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  • Government must fund public health properly if it’s serious about prevention

    sceptic's comment 09 Nov 2018 11:19am

    which brings to mind The Sun's article of 2016:
    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
    More than 100 were employed by councils, including Cornwall’s public health director, who was paid £207,302
    There are lots more of fat cats in the NHS, currently working out how to get the lion's share of the extra £20billion and give us the leftovers

  • GPs are the convenient scapegoat for postcode lotteries

    sceptic's comment 02 Nov 2018 4:23pm

    ‘Ultimately these are decisions for local GPs..." This would have been hilarious if it was not so tragic. Since when GPs have been allowed to decide? The orders come from Leeds down to regional NHSE and on to the CCG's Finance Officer. He or she then puts it on the agenda of a compliant Governing Body and to an equally accommodating LMC (whose members often change hat and sit on their CCG's Governing Body). It's a mystery that the Daily Mail hasn't sniffed yet this process and the often associated conflict of interest (Pulse in the past offered several examples)

  • Our generals need to put on their helmets and join us at the front

    sceptic's comment 27 Oct 2018 10:47am

    Military Police has one of the lowest death rates in combat. Those of our colleagues who are currently policing us are the most likely to survive the current blitz on general practice. Let's face it, they are smarter than us.

  • CQC has cleared the path for Government to invest in GP practices, says Steve Field

    sceptic's comment 23 Oct 2018 10:36am

    Is it true that the CQC budget is £134,000,000 a year?
    If not true, can someone tell us the actual figure with a breakdown of individual salaries (+pension right)?
    If it is true, is this value for money? In other words, does CQC meet the pay v productivity criteria by improving 4 percentage points?

  • CCGs in talks over recruiting Australian GPs with £18k relocation package

    sceptic's comment 14 Oct 2018 10:48am

    Why just Australia? Surely the Remainers can recruit from the EU and the Brexiteers from the rest of the world. It's tragic really that the NHS Fat Cats can get away with such nonsense.

  • This bitty approach to funding fails GPs and patients

    sceptic's comment 29 Sep 2018 10:30am

    Jaimie, your heart is in the right place, as always. The problem is that "general practice' is a broad church and includes not just GPs but also the MANAGERS, who ensure that they and their favourite GPs get the lion's share.

  • We can’t base public health policy on one MP’s experience

    sceptic's comment 29 Sep 2018 10:21am

    First, a BMJ editorial reads: "The failure of anti-obesity programmes in schools" and then PHE's own statistics show that its measures to combat adult and childhood obesity have failed dismally.
    But when a well-qualified doctor proposes an evidence-based new approach, he is ostracised.
    Perhaps The Sun is right after all when it shouts: 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

  • Over 750 practices across UK could close as GPs leave profession, warns RCGP

    sceptic's comment 28 Sep 2018 5:58pm

    "The BMA said earlier this year that general practice was in 'critical condition' and that without an increase in Government funding, more than 600 GP practices will close in England."
    No! Really? We didn't know that, thanks for telling us.
    Now, dearies, BMA GPC and RCGP tell us what you are going to do about it, other than sitting on your hands.
    Is it not time we emulate our nurses? They started a petition against the Royal College of Nurses for the dismal way it handled their pay negotiations and in the last 24 hours they took a hit at the RCN Council with a historic No Confidence vote. But then, nurses have something GPs haven't got (my legal adviser stopped me from spelling it out).

  • Please Mr Hancock, take some time to understand general practice

    sceptic's comment 22 Sep 2018 11:09am

    Jamie, excellent article but please allow some supplementary material colleagues might find interesting.

    * CIRCLE was set up in 2004 claiming it would become “Europe's largest partnership of clinicians, with some £200m of annualised revenue, near 3000 employees and a successful IPO.”
    * BBC Hinchingbrooke Hospital: CIRCLE to hand back to NHS by end of March 2015. The first NHS hospital to be handed to a private management firm will be back inside the health service.

    The founder of Circle launched Babylon in 2014, "… as an advocate of more private-sector involvement in the NHS, believing it improves efficiency, profitability and quality of healthcare" (The Telegraph. 4 Aug 2012. Retrieved 8 May 2014.)
    "Babylon is the beginning of the end for the old-fashioned way we use healthcare" and that within a few years computers will perform better than doctors at making diagnoses" (The doctor will see you now: NHS starts smartphone consultations". The Times. 6 November 2017. Retrieved 25 November 2017.)

