.
    If a man had said the sick WOMAN of Europe (Horror of Horrors!) he would have the feminist lynch mob after him.
    As for the rest of the article, much better than Hancock's blather

  • Should retired GPs return to work in the coronavirus crisis?

    sceptic's comment 05 Mar 2020 8:51am

    @Retired but still working | Locum GP04 Mar 2020 7:41pm

    Please allow me to repeat this brilliant entry with some added emphasis:

    Great opportunity for the DESK JOCKEYS at PCNs, CQC, GMC, RCGP, NHSE etc (at least 5000, according to previous entries in Pulse) to come out from behind their desks and SEE SOME ACTUAL PATIENTS instead of asking retired doctors in the HIGHEST RISK demographic to put their lives at risk.
    Well said Sir/Madam!

  • We need to tell the time wasters to bugger off

    sceptic's comment 29 Feb 2020 1:07pm

    Another brilliant article.
    Well done, Katie!
    This and your previous contributions are melting fast the snowflakes who have taken over general practice.
    Keep up the good work and take no notice of the miserable, humourless whingers. The silenced majority are on your side.

  • Do we trust the PCN movement?

    sceptic's comment 18 Jan 2020 10:53am

    At last a spirited article.
    I hope the author maintains her fire when she joins the top brass of the BMA, the LMC, the RCGP and the NHSE, as all those elite organisations know well how to curb the enthusiasm of young romantics.

  • Pulse 2019 review: An inspector continues to call

    sceptic's comment 30 Dec 2019 10:09am

    I remained open-minded, "might as well hear what the other side has to say" until I hit this amazing statement: "...the CQC wants to make it easier for patients to complain..."
    So, the practice's complaints procedure, the CCG complaints manager, the NHSE complaints manager, the GMC, the courts of the land, the local MP, the citizens advice bureau, and a few "no win no fee" local cowboys are not enough.
    By the way, can someone tell me how I can complain against obnoxious, presumptuous and pompous CQC inspectors.

  • High-profile GPs lose seats in Conservative landslide

    sceptic's comment 15 Dec 2019 10:20am

    One can only look at the bright side. At least hey can now devote more time to front line general practice (unless of course, they decide to join the hundreds of GP-managers)

  • GPs are well-placed to become MPs - here's why I'm standing as an independent

    sceptic's comment 10 Dec 2019 12:53pm

    Is this part of tactical voting?

    * Rochford and Southend East is currently the second-most marginal seat in Essex.
    * It is held by Labour with a tiny majority
    * Tories' Achilles heal and Labour's strength is the NHS
    * In the referendum 60.92% voted for Brexit
    * Brexit is Labour's weakness and Tories' strength

    If Fact Check proves my figure accurate, Dr Kumar's candidacy ensures the success of the party chiefly responsible for the mess he describes.

  • LMCs call for GPC to reject PCN model in favour of new GP contract

    sceptic's comment 12 Nov 2019 4:58pm

    Londonwide LMCs said on 7 May :
    We have produced a new series of guidance about the PCN DES entitled: "Keep It Simple". Practices are receiving varied and often contradictory advice on what details need to be supplied on the PCN DES form. Our guidance provides clear and concise clarity
    And it showed its full collaboration in its link:
    which includes:
    * The Primary CareNetwork Contract DES
    * Establishment of a Primary Care Network
    * Collaboration
    * Coordination
    * PCN list size
    * PCN patients
    * Role of Federations
    * PCN area
    * Appointment of a PCN Clinical Director
    * PCN Support

    Not a single word of disapproval or any trace of qualms
    Londonwide LMCs might consider letting us know their current position on PCNs

  • Conservatives pledge 6,000 new doctors in general practice by 2024/25

    sceptic's comment 09 Nov 2019 3:23pm

    Pulse 29 March 2016:
    Pulse in the Press: Why Hunt's PRE-ELECTION PROMISE of 5000 new GPs is a long way off
    Pulse 7 June 2018:
    Jeremy Hunt admits he is ‘struggling to deliver’ 5,000 GPs by 2020
    Pulse 11 January 2019:
    No target date for recruiting 5,000 extra GPs, says health secretary Matt Hancock
    Pulse today:
    Conservatives PLEDGE 6,000 new doctors in general practice by 2024/25 Health secretary Matt Hancock....

    Pulse 13 December 2019
    6,000 GPs have left the country.

  • ‘We want the CQC to be seen as a critical friend’

    sceptic's comment 01 Nov 2019 10:40am

    Time for a bit of paranoia (or, is it?)
    Is the CQC's draconian approach part of the grand scheme of demolishing primary care?

  • BMA culture 'treats women as of less importance' finds sexism report

    sceptic's comment 17 Oct 2019 12:59pm

    @anonymouse3 | Salaried GP17 Oct 2019 11:36am
    I totally agree, but what puzzles me is why GPs still subscribe. I stopped mine years ago, and I would have also stopped my contribution to their equally useless sidekick, the LMC, if I wasn't obliged by law.

