This site is intended for health professionals only

At the heart of general practice since 1960

sceptic

GP-Principal
Partner, www.bexleymedicalgroup.co.uk
Bexley CCG cardiology lead

  • Tomorrow’s IT for today’s GPs – building a future-ready system

    sceptic's comment 21 Jun 2019 5:00pm

    @Green Day | GP Partner/Principal21 Jun 2019 2:19pm
    I agree entirely, but it is articles like this that have convinced a couple of health secretaries (one currently applying for the No 10 job) that Android tablets can replace hospital beds and iPhones GPs.

  • The good, the bad and the ugly of general practice

    sceptic's comment 17 Jun 2019 5:26pm

    Samir,please allow me a variation of your Clint theme. Not long ago you offered GPs some tips how to spice up their lives and boost their income. “... there are more opportunities to work for a CCG, a provider network, the local super-partnership, as an appraiser, CQC inspector, mentor or GP health advisor. Other posts for NICE, the RCGP, LMC and BMA can also be applied for…could moonlight for one of many digital private healthcare companies…”
    Thousands have followed your advice and are doing very well indeed, for themselves. Some of them will also appear on the Pulse Pantheon of Influential GPs (the good).
    The downside is that the rest of us (the bad) have to work more for less, and (the ugly side) "GP numbers will fall 7,000 short within five years despite increasing trainees" : Pulse 21 March 2019.

  • Why we aren't signing up to the Network DES

    sceptic's comment 08 Jun 2019 11:00am

    At last an honest opinion, especially the bit that the
    GP-to-patient ratio will be further reduced as Clinical Directors will join the elite group of GP advisers and managers. Here is a short list:
    CCGs
    NHS England
    CQC
    RCGP
    BMA
    GPC
    LMCs
    Public Health
    HEE
    Responsible Officers,
    and of course
    The House of Commons.
    Further entires would be appreciated
    GP recruitment crisis? What crisis?




  • How primary care networks can strengthen GP practices

    sceptic's comment 05 Jun 2019 5:01pm

    @Curious | Locum GP05 Jun 2019 4:07am
    "Has anyone else noticed that all our so called 'leaders' are all coming off with the same party line?"
    The answer is "Yes", we all have noticed.

    But do you have any answers to the second part of your question: Why all our so called 'leaders' are all coming off with the same party line?
    Anyone else who might know the answer?

  • Pulse opens nominations for most influential GPs

    sceptic's comment 22 May 2019 9:18pm

    http://www.pulsetoday.co.uk/views/blogs/peverley/peverley/20000059.bloglead

    In this historic Pulse article "Mr Hunt! I know where your 5,000 extra GPs are" a brilliant Phil Peverley has already declared the winners, the Morlocks. Here is an extract:

    "The Morlocks seek out committees. They go into management, medical politics and clinical governance, they spend their time devising ever more complicated protocols, they develop increasingly byzantine and infuriating regimes for appraisal and revalidation, they join CQC inspection teams and CCGs, they become clinical directors. They work for NHS England. They become MPs. They don’t see many patients. And they feed on the Eloi (that's the rest of us - I presume Phil means ilotes).

  • GP petition threatens RCGP resignation due to 'controversial' conference speaker

    sceptic's comment 22 May 2019 9:04pm

    Those who object to JULIA should stick to their principles and resign.
    Then, RCGP should invite VINCE CABLE and all Brexiteers resign.
    Then they invite TRUMP and the rest resign.
    Then this pretentious, overblown with its own importance bubble bursts and disperses to the four winds..

  • In light of the sexism scandal, the BMA needs a wholesale culture shift

    sceptic's comment 18 May 2019 10:35am

    An excellent start to reform this sclerotic trades union that only serves its barons.

  • Corbyn raises Pulse survey findings at Prime Minister's Questions

    sceptic's comment 09 May 2019 12:09pm

    Mrs May, amazingly enough and probably for the first and last time, is not telling lies
    If anyone wants to know where those extra GPs are please read this Pulse classic by Peverley:
    http://www.pulsetoday.co.uk/views/blogs/peverley/mr-hunt-i-know-where-your-5000-extra-gps-are/20033907.blog


  • Practices should 'think twice' before signing PCN contracts, warn accountants

    sceptic's comment 26 Apr 2019 11:57am

    @DecorumEst | Salaried GP26 Apr 2019 11:08am
    Or, far more likely, "We want to keep you in the dark whilst our border collies lead you into the pen."

  • The opportunity cost of a portfolio career

    sceptic's comment 15 Apr 2019 11:14am

    A breath of fresh air. At last an honest article from a GP with feet on the ground, utilising his time well in serving general practice. A sharp contrast to the patronising baloney we get from our remote control "leaders".

