as above, well said. agenda to provide everything all the time. political win but unfortunately comes at a cost which we are currently seeing.
bring on AI/bot consultations so we can all be out of a job and released from this current mess.
Could the editor give Vinci a regular blog spot please?
Ability to combine medicopolitical commentary with contemporary pop culture references is outstanding and would make pulse a lot more readable.
interesting article from Clare - suprised about the parallels now as it was published 2011.
as for support to say no - never going to happen
its best to be a provider of apms services as domino effect ensues nationally.
not sure if you are aware and i was gobsmacked with disbelief.
there is a golden handshake of 20k squids to go into training.
this has had a profound effect on quality which we all know will not be measured or swept under the carpet
drive hard working existing ones out and throw money at new ones. surely bma/rcgp/gp resilience groups should fight.
please read for yourself.
as one commentator said: its just business guys, not sure why everyone is getting upset. Why would he care about small practices? we knew this already a la NHSE failure to support small practices. CQC's subliminal messages and all the roll out of network groups which prize out small practices etc.
I don't think anyone goes into politics let alone medical politics for righteous reasons. Its quite refreshing to actually hear this from people in power so some of us (sadly) in smaller practices can accelerate our exit.
Hopefully he can use his silver winnings on a fast car and family holiday.
Last time I checked John Lithgow was in Hollywood, not a retired British GP.
yes exactly, who is running the show? the corruption and cloak in dagger thing has been going on for yonks but its the same in all industries (banking, politics, law) its just that in healthcare it is thought that it should be fair and transparent especially as a government agency. unfortunately no one cares apart from the docs on the shop floor.
yep please remove. leave it for gutter press
steps towards a nationwide salaried model?
true, but why should he care. steamroller away
no you are not alone jonathan in this thinking.
yes complex cases will be left to the last standing gp's which in turn will shorten their professional life span and these complex cases will not readily be solved and leave the gp with litigation implications etc.
Some sort of recruitment thing is happening in the background. not entirely clear but some areas have recruited from other countries (not sure where) and they are trying to iron out provisional/supervised registrations from what i gather. make of it what you will
this portfolio gp scheme is good. part time in practice and part time hospital with this part leading to gpsi qualification. this has led to recruitment in the midlands as offers new gp's a viable longer term career than plain old general practice
cqc will not provide that and unfortunately not part of their agenda.
If it had been set up correctly and for the right reasons they would be providing help and support to get everyone up to scracth
yes i'm going to love the see your "own gp" safety netting line when there very few of us left.
who thinks up this stuff? like a sick april fools trick. seriously asking patients to wield medical equipment to help a remote doctor make a diagnosis......cmon!
would the GMC not be interested in these cases and demand identity of those who have shared to prosecute or do they only choose certain cases they see fit?
yes when the National "NHS" insurance starts kicking in that we all will have to pay out of our payslips I will be thinking about Oz to live and work in.
I agree that extra money given/generated will be wee'd away as we are all seeing first hand on a daily basis.
But does anyone actually hand on heart think we can sort this at this late stage?
I rang the mdu for a quote the other day. head and shoulders less than other providers due to the above potential changes by the government.
Now this is the interesting bit. If the proposed changes don't go through like the MDU are banking on they will claw back the real cost of the indemnity for the years that were discounted from you. Now here is the kicker, they are not able to say what the original cost would be or how much the clawback would be retrospectively but have the kindess to give you 7 years to pay it back.
cobbler is right. (anyone with young kids and been to legoland and scrimpped on the q bot will know)