This site is intended for health professionals only

At the heart of general practice since 1960

Mark Struthers

  • Dr Iona Heath: My fears for the next generation

    Mark Struthers's comment 03 Dec 2012 2:41pm

    OOH really sorts the professionals from the sheep, cats and goats. I once had a partner who thought it was acceptable to work an overnight session for a large co-op (around 1997) and then continue a normal working day afterwards. It strikes me that OOH care is an impossible nut to crack: Iona Heath can’t possibly be blamed for retiring without cracking it.

  • Picking up the pieces

    Mark Struthers's comment 01 Dec 2012 5:01pm

    I forgot to mention that that "particular practitioner" of a yukky disposition failed a democratic 'fitness for work' assessment on 6 May 2010. Three cheers for democracy.

  • Picking up the pieces

    Mark Struthers's comment 01 Dec 2012 1:25pm

    It is sad that Lord Leveson has chosen to ignore the evidence on this particular practitioner's fitness for work,

    http://youtu.be/iSt5W8h67hE

    Yuk!

  • Dr Iona Heath: My fears for the next generation

    Mark Struthers's comment 01 Dec 2012 12:41pm

    Managing GPs is like herding cats. Paradoxically, I was once salaried to a dysfunctional partnership that was managed by a cat, albeit a stupid and sociopathic one. Beware the cat as practice manager!

  • Dr Iona Heath: My fears for the next generation

    Mark Struthers's comment 01 Dec 2012 12:03pm

    I have heard it said that managing GPs is like trying to herd cats. Thank you for trying, but I think Iona Heath deserves to retire from what is an impossible job.

  • Vaccinate all adults in households with babies, suggests RCGP lead

    Mark Struthers's comment 01 Dec 2012 8:31am

    http://www.youtube.com/watch?v=0l5TqYB3VQI&feature=share&list=UUfIZ2PofuUgEM79W3fOc6Mg

  • Dr Iona Heath: My fears for the next generation

    Mark Struthers's comment 29 Nov 2012 11:30am

    Doctors paid for it, but the GMC trial of the Royal Free Three (2007 - 2010) was a government/corporate inspired atrocity ... and busy GPs with their snouts snuffling around in the trough of QOF ... did nothing. The government will impose a contract ... because it can ... and GPs will simply deserve everything they get.

  • Picking up the pieces

    Mark Struthers's comment 29 Nov 2012 11:27am

    I feel hacked off. Disgraceful hacks like Brian Deer have nothing to fear from Leveson ...

    http://youtu.be/wDA0YLXX9NM

    ... such is the present level of media/corporate/governmental/judicial corruption.

  • Dr Iona Heath: My fears for the next generation

    Mark Struthers's comment 28 Nov 2012 8:51pm

    GPs have never been more divided. Those charged with leading the profession had a responsibility to keep the troops united. The RCGP/BMA has been lax in that imperative. Remember that 'divide and conquer' has been the long game of British governments ... and doctors' leaders have let the buggers win.

  • Dr Iona Heath: My fears for the next generation

    Mark Struthers's comment 28 Nov 2012 8:16pm

    Iona Heath says,

    "People in partnerships are more committed to the practice, to the area and to their patients, and so you get better continuity of care. If you’re just a paid employee, why would you hang around if things get difficult?"

    This is highly simplistic generalisation ... and I don't like it.

    Sticking around when a partnership becomes dysfunctional is no good for anyone, least of all the patients. Why can't a salaried professional, like any other paid employee, provide a loyal, committed, continuous service to their patients and employer too?

  • Picking up the pieces

    Mark Struthers's comment 25 Nov 2012 1:00pm

    Dr Jonny Tomlinson is a GP in Hackney, a sometime contributor to Pulse magazine ...and a jolly good sort. He's just written a thoughtful blog post on 'shame',

    http://abetternhs.wordpress.com/2012/11/16/shame/

    On 'professional shame', he's written,

    "Whereas guilt is feeling bad about what we have done, shame is feeling bad about what we are."

    Jolly good food for thought! Eh, Margaret?

  • Picking up the pieces

    Mark Struthers's comment 25 Nov 2012 12:29pm

    Margaret rants about those shameful ATOS processes, but completely ignores the shameless 'fitness for work' assessments carried out by our medical regulator.

    "A feeling of shame" is a phrase taken from 'The Trial' by Franz Kafka. Professor John Walker-Smith quotes it in his updated autobiography* when he says,

    "The charges chiefly concerned my clinical care of 12 children. Yet no parent had made a complaint to the GMC. The correspondence from the GMC revealed that the only person who had made a complaint against me was the original journalist. Over thirty charges were made against me. Some charges were most unpleasant as they included astonishing charges of dishonesty. I knew that at no stage had I been dishonest, but I felt it was deeply shameful to be in the position in which I now found myself."