  • RCGP urged to remove Sultan of Brunei's honorary title over gay rights stance

    sceptic's comment 10 Apr 2019 9:45am

    Khalid Khan | GP Partner/Principal08 Apr 2019 2:48pm.
    Valid point that also raises the question of women's rights in those countries.

  • GP gender pay gap 'far higher' than average at 33%, finds Government review

    sceptic's comment 30 Mar 2019 9:03am

    This article is classic sophistry normally employed by The Guardian to promote the victimhood agenda.
    @BAP | GP Partner/Principal30 Mar 2019 7:55am is correct. The rates are the same.
    Female doctors CHOOSE to work fewer hours and apply for less financially rewarding and less demanding posts. This is not discrimination as the article insidiously implies.

  • GPs who took up MDU 'half-price' indemnity offer will not need run-off cover

    sceptic's comment 26 Mar 2019 5:27pm

    In two days time it will be the second anniversary of the introduction of the new, dodecagonal, £! coin (28 03 2017). PULSE might consider celebrating the occasion by updating the image.

  • Light in the LMC conference tunnel

    sceptic's comment 25 Mar 2019 9:10am

    Light in the tunnel alright, the headlights of the Hancock EXPRESS accelerating at our ramshackle wagon.

  • Foreign-born GPs are bearing the brunt of public anger

    sceptic's comment 26 Jan 2019 10:40am

    Dear Dr Anonymous,
    You made a perfectly reasonable case that Poverty weakens social relations and increases intolerance (myriad examples in world history). In fact, and in a somewhat convoluted way, you rightly offered shortage of economic resources as one of the reasons for the rise of racism. Only to see the results of unintended consequences with colleagues throwing custard pies at you and each other.
    You have my sympathy, but please do not let them deter you from expressing your well grounded views.

  • Reimagining the UK’s shortage of GPs

    sceptic's comment 25 Jan 2019 12:01pm

    Every time I read about GP-shortage I recall Dr Phil Peverley's celebrated: "Mr Hunt! I know where your 5,000 extra GPs are":
    PULSE http://www.pulsetoday.co.uk/views/blogs/peverley/mr-hunt-i-know-where-your-5000-extra-gps-are/20033907.blog.

    It is time Dr Peverley updates it after paying a visit to Richmond House, Skipton House, Quarry House, and the 191 CCGs, all packed with rapidly increasing numbers of GPs impersonating managers.

  • CCG may struggle to 'pay its bills' due to financial pressure of Babylon GP at Hand

    sceptic's comment 24 Jan 2019 10:58am

    In accordance with the powers contained in the National Health Service Acts 2001 and 2006 and the Health and Social Care Act 2001, private company CIRCLE Health was given the management of Hinchingbrooke Hospital. Within 2 years, a huge deficit was built up. In addition, a visit by inspectors from the Care Quality Commission highlighted severe issues with patient care: inspectors observed that "staff treat patients in an undignified and emotionally abusive manner" and they spoke to patients who had been "told to soil themselves".

    I wonder whether Babylon might follow Circle's fate. By the way, are those two companies by any chance related?

  • Pulse 2018 review: When NHS England's top GP was caught out

    sceptic's comment 29 Dec 2018 1:31pm

    @Occams Razor | GP Partner/Principal24 Dec 2018 9:33am

    Hercule Poirot would have asked: Cui bono? Who stands to gain from the removal of Dr Arvind Madan? Sooner or later the truth will emerge.

  • Should NICE lower blood pressure thresholds for hypertension?

    sceptic's comment 08 Dec 2018 11:02am

    Angus, Angus (GP Partner/Principal07 Dec 2018 4:23pm) how could you? Those altruistic, benevolent organisations are only trying to help patients by offering them, from cradle to grave, life-saving statins, psychotropics, antihypertensive etc . Ah yes, I forgot, and women the pill followed by HRT, covering most of their life span with hormones.

  • The NHS ‘Brexit dividend’ lie is insulting our intelligence

    sceptic's comment 25 Nov 2018 1:47pm

    A couple of points.
    First, Pulse is a primary care publication whose top priority is meant to be general practice. So far, Pulse has been doing a great job with news and education. Sadly, Brexit is altering its ethos. There is not a single line in this article referring to the GPs’ rightful share of the 20.5 bn, most of which will no doubt be channeled to the hospitals to pay their debts, following the fate of the STP's billions.
    Second, I gave up reading the Guardian some time ago, only to see a medical periodical taking up the Remainers' discredited Project Fear. It is not Brexit that dissuades German or Dutch or French or Polish doctors from working in the UK, but the total demolition of the NHS in general and general practice in particular, by the majority of remainers who run the government.
    It would be wise for Pulse to keep away from politics that split the country right in the middle and adhere strictly to matters medical.