Hi Nigel, I didn't think there was much wrong with the old format, but I suppose one has to go with the majority.
Nevertheless, I will miss some very wise and constructive comments from pharmacists. Our practice is currently working closely with pharmacists in two pilot schemes and we have found their contribution "indispensable" (intended!). After all, general practice and pharmacy (with dentistry and eye care) are the hard core of Primary Care.
Any chance that you might reconsider?
@Paul Bunting 11.01
That was pointed out on 28 10 2014 (http://www.pulsetoday.co.uk/clinical/prescribing/gp-antibiotic-prescribing-under-the-microscope/20008316.article?MsgId=37701#MsgId_37701) but no one was prepared to address this huge problem. I hope you are more successful, but I doubt it as we are up against huge vested interests.
Why the hospitals always win?
* a staggering 93% of the top NHSE managers are of hospital background
* The BMA has been and always will be consultant-led
* Most people working in hospitals belong to powerful trade unions - Unison, Unite, Alliance...
* REAL Royal Colleges of hospital specialities are treated with respect by the Government, unlike the General Practice's hilarious counterpart.
* Consultants have a respectable HSCA to represent them, unlike toothless LMCs who run with the hare and hunt with the hounds
* Closing down a surgery is nothing to local MPs, but closing down a hospital spells their political death.
(there is more, but time to update QOF)
It would have been a joke if it wasn't so tragic. The money is not enough even to cover the deficit.
The NHS overspent by £930m in three months this year and is on course for an annual deficit of at least £2bn, in its worst financial crisis in a generation.
Hospitals are spending more than their budgets as they struggle to cope with the “triple whammy” of growing demand for care, £2bn of unexpected staff costs and the service’s finances being the tightest for years.
But 1.8b "gift" makes excellent 10 o'c News
Nigel, you have indeed a valid point, but that must not divert us from the fact that the BMJ, under its current editor, has been courageous enough to expose scandalous conflicts of interests of elite GPs, wearing several hats and doing extremely well for themselves.
"We are NOT proposing a specific figure for the 2016/17 pay award"
Amazing! Our "leaders" are entering negotiations without putting forward how much is needed to keep general practice alive.
But the BMA has always been a consultant-led organisation as their recent success with the consultants' contract has shown – they fought Jeremy Hunt tooth and nail and they burnt him.
It's about time GPs form their own trade union to fight their corner, instead of listening to vacuous expressions of support and allegiance, unsupported by real conviction or action.
PULSE offers a stream of the similar, all full of vision and hope, but hardly any details on what really matters, namely CONTRACTS.
Are they PMS, GMS or draw up individual contracts with NHSE?
Do they include other primary care organisations like pharmacists and optometrists?
Do they have separate budgets, over and above the national average?
Do they offer BMA contracts to their sessional doctors, or have they introduced their own?
These questions have been asked before, but it seems that no one is prepared to answer them. I wonder why.
Very well, but where does this leave locums and salaried and their income.
Will they be better off or worse off working for private companies?
Before they come out with their laughable aphorisms, they should descend from their cloud-cuckoo-land and spend a day with our receptionists and see what REAL work is like.
The thought that as a taxpayer I contribute towards their wages is enough to give me a stroke. I must see one my ladies at the reception fast.
Nigel, one can safely say that you are the voice of the voiceless. The snag is that they, of whatever persuasion, only listen to "...special advisers...and civil servants massaging their ministerial ego" as you elegantly put it.
I wonder if this is the same Dr Mark Porter reported in PULSE on 23rd September 2014:
BMA chair: GPs' arguments for 11% share of funding are 'artificial'
Exclusive A split in the BMA has emerged as the Labour party calls for more funding, with BMA chair Dr Mark Porter saying GPs should not be given a greater share of the NHS budget, Pulse can reveal.
It looks as if NICE's ambition was not to supplement medical schools and training, but to replace them, especially when it came to treatment.
Either it becomes modest, allowing some flexibility or it is an irrelevance.
I've been twice in the auditorium when Mr Burnham was outlining his plans. Even Labour faithfuls found it scary. I bet he will never be a Health Secretary. Anyone?
"Modernise" what? Buildings? Equipment? IT? Furniture? Receptionists' uniform? And how "modernising" will solve the recruitment problem?
'Confused and opaque NHSE" - it certainly is:
Simon Stevens addressing GPs five weeks ago:
...should we back the arrangements that now exist in Northumberland and Newcastle where you could say that single organisation like a hospital could also provide list-based general practice on the same terms as GPs?
Ian Dodge, National Director, yesterday:
NHSE Board paper 111406, Commissioning Strategy:
Item 5. Co-commissioning could potentially lead to a range of benefits for the public and patients, including:
• Improved access to primary care and wider out-of-hospitals services, with more services available closer to home;
• High quality out-of-hospitals care
Mike Bewick, NHSE deputy medical director and ex-GP, last week:
Up-skilled GPs, “specialist generalist” or “hospitalists” as the Americans call them, could be working across hospital and community settings to reduce the cost of running the acute beds and improve care continuity.
What are our BMA & RCGP "leaders" doing about it?
(polite answers only please)
Very strange that the main culprit is not mentioned - FARMING.
Most antibiotics are not used in this country to save life – nearly 50% of all antibiotics are used in farming, primarily in intensive livestock production to compensate for crowded and unnatural conditions on factory farms. Most pigs, poultry and dairy cows receive antibiotics routinely, whether or not they are unwell, and in recent years entirely new E.coli and MRSA superbugs have become major problems.
Farm animal use contributes significantly towards resistance, and for some infections it is the main source. But then, who dares upset the farmers in Britain, GP-bashing is so much easier.
His CV reads:
"Dr Mark Porter is a CONSULTANT anaesthetist at the University Hospitals Coventry and Warwickshire (UHCW) NHS Trust.
His previous roles in the BMA have included being the chair of the CONSULTANTS Committee from 2009-2012."
For 32 years I keep asking myself: When will GPs realise that the BMA is a consultant-led organisation?
I have just received an invitation from the BMA, yes, the British Medical Association, OUR TRADE UNION(!), to attend a meeting on behalf of GMC.
It reads : The General Medical Council is consulting on the actions we can take against doctors who don't meet professional standards and we'd like to hear from you, attend this event and have your say!
I suggested that the BMA also organises another one at Albert Hall to tell the GMC what we think of it.
But the scary power of the GMC is shown by the stream of ANONYMOUS comments.
GPs are already working to full capacity. Could Dr Alessi advise us how to cope with the additional workload of :
1. Diverting patients to our surgeries from A&Es, Walking-in and Urgent Care centres.
2. Obliging with NICE guidelines, NHSE guidelines, Joint British Societies guidelines and all the others incorporated into QOF, LES etc.
3. Health checks
4. Open all hours
5. Recruitment crisis
That's enough (ed)
Last year, Mr Lamb chose 14 "pioneers" out of hundreds of candidates to lead a "quiet revolution," to use the Minister's words. He identified them as "real leaders" in driving integration.
Any news on the pioneers' performance so far and their fate?