First of all I still don't understand why we have to pay CQC fees if their job is to protect patients . Government and patients can pay for CQC fees .
Secondly if CQC does not want to make concessions for lack of Gp then let GP surgeries close their list so that those surgeries can look after their current patients properly . Those patients who cannot register with Gp can visit their MP and ask for more new practices to be opened .
Enough of CQC and politicians treating like doormat.
My question to Dcotrs who oppose charging patients is what solution they have to reduce demand and how they plan to reduce DNA rates and avoid patients booking unnecessary appointments. And please don't say "patient education " . I would like to some real practical sloution/answer
Things will only change when We GP grow some balls..... No point in we all having verbal diarrhoea here. Leaders are not ready to take action ,so either change leaders or shut up and put up with whats comes our way.
Dear Dr Copernicus - That's very nice of you to spend over 12 hrs/ every day but you do know that we get paid only for 10.5 hrs (8.00- 6.30 ) per day as per our core contract. If you spend extra 1.5 hr/ day for 5 day a week/ 46 weeks (assuming you take 6 weeks holiday) . You are doing charity of 345 hrs / year of £ 31050 considering our average rate currently is 90 £/ hr ).
Does NHS value your hardwork and free work you are doing it for them?
Its high time WE ALL stop doing this charity of extra work and let NHS pay for every hour of our time / commitment.
Has anybody ever thought of all GP stopping their GMC registration at once and refuse to pay fees? Let GMC struck all GP off lets see what will GMC do ? They possibly cannot struck all GP in country at one go . GMC seems seems to be working in some different world than rest of the GP
What happens to politicians &other public sector workers pensions if they have been accused of any crime? Does their pension gets suspended ? If yes then fair enough but if theirs is not suspended and they think they can do it do GP because they are spineless then its shame on BMA & GPC to accept this.
Bloody crooks & thieves, everybody wants to s**** GPs because we are easy targets and don't hit back
When will so called leaders will face reality. Are they representing GP or DOH ? Whose side they are on ?.
So even after average number of visits per patient has gone up from 3 to 6 in last 10 years but has Global sum hasn't doubled in last 10 years. And our LMC representatives are ok with that. Who are they representing?
Why should practice which doesn't provide the extended hour get that extra money whether it is 1.45 £ or the remaining 45 pr which BMA claims will come as increase in global sum? SO its unfair for practices who provide extended hours .
Dear Truth Finder,
Unfortunately many of our senior colleagues still are not in favour of going dentist way. Government is pushing us in that direction but looks like our profession hasn't got balls to say enough is enough and we are walking away. That time will come when things will get much worse , so have patience and wait for few more years
Payment by activity should have been at firfront of new contract negotiations.. Rest all is bullshit . Let government pay us by activity then each gp will decide how hard or hardly they want to work. And that would have solved this problem easily.
Very typical of government . They haven't got balls to tell patients to buy OTC medicines. They want us to look like bad guys and do all the donkey work , face complaints & save NHS money.
All of us should simply prescribe whatever is allowed on FP10. IF they wants us to stop prescribing OTC medicines then they should clearly tell public and ban prescribing OTC medicines on FP10 then only GP will able to say no to patients.
Spot on Unscepted. You get what you pay for.
80-110 £ / pt / year including LES/ QOF depending where you are in country is less than people pay for their dog and cat's insurance.
Unfortunately this is what will people get in free for all NHS. If politician really want to improve things let them fund the system properly. Why don't GPC/BMA make publish it in national media?
How they fund the NHS it is not our problem. It's theirs.
We will provide service depending upon what it pays for. If government wants to increase funding to double what it is now i am sure we will be able to attract more doctors and provide better system. If government wants people to pay part of the cost, let them say it public . Its not my Job.
I am doctor not a politician
I agree with Christopher completely.
Till the time patient don't take some responsibilities and pay at least some part of their health care cost directly things will not improve. in current model even if next government put another 20-30-40 billion pounds in health care it will get used up and in 2 years we will be back to where we are today.
What needs to happen is we need to go to insurance based system, it may be more costly but at least people who look after their health well will pay less and its fair because everyone should take care of their health . Its not just governments responsibilities. Taxing rich beyond reasonable level and subsidizing poor endlessly forever will not work
I wouldn't be surprised if GMC opens up investigation on Poor Dr Griffith about treatment offered to attackers father and probably court will release the attacker with minor punishment or even free him saying when he attacked doctor he was not in sound mental state.
Pathetic justice in this country. GMC wont do a damn thing about this. IF Dr had attacked patient with crossbow .He would have been suspended immediately and jailed and stopped forever from practicing medicine.
It's an average figures. Most of GMS practices are paid much lower figure. This figure is is tat this level because of APMS practices are paid way beyond £ 200. It will be interesting to see what are actual figures for APMS practices and GMS & PMS practices.
Dr Stelvio everybody knows this including our politicians but million dollar question is who will bell the cat????????. Smart politicians are waiting for us to do their job by reducing funding and making life difficult.
If lawyers will fight their cases free of cost we won’t mind doing these reports free . How does Lord O’ Shaughnesy feel about lawyers can charge their fees? Or he is comfortable for lawyers to charge their fees but Nit with GP charging for their report.
Going to create problems for some of the COPD suffers who have little choice because of allergy + resistance. Very well if we cant prescribe then they will get admitted for IV antibiotics. Let NHSE worry about that not us.
Sometimes I really feel why we as GPs try and prop up the failing service. Let it fail why should we care if patients and politicians don't care. Patients will realise how good and cheap this service was when its gone and they have to pay for every contact.
I hope this doesnot fall on to those GP partners of those 24 practices to provide OOH cover.
Block contracts will never be profitable. There should be payment per activity whether OOH or care during core hours. When service is properly funded it will sustain or this scenario will keep on happening again.