I want a Unicorn Tikka Masala with magic mushroom pillau rice...but I can't have one.
Hence the probable outcome this year thet the GPC will not agree a contract that they can put to the profession either way. If, for example NHS England turned up to present an unfinished power point presentation full of random nuggets plucked out of the air, in the mistaken belif they can create an eagle by stapling togther whichever oven ready birds they have to hand.
You CAN'T negotiaite with disorganised, unprepared, unprofessional people who fundamentally do not understand the nature of General Practice. If a private secotr organisation had published the PCN DES and also failed to present a working document for contract negs, all within 3 months.......imaging the P45s flying about the place....
On what basis do I 'not mind' the government getting between me and my patient(s)? I think these might be imaginary constraints that you refer to?
A health system is either going to have a government setting the terms or an insurance company.
I am happy being in a utilitarian system where the overall resource availability is one of many considerations that I take into account during one of my 8 weekly clinical sessions.
I in no way feel constrained in my practise in terms of what I can prescribe or what I can do as a GP. If I think its justified for the individual patient, I do it. In terms of secondary care and to who I can refer and how long they wait is nothing to do with the GPC.
Blaming the GPC for the above is a bit like blaming the EU for all the rules you'll not have to follow after brexit....without being able to actually name a rule you're looking forward to not being constrained by.
If you think an insurance system would alow you greater freedom, you must be crazy.
I do however agree about people (both patients AND doctors) needing to be more self reliant though.
Harry, having met a lot of the negotiators and had a conversations about things over the eyars, I don't share your antipathy towards our GPC colleagues. I also don't see how it's any easier or better paid than running your own General Practice either.Like I said....a thankless task.
To be fair, it takes a special kind of masochist to become a GPC negotiator knowing that the goverment has absolutely no interest in anything that actual GPs have to say about the GPs contract. Its both a pointless, and thankless task.
Don't bother introducing evidence, logic and rationale into 'negotiations' with NHS England. Wate of time. Might as well just play cards instead, then simply reject the 'offer' that their 24 year old arts graduate management consultants have have pulled out of their backsides. Much more efficient.
No one has yet explained to me what the 'video' element provides that the telephone has not been providing for 100 years.
Flaky video is not good enough quality for dermatology and rashes (even high quality video isn't enough really) and usefless for anything else I can think of of.
The naked Emperor continues to parade down the street, with his unimpressive genitalia flapping in the breeze emanating from Matt Hancock's pie hole.
Imagine if the was a 'fund' to 'defend' General Practice. It could funds test cases to challenge bullshit like this in the courts. We could call it 'The General Practice Defence Fund' or 'GPDF' for short.
My response to the draft proposals included the phrase 'over my dead body'.
Plymouth? How about 'where the need is' as a principle??
The lady in that picture doesn't look house bound - I hope she's not the subject of the home visit herself.
I apologise profusely if in fact her husband is terminally ill upstairs in bed. Bless her.
"Commissioners have directed patients to book appointments at surrounding practices and the local minor injuries unit in Gravesend"
That's optimisitic. Must be some alturusitic practices locally who are well staffed and NOT rushed off their feet failing to meet the needs of their own patients.
The argument that home visits do not allow the practise of modern medicine is the most potent.
The 'Daily Mail reader in the street' also needs to know that this is apecularly Britsh and old-fashioned thing that no other health system in the world has adopted.
GMC says 'everything was great until the CQC came along and tried to muscle in on our racket'.
Our local NHS111 provider has been rated 'outstanding' by the CQC yet it sends an ambulance to 1 in 10 callers.......
It simply maginfies risk and randomly distributes it thoughout various entry points to the (already understaffed and overstretched) system.
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Did Nikita Kanani REALLY say that?
I'm going to venture that was an attributed sound bite actually written by someone who hasn't got a fucking clue about about how General Practice functions, even in its most basic form.
Breast screening and bowel screening and cervical screening pick up a large proportion of cancers......and they don't count as 2 week wait cases either.
To imply that these have been 'missed by GPs' is fuckwittery of the extreme calibre so often demonstrated by the gin-soaked simpletons masquerading as a 'free press' in this country.
My reserves of fucks left to give about when a post-NHS future arrives and what it looks like are becoming conspicuous by their absence. Ou tax bills may well become much larger, but they will be easier to pay when we are free of the abuse of obligated philanthropy.
Can remember our last 'win' myself.......and everytime I looks left and right I see fewer GPs.
Correlation = causation sometimes.
I've recently watched the excellent Chernobyl miniseries on Sky.
All this reminds of the Soviet system. The Bureaucracy exists to serve the bureaucracy alone. It must be inflexible and strive only to perpetuate itself. Outcomes and consequences are irrelevant. Hypocrisy is to be celebrated. Logic will not be tolerated.