What about the costs?
The appraisers get paid several hundred pounds per appraisal.
At a rough estimate 30,000+ GP''s having an annual appraisal is costing the NHS £20 million a year.
Does anyone cost the time involved?
It is the equivalent of 2 doctors using up a clinical session each.
That is over 60,000 clinical sessions a year,700,000+ possible patient contacts not available.
That would be another 15 to 20 million pounds if it had to paid for.
Is there any evidence that this creates better doctors?
It has become a cash cow for some people with their own vested interests.
What about the last minute,about to leave,"while I'm here doctor".
Sometimes what's the real problem then comes out.
Sometimes it's potentially serious.
Wait until the 1st e consulting GP is getting sued, then it won't the future of general practise anymore.
Perhaps after 35 years of general practise I'm getting too cynical for these brave new world ideas.
We refer to our local diabetes education programme.
We often get letters back advising us that appointments have not been kept.
A bit like the shortage of Conservative MP''s then.
I suggest that anyone associated with the NHS and living in Thurrock not vote for this next time.
Maybe some local GP could stand in the next General Election.
Any politician,of whatever party, has to suggest 3 other things that GP's can instantly stop doing for every one thing that they suggest we do.
If they cannot do that they are talking twaddle as usual.
£40, then deduct tax at 40%,NI at about 10%, superann. at approx 30%, leaving 20%, or a 1/5, i.e £8.
Anonymous @ 12.35pm
When there are no GP partners left and no NHS General Practice who will be employing you.
Backdoor privatisation is coming and that is the hidden agenda.The Whitehall bean counters have done the sums, figured the NHS is becoming unaffordable and privatisation is the way out of the blackhole. No politicians will have the balls to explain that one to the public.
Sorry anonymous at 3,53pm but my mortgage is nearly paid, my kids have left school, I don't do skiing holidays so I can shut up shop and leave.
The exit plan is being prepared.
If I get called at 3am on a Monday morning to sort out a problem for 1 of my vulnerable frail elderly patients who is going to see the 30+ patients booked for appointments with me on Monday when I'm at home in bed catching up my sleep.
I'm not going back to working 100+ hour weeks again.
I'm 59,had hoped to continue as a GP for a while longer.I did the horrible hours as a hospital junior and the on call as a GP partner until our GP Co-op came along.I did the OOH for our Co-op and when we lost out to a cheaper bid in 2004 I continued doing shifts for a nearby Co-op.
If OOH responsibility is forced back on us I will be resigning.
For whatever it might be worth the NHS can loose my 30 years of GP experience.
some background information for anonymous 1.30pm
I was medical director of our local GP co-op, we met or exceeded all the quality standards that were in place and our local health authority were always impressed by our work.
In 2004 with the change in GP contract we had to bid against 2 other suppliers for the local OOH contract. we didn't get the contract. It went to the cheapest bidder. I saw the figures and told anyone who would listen that OOH could not be done properly on that amount of money.I was ignored but rumour has it that a bail out sum of tens of thousands was eventually needed.
The Dept of Health seems to think OOH can be done on the cheap, it cannot.
I don't do OOH work anymore, too disillusioned.
two cynical thoughts come to mind
if you pay peanuts you get monkeys
and GIGO, garbage in, garbage out