  • PCNs are a chance to redefine general practice and feel empowered about the future

    sceptic's comment 12 Oct 2019 6:22pm

    He is No28 on Pulse's POWER 50 2019.
    If he keeps up the propaganda for another year, he'll be No18.
    I gave up my BMA membership years ago - the wisest I've even done, so, articles like that no longer wind me up.

  • Four in 10 GPs in favour of charging patients for appointments

    sceptic's comment 11 Oct 2019 5:59pm

    I wonder whether the 40% would still vote for charging patients if they were told that the following would exempt from paying. Or, would they have insisted that no one is exempt.
    Income support
    Income-based Jobseeker’s Allowance
    Income related Employment and Support Allowance
    Pension credits
    War Pension Scheme or in Armed Forces
    Pregnant women and those who have had a baby in last 12 months
    Housing benefits
    Universal Credit
    Disability living allowance
    Attendance allowance
    Carer’s allowance
    Cold weather payment
    Winter fuel payment
    Bus pass
    Tax credits
    Free NHS prescriptions

  • Just who is the NHS working for?

    sceptic's comment 06 Oct 2019 9:30am

    The answer to this excellent article is found in newspaper headlines and BBC News
    FAT CATS ON MEGA PAY Staggering 325 nanny state public health bosses raked in over £100,000 a YEAR just to say drink less and exercise more The Sun
    PARKING MAD Hospital parking fatcats made £500k in one year thanks to scheme that sees NHS staff having to pay to park at work - THE millionaire couple behind one of Britain's biggest 'rip-off' parking firms raked in £500,000 between them in just one year. The Sun
    More than 600 health quango chiefs on six-figure salaries amid NHS cash crisis The Telegraph
    As the NHS implodes, fat cats cash in: Number of health penpushers on MORE than PM's £150,000 salary doubles in three years Daily Mail
    On and on the list goes, but the biggest bonanza came with useless Lansley's tragic reforms that saw NHS chiefs playing lucrative musical chairs.
    Newspaper headlines: 'Fat cat pay of NHS bosses' BBC

  • I'm a German GP and I'm having to review my circumstances

    sceptic's comment 28 Sep 2019 11:33am

    I am as puzzled as Hogwash. Two of my colleagues are German and they too have dual nationality. The problem is with our Dutch rheumatology consultant as Holland does not allow dual nationality. I hope Roy AND FAMILY apply for naturalisation asap.

  • Patients to hold vigil for closing GP practice

    sceptic's comment 26 Sep 2019 10:16am

    I presume that "top doctors" (or, is it "influential"?) from the RCGP and the BMA will join the grieving protesters.

  • The adventures of Mr Strugatsky and the GP closures

    sceptic's comment 14 Sep 2019 12:06pm

    Ave Strugatsky,
    I am deeply grateful to you for taking the time to write to me, especially as I know how awfully busy you must be drawing early years caricatures.
    You will be delighted to hear that I have already started channeling billions to your health authority (I think they call it tzi tzi tzi, or si si tzi or something like that) and I have an acknowledgement before me from its boss who reassures me that plenty of money to build a bright new health centre in your area will be left after she has deducted the modest salaries (higher than mine, apparently) for her highly capable team consisting of Chair (her humble self), accountable officer, director of primary care, chief financial officer, managing director, director of adult social services, director of public health, director of integrated commissioning, director of quality, director of ICT and information governance, joint director of commissioning development, and Leads for: improving outcomes for people with long term conditions – mental health and parity of esteem – community based care – engagement, equalities and early action - patient and public involvement – quality and supports prevention – adult safeguarding – children safeguarding….sorry, I’ve got to go, Carrie is shouting why I haven’t put the bins out.
    Vale et salve (as we used to say in my old school)
    Borius Imperius

    Ps I see you put the emphasis on “de Pfeffel” I hope you are not a crypto-xenophobe.

  • Rees-Mogg apologises for comparing no deal medical expert to Andrew Wakefield

    sceptic's comment 06 Sep 2019 1:26pm

    But what forced this patrician to forget his principle of et portare super vos tacebitis (or, keep calm and carry on, as we commoners say), lose his aplomb and utter such a truly libellous statement. According to the BBC, Dr Nicholl called in to LBC Radio and asked Mr Rees-Mogg "what mortality rate he would accept if the UK were to leave the EU without a deal."
    In effect, Dr Nicholl was accusing Mr Rees-Mogg of planning a genocide. If this becomes a court case, my guess is that Mr Rees-Mogg’s barrister would use extreme provocation as mitigatory defence, alleging total loss of control as a response to Mr Nichol's apocalypse II statement (masquerading as question), that identified Mr Rees-Mogg with Dr Josef Mengele, the notorious Nazi doctor in Auschwitz concentration camp. He could add: Is Dr Nicholl, a firm Europhile, the right person to contribute to an “independent” report?