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.
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 tunnel alright, the headlights of the Hancock EXPRESS accelerating at our ramshackle wagon.
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.
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":
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.
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?
@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.
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.
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.
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
‘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)
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.
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?
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.
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.
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
"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).
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 https://www.bbc.co.uk/news/uk-england-cambridgeshire-31104003 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 :
@Wendy Harrison | GP Partner/Principal20 Sep 2018 12:33pm
It doesn't up indeed.
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
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?