Anonymous ex gp
Yet another reorganisation. Definition of insanity is repeating the same thing over and over again, but expecting a different result each time.
The great thing about being about being a GP was the autonomy. The recognition of professionalism that allowed us the freedom to do the job with the trust that we were doing our best drawing on the years of experience to work in a way that lived with much that was not evidence based, because much of the evidence was not there. But to try and follow guidelines that were not sound, but then being criticised for using our own intelligence and critical thinking in the way we were trained to do is demoralizing. The pontificating 'experts' in their ivory towers who seek to impose their own brand of crap arrogant ideas is pernicious.
I was always taught (never really believed it) not completing courses of antibiotics led to increased resistance. Now reducing lengths of courses lessens the chance of increased resistance. Medicine full of opinions not based on sound science, just "expert" opinion. Welcome to the real world.
Vinci, where do you find the time to write your thousands of words? I am completely in awe.
Stop medicalisng everything!
Unfortunately cash incentives encourage liberal interpretation of ethical rules
I have been asked to prescribe a patients 'usual drugs' as a GP by an inpatient psychiatric ward, despite the fact that two of the drugs were contraindicated in mania!
Bring back Jeremy, he wasn't all that bad.
Sorry, I'm being delusional. Give us a job, I volunteer to be Health Secretary. I may make less of a mess of it, shouldn't be too difficult.
The "phone at 8.30" system is stupid. It is frustrating for patients and counter productive. There are better systems for coping with demand.
Alas, it was 7 tears ago I took 24 hr retirement and returned to work. I took the 14% as well as my usual share. Unfortunately I can't now find the guidance. But it was certainly part of the negotiations that gave the GP,s the flexibility to use that 14% as they wished depending on their personal circumstances
The 14% employer part of the pension contributions is paid into the practice for forwarding on to the pensions fund. If you stop paying into a pension for any reason, that 14% can become part of your income, and you also gain by not having to pay the employees contribution. It is all your money. There is BAM guidance on the matter. Some practices would argue the 14% should go to the practice as employer, but that is not so if you read the original comments by the BAM at the time of negotiation.
Employed GP,s on the other hand would lose out on the 14%if they stopped contributions
Not a good idea
Spot on, as always!
Where did Hunt disappear to?
'Commercially sensitive' often means 'we are not going to tell you because it is a bit dodgy'
Another potential scandal for abuse
Serious mistake by the GMC
Some of the regulators are second class intellects, who think they know it all. Sad