    As for the Tory connection and big salaries, read :

  • More than two thirds of GPs work less than full time, says official data

    sceptic's comment 21 Sep 2018 11:23am

    @Wendy Harrison | GP Partner/Principal20 Sep 2018 12:33pm
    It doesn't up indeed.
    NHS Digital:
    Key findings, for data as at 31 December 2017
    • The total GP HEADCOUNT (excluding Registrars, Retainers & Locums) is 34,395 as at
    • The total GP FULL TIME EQUIVALENT (FTE) (excluding Registrars, Retainers & Locums) is
    27,930 as at December

  • Expanding GP at Hand app is a full frontal attack on general practice

    sceptic's comment 15 Sep 2018 11:17am

    LOCUMS are doing the big companies' dirty work by destroying partnerships. The short-termism of locum work makes sense for the elderly and some middle age GPs (good money, flexibility, no administration and no responsibilities). But what baffles me is the young GPs' attitude. Do they not realise that once partnership is dead and the big guys have the monopoly, they'll make them work double for half the money?

  • Babylon app ‘takes pressure off’ GPs to help all patients, says health secretary

    sceptic's comment 13 Sep 2018 3:46pm

    The plot is obvious. The Tories know that no matter how unpopular their policies are, no one is prepared to vote Labour. Sadly, they are right.

  • Number of written complaints against GPs continues to rise

    sceptic's comment 07 Sep 2018 12:15pm

    QB you are right, but one only has to look at our zooming indemnity fees to realise that the big winners are our "champions": :

    The big bonanza for lawyers came a few years ago when the law of "multiple defendants" was passed, allowing unscrupulous "no win - no fee" cowboys to sue more than one defendant. In other words, although the plaintiff targets only one person in the practice, their lawyers are allowed also to sue the practice itself, the secretary, the partners and you name it. The lawyers know there is no chance of winning all the claims, but they do not care, because they make their money NOT by having a share of a possible compensation, but chiefly by racking up charges with an endless correspondence, so that even if they lose the case and the claimant ends with nothing, the law firm makes enormous profits.
    Defence organisations are aware of the situation, but why should they do anything about it if they stand to boost their profits? As things stand, the only guarantee winners are litigation lawyers, and lawyers and administrators of the doctors' defence. The inevitable losers are the doctors.

  • UK's largest GP practice in talks to cover 400,000 patients

    sceptic's comment 05 Sep 2018 1:13pm

    A bit of a paradox here.
    All those who lamented the Death of the Partnership, gave up their practice and joined the Locum Squads that kill General Practice, are now attacking a practice with nearly 200 PARTNERS. Sour grapes, perhaps?

  • GPs defending patient complaints to be asked which guidelines they followed

    sceptic's comment 02 Sep 2018 1:15pm

    Best ever Guidelines that have stood the test of time
    HIPPOCRATES (born 2,478 years ago)
    1. Walking is your best friend (30 minutes walking lowers all risks)
    2. Know what person the disease has rather what disease the person has (treat patients as individuals)
    3. Let food be your medicine and not your killer (natural v processed food)
    4. Everything in moderation (obesity)
    5. To do nothing is also a good medicine (Time has a place as a diagnostic tool)
    6. The natural way is often the best way to treat (medicines extracted from nature sources)
    7. Treat the cause of an illness, not just the symptoms (patients on medication for life)
    8. Do not administer harmful medication (side-effects death toll is zooming)
    9. Keep a healthy colon (probiotics)
    10. See a r e a l doctor (comments welcome)

  • The true privatisation of general practice

    sceptic's comment 30 Aug 2018 10:40am

    Let common sense prevail | GP Partner/Principal30 Aug 2018 8:59am
    "We (the NHS) need to embrace what is good about GP at Hand"

    Hear! Hear! Let's keep on our lists only the 20-39 year olds and get rid of the rest (a bit of Euthanasia will be helpful)

  • This partnership is on the rocks

    sceptic's comment 11 Aug 2018 12:53pm

    Authors beware!
    The following communiqué will continue to appear under any variation of "Partnership is dead" Project
    Partnerships will never die. But they will change shape.
    The small partnerships will disappear and the big partnerships will get bigger, keeping up with the global trend of "the rich get richer and the poor get poorer."
    The huge vested interests of the SUPER partners will see to it (a certain name, making big news in the PULSE recently, springs to mind).

  • Hunt and Madan may have gone, but the privatisation juggernaut rolls on

    sceptic's comment 11 Aug 2018 10:40am

    Partnerships will prevent privatisation.
    Partnerships will never die. But they will change shape.
    The small partnerships will disappear and the big partnerships will get bigger, keeping up with the global trend of "the rich get richer and the poor get poorer."
    The huge vested interests of the SUPER partners will see to it (a certain name, making big news in the PULSE recently, springs to mind).

  • GPs petition for resignation of NHS England's top GP after Pulse comments

    sceptic's comment 03 Aug 2018 11:09am

    He IS a top GP.
    He runs an enormous practice
    He runs NHSE Primary Care
    He earns top money
    Why the sour grapes?
    Nevertheless, the mystery is why his partner, Clare Gerada, always first in the queue to put things right, remains SILENT

  • GPs should be ‘pleased’ when small practices close, suggests NHS's top GP

    sceptic's comment 02 Aug 2018 9:25am

    It is a mystery why his loquacious partner and another of our illustrious LEADERS, Lady Wessely aka Clare Gerada, has not made a comment