    Do you get that 'feeling of shame', Margaret? I know I do!

    *Enduring Memories: A Paediatric Gastroenterologist Remembers. A Tale of London and Sydney. John Walker-Smith. The Memoir Club, 2012. ISBN: 978-1-84104-538-2. Chapter 16, The Trial, page 221.
    http://thememoirclub.co.uk/

  • Educating patients on antibiotics

    Mark Struthers's comment 23 Nov 2012 7:01pm

    @Andrew Sikorski

    Thank you for linking to an interesting article and a potentially exciting therapy.

    @Molly Cham

    I suspect Dr Sikorski is referring to superannuated clowns like the professors Ernst & Colquhoon, who never miss an opportunity to discredit anything that could be seen as "alternative". Let the idiots have a go at Phage Therapy!

  • GPs have 'never been happier'?

    Mark Struthers's comment 23 Nov 2012 4:16pm

    I don’t want to retire: I work behind bars and have never been happier.

  • Picking up the pieces

    Mark Struthers's comment 23 Nov 2012 4:07pm

    Who’s going to pick up the pieces? The process was fair to whom? Who is paying the price for this patently unfair process?

    Apart from his own fees, Brian Deer estimated that the process had cost doctors about £8 million. In 2004, Deer, a freelance journalist hacking for News International, instigated an ATOS style ‘fitness for work’ assessment on John Walker-Smith, one of the world’s leading paediatric gastroenterologists.

    In May 2010, at the final conclusion of the process (a trial after Kafka), Professor Walker-Smith was found unfit for work, a decade after he had retired. At appeal, two years later, the GMC’s decision was overturned, the 73 year old paediatrician was deemed fit and allowed to return to work.

    http://ind.pn/U8VPl6

    Any comment? Or would the Scottish doctors prefer to rant?

  • Picking up the pieces

    Mark Struthers's comment 23 Nov 2012 12:44pm

    Alan Laurie, a GP from somewhere in Scotland, imperiously stated,

    "There is no obligation to provide claimants with any supportive letters at all ... We occasionally provide such letters and when we do, like every other GP I know, we do not charge anything."

    But some GPs do and some GPs don't, and some doctors seem to charge extortionate fees whatever the obligations, as Suzanne Stevens has remarked. Is this playing fair?

  • Picking up the pieces

    Mark Struthers's comment 22 Nov 2012 9:54pm

    "Ignoring another disruptive 'MS' rant and getting back on topic" ...

    I believe the topic is fairness or the lack of it in contemporary medical practice. Does the unfairness perpetrated by the medical regulator not matter? Is medical complicity in sponsoring unfairness unimportant?

    "GP, Scotland (anonymous due to minor confidentiality concern)"

    What's that supposed to mean? Is Dr Laurie being economical with the truth of his identity, Scottish or otherwise? Surely not!



  • Revalidation is not worth its cost

    Mark Struthers's comment 22 Nov 2012 9:11am

    “The GMC's "verdict followed 217 days of deliberation, making it the longest disciplinary case in the GMC's 152-year history."

    http://ind.pn/U8VPl6

    Professor Walker-Smith "paid tribute to his supporters who included the parents of many children with autism and bowel disease seen by him at the Royal Free Hospital in north London up to his retirement in 2001. His supporters say one of the consequences of the GMC's actions is that families are facing serious difficulties in finding NHS treatment for autistic children with bowel disease.

    The money spent on prosecuting the Royal Free Three would have been better spent on patient care. Would Dr Peter Swinyard care to comment?

  • Revalidation is not worth its cost

    Mark Struthers's comment 21 Nov 2012 6:22pm

    "The DH confirmed that revalidation would prevent an estimated 97 cases of death or serious harm" ... is as about as fatuous as saying ...

    "It is estimated that about 400 lives could be saved in the UK every year as a result of vaccinating girls before they are infected with HPV."

    http://www.nhs.uk/conditions/hpv-vaccination/pages/introduction.aspx?WT.mc_id=090805

    Give me strength!

  • We now call these cold little crawlspaces 'complementary therapies'

    Mark Struthers's comment 21 Nov 2012 10:34am

    Over at the BMJ, a 98% bullsh*tter called Alan Henness, the pretentious director of the pretentiously named 'Nightingale Collaboration', has been getting a well-deserved pasting from a livestock farmer from Dorset.

    http://www.bmj.com/content/345/bmj.e6184?tab=responses

    Enjoy!