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?
The first in the queue mystery caller (anon 12.03 pm) asking us to be brave whilst he remains incognito reminds me of a colonel who was urging his troops to charge using a loudspeaker, well out of harm's way.
One wonders - Is (s)he a CCG member protecting privileges and lucrative salary? Petrified of CCG's "corrective" measures? Fearful of a dictatorial senior partner? Other?
Go on dear colleague, be brave and show us your face.
I presume NICE members have signed a "no conflict of interest" declaration. Have they?
General Practice will survive only if NHS England is run by REAL commissioner - the CCGs. Not by people with "secondary care" printed in their DNA.
If GPs bothered to look up the Boards of DH and NHS E they would be horrified to discover that these "commissioners" are almost 100% ex-providers. That's why Ivan's right remedy will never be administered to a sick NHS.