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Gold, incentives and meh


  • ‘Lifestyle medicine’ could revolutionise patient care

    rali's comment 30 Oct 2017 11:47pm

    Poorly written. At least make an effort to illustrate with example. Doctors sre trained to do drugs and surgery.

  • 'Dr Google enters 80% of my consultations', warns RCGP chair

    rali's comment 03 Oct 2017 5:44pm

    doctors make correct diagnosis 50-80% of the time.
    google is 50-60%.

  • 'Indemnity fees are killing our profession' - sign this letter to Jeremy Hunt

    rali's comment 04 Sep 2017 9:37am


  • Mr Hunt! I know where your 5,000 extra GPs are

    rali's comment 05 Mar 2017 0:10am

    Are pulse writer medics morlocks or eloi?

  • 'Several LMCs' to call for mass resignation and industrial action

    rali's comment 28 Dec 2015 3:52pm

    Doctors have always worked hard sometimes for less money.
    The work was interesting which was useful for doctors and patients.
    Now its meaningless work that is causing distress and low pay that aggravates it further

    As a limited resource we could do better.

    the force awakens........just a little, maybe.

  • Why would anyone want to be a locum GP?

    rali's comment 26 Mar 2015 10:52am

    Without locums general practice would not function as silos of independent practices without compromising quality of care. how would partners/salaried take holiday in small practices that cant get cross cover. what about the emergency sickness and maternity covers. LOCUMS PROVIDE BUSINESS CONTINUITY to the system as a whole.

    continuity of care has three levels (according to some work which I cant recall) - personal, managerial and information.

    The consultation notes allow a degree of continuity to allow for the diagnostic hit the author refers to.

    even if you move to a complete salaried model you would still need locums - think about hospitals.

    The locum movement is powered by greater forces including standardisation of work (through guidelines, qof, training) so that the system is not dependent on the individual. Also the internet making it easier to find and plan work. Other social factors including changing work preferences and patient demand (out of hours, weekends).

    Its likely that the boundaries of general practice will change even more as it is in other work places.

    In the current state it is better to have a majority partnership/salaried job model with locums to rescue them PRN. This provides access to primary care for patients who need it.

    We should support locum work and enable locums.

    interest - salaried gp (90%) doing some locum work (10%). plan to keep it that way.