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Gold, incentives and meh

sceptic

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

  • 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:
    https://www.lmc.org.uk/visageimages/GP%20Contract%202019/02.05.19%20PCNs.pdf
    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
    https://www.caba.org.uk/help-and-guides/information/understanding-benefits-uk-basics-explained

  • 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?

  • Dr Sarah Wollaston moves to the Lib Dems

    sceptic's comment 19 Aug 2019 12:15pm

    Let’s hope that her next move will be to her surgery to help tackle the GP shortage.

  • Pathe news alert: Hurrah, Britain set for hellish dystopia!

    sceptic's comment 15 Aug 2019 10:23am

    I thought PULSE was meant to provide GPs with news, jobs and education. Sadly, it has recently turned into a medical edition of the Independent and the BBC.
    Is it wise for the future of the periodical to follow an extremist political line?
    Do they really wish Mr Corbyn in No 10?
    I think the editorial team should adhere to PULSE's tradition of neutrality, suppress their political affiliations and spare us of such objectionable articles masquerading as light entertainment.

  • 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..