Locums have helped practices in past but they have charged practices current rates as well. In current scenario when there is not much work or should i say not much face to face interactions, I cannot see how practices will employ locums.
I personally offered salried job to my long term locum 6 months before pandemic hit UK. He politely refused saying he makes more money doing Locum. Fair enough. Now practice doesnot need Locum. We poliety replied when he enquired for shift that at present we dont need locums when we need we will contact you.
Frankly We all will change the way we practice and in future I see lot less demand for locums than before
The main problem is We GP do not stand united. If every GP practice refuse to sign the DES then what is NHSE going to do? punish all the practices ?? . Send notice to all practices that they have breached the contract and they will be awarding it to some one else?
NHSE knows very well that We are not united so its very easy to show stick to few practices till they fall in line. Fault clearly lies with us ......
DO they think that by looking at name of clinician corona virus will get scared and not infect its resident?????
When will NHSE understand that if they want to bring infection rate under control in Care homes then what they need is to supply care home workers with adequate PPE on regular basis. By allocating named GP/ clinician wont do a damn thing.
Dear NHSE should I carry tea, biscuits or perhaps basket of weekly shopping for these shielded patients when I am doing their follow up as per your order........
First provide GP with adequate and proper PPE then talk about sending GP for home visit. Its easy to talk when you are sitting and giving commands. I am happy to pay these order giving GP/ managers rate I pay to my locums and they can do all my visits.
Dear Dr Philosopher.
I don't know which part of Uk you are from but what you are talking is not true.
Here in Coventry We are seeing patients face to face after triaging,if there is any clinical need. Patients who are suspected of COVID-19 are being seen in Hot hub clinic by GP and not hospital clinicians.We have resourced our own appropriate PPE by spending our own Money. We are conducting video consultation if needed.
I am quite proud of work done by our GP colleagues in spite of little support from NHSE.
If you are still in training as your title says then it's not too late to change career if you feel ashamed to be GP.
If that's the case then Why the F--k they bothered putting sticker of new date on old one.They could have simply told us in the beginning.
We were pulled up by CQC for having one Giddels airway (plastic one) still in original sealed plastic cover but it was 8 months over expiry date.
So expiry date does not matter when it suits NHSE but GP are expected to stick to rules does not matter how ridiculous they are !!!!!
At least NHSE should have had decency to openly admit that they do not have masks which are in date and we are sending you masks which are out of date.
But they thought by simply putting sticker on nobody will notice it.
This amounts to fraud.
If Gp surgery had done it and CQC had found it can you imagine what would have happen to that GP surgery ??? . I bet every pound i have in my pocket that surgery would be shut instantly by CQC for committing fraud and practicing unsafe medicine.
I am surprised that Nobody from NHSE has come out in response to this uproar from GP
very clever plan from Government.
everyone knows that elderly people are at more risk of dying from corona. S they want elderly GP to see these patients .As they have not mentioned the what money they will be paying to them so I assume Government will expect them to work for free as a gesture of goodwill (which we have have been doing for last so many years) .And then if they catch virus themselves and die then . save on their pension. What can be better than that ?.
Government is trying to solve 2 problems with one solution. Some clever bloke in Downing street must have thought about this
Do DWP think that we GP are best placed to supply fit note?
There are so many factors 1) Dr patient relationship 2) we don’t have proper training to assess whether Patent is fit enough or not fit to carry his duty 3) we don’t know exactly what does patients job involves.
They really have to give it to completely impartial department who can assess patients ability to carry on their duties . Most of the sick notes are given as per patients wishes and that’s the fact
Whatever contract GPC wants to sign We all should be allowed to vote on that one. If it satisfies majority of GPs then so be it. But I am very wary of contract agreement by GPC without we GP knowing anything about it.
Dear Mr Hancock. I wonder what made you say that PCN have been successful so far ?
What have they achieved so far ? Do you have any evidence for it?. Off course you area politician and talk like a one. So disguising facts is your second nature.
SO far all these year GP have been fantastic value for money for primary care. If not for GP this NHS would have gone bankrupt long back. You & general public should be thankful to GP for going beyond their call of duty and propping up NHS.
You should be thankful that GP haven't so far asked for payment per activity like their secondary colleagues.But that day is not far. We have had enough of politicians milking us. Mind you your ruthless policies are driving GPs to wall , no wonder lots of our colleague are leaving this country.
ITS HIGH TIME THAT WE GET PROPERLY PAID FOR OUR SERVICES AND NOT OTHER WAY ROUND.
Our problem is as below
1) Government knows that we are not united and all of us will not hand in our contracts back . Many of us are still earning reasonably well (beyond what a locum/salaried GP earns) .
2) our so called union hasn't got balls to challenge Govt.
3) many of our colleagues sill feel NHS should be free at point of delivery and think that we are reasonably paid, and also are tied with property/mortgage.
Politicians are well aware of this hence they will not do anything which will put money in GPS pocket.
.I can say with certainty that if tomorrow call comes for mass resignation/ handing our contracts back it will not get more than 30% support.
I dare BMA/ pulse to conduct survey and ask every GP in country and find out how many GP support mass resignation.
Doesnot matter who comes in to power NHS will always be underfunded. Till the time some one grows balls to say we need people to contribute to NHS DIRECTLY nothing will change. With Corbyn in center Doctors would have been doubly scr..... 1) no increase in funding 2) More taxes.
so at present BJ is lesser evil option.
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