Merlin is right that the NHS Pension scheme is unfunded - meaning its effectively a Ponzi scheme, which is why they've stopped people taking a cash-equivalent lump sum out and transferring that to (for instance) a SIPP.
But here's the rub: guess who's got a properly funded pension scheme. The MPs!
*Not sure if he's the originator but I've heard Sir Muir Gray use your quotation. And he is a past leader of the NSC.
Sadly, very familiar. And the chances of "the powers that be" being able to identify let alone address effectively all of the multiple factors leading to this perfect storm are minimal, I'm afraid.
The individual personal tragedies are heart-breaking. But the bigger picture - in terms of how we cope without effective primary care - is even more scary. And no, the answer does NOT lie in Working at Scale, or Working Smarter, or AI, or telemedicine.
No-one cares. No-one wants to listen. Plenty want to gloss over it. Plenty are invested in the very processes that are weighing us down. And new initiatives are generally as helpful as throwing a concrete lifebelt to a drowning GP.
Simple case of confusing absolute numbers with a proportion?
Give us a numerator and a denominator please!
I honestly think these agencies just do not understand the impact of what they are doing. They have RIGHT on their side, are battling the forces of lassitude/complacency/mediocrity etc and are unstoppable.
GMC, A&R, CQC, NHS England, pensions - its a tsunami of disincentives to continue practising.
And the RCGP and BMA get panned in the press if they defend us, panned by us if they don't do enough. The truth is, they cannot hope to overcome the multiple forces of the establishment.
"We're all doooomed, Mr Mainwaring!"
The CQC is not overseen by a regulator.
That is a very dangerous situation.
Even the GMC has the PSA - which sadly does not prevent it behaving unfairly.
Quite bizarre. Arsonists pretending to be firefighters.
He's right of course. OP appts COULD be done by phone or Skype. In the same way that electronic records which communicate across the care continuum are a good idea and technically feasible. But there's a host of reasons why it won't easily happen, none of which I suspect he has any idea about.
It's not the technology that's the hardest part. The hardest part is the soft part...
It's undeniable that 3,473 3,250.
But how many FTE GPs will that translate to? Subtract the ones who will emigrate or decide it's not for them after all, adjust the remainder pro rata for the part-timers (see article) and you're left with a woefully inadequate number dribbling into the bucket and still a deluge pouring out the hole in the bottom.
Pathetic "whistling past the graveyard", IMHO
AP - Freudian slip? Gin-full? Is that why both have a gouty appearance?
WTAF or more WATF? ;-)
"When they KICK at your front door..."
The CQC don't knock - at least not in that sense.
"When they knock at your front door,
How you gonna come?..."
The CQC is simply one of the many nails in the coffin of GP.
And SF will get a gong, no doubt about it.
Working at Scale = 1 GP and 2 practice nurses for 50,000 patients, delivering coordinated care via a Primary Care Home.
Primary Care Home, Working at Scale, Population Health, Overseas recruitment
BS, BS, BS and more BS
Sorry - but it wont work.
They don’t value GP. They see it as a cost. So no, they won’t act on Nigel’s report. They will ignore it. It won’t alter the trajectory for GP one iota.
That's sad to read - "If your smart enough to get into medicine you are smart enough to do something worthwhile."
They've turned a career and/or vocation into a job - and a poor one at that.
Which is exactly why “old style” GP, with continuity and knowledge of the patient, crucially the human touch, is the only way to manage “people who are ill or believe themselves to be ill”. An app won’t do it, still less a mega practice. The point is that most illness is not solely caused by an assault from a pathogen or other single environmental factor but in a complex psycho/social/physical maelstrom of factors.
And when we get tipped over the Starling curve of workload, we are unsurprisingly totally unable to deal with these very tricky cases. I know I was, which is why l left full time GP several years ago. Hats off to those who are sticking it out.
Damned if you do; damned if you don't.
Sounds like business as usual for GPs.
Looking forward to my appraisal.
The media will still report a 4% pay increase - and whingeing selfish GPs leaving the NHS in droves etc, etc.