well if the BMA had any shame things might be better now - our representatives (who dont represent by the way) scurry around trying to make a difference with their heads so far up their rectums that they just dont see it.
but does this mean we cant put money away into a private pension because of the cap, or can we still do this as an alternate to NHS pension and still get the tax relief?
or just pull out entirely, and invest in properties..
so...we are still screwed over..just get to wait for it rather then having it now.
BMA should hang their heads in shame.
..and also in all the pies of wherever the money is going.
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it has not gone to primary care at all - it has gone to the sycophants that are running the 5YfV and expecting the minions to do more for less.
there is no innovation, no retention of staff, and no goodwill left.
even the indemnity thing hasnt been fully ironed out yet.
so no, they are not ahead of anything - squandering money wherever mr *unt or *cock want it to - not in frontline care just paying a load of manager types to talk blue sky thinking who dont work more then 2 sessions/wk.
..and we thought agent *unt was bad.
this is ridiculous.
well lets just keep our reflections light.
go to conferences and say you learnt loads.
dont put in anything patient-centered at all.
do the bare minimum as im sure all of us are doing far more but not recording it.
The NHS complaints service has made this situation.
If you underfund us and under-resource the surgery and then ask us to do more work from secondary care, of course the punters will be unhappy. The problem is the individual is being blamed for this, when it is a systemic issue.
The second issue is the demands that are placed on GP-land are excessive and inappropriate - this demand and the blame/complaints culture has led to this, and certainly has been a factor in many people leaving the country (i too am intending to)
NICE should shut up until it can back up its 'recommendations' with workforce planning and money. I think NICE is one of the reasons the NHS is in the hole it is in right now - patients are entitled as 'NICE guidelines say choice and I want this medication'.
also used as a stick to beat us with when we havent gone the NICE route medicolegally
until they clearly set a maximum amount of patient contacts/day this is all going to be the same old cardie-loving non-event.
Hows about just being human and showing some compassion?
You dont know the situation so you should find out. Your partners are really important and its important to work out whats going on.
Referral to other more official things is a horrible thing to do without talking first. We all, especially in light of the recent ruling, need to remember that the system wont protect us for being overworked - we need to speak out and do less/schedule in admin time specifically to deal with stuff that gets on top of us.
Good job im not employed in your practice A Virtual nobody..!
Again, if people plan to travel to any other country its not my job to suggest anything. Nor is it yours? How would you feel about it if someone was travelling to Israel to be part of the IDF? Im sure you wouldnt have the same reply.
You have been reading too much of the Daily Mail - so ill leave you to it. Just as in the US, homegrown ills such as lightning probably kill more, but read and believe as much right wing propaganda as you will
we didnt get the money in our patch - we asked and begged for the money for transforming workflows but it has not come - we were told that instead of using existing validated evidenced systems, we need to 'develop our own'.
Mdu will only drop fees if you are newly changing. If you subscribed in August you are shafted.
this is ludicrous.
fundamentally racial profiling and i dont think its my job to be a border guard or policeman at all.
you could argue the same about people wanting to go to israel - as a lot of people go there to be part of the IDF forces - but as they are usually white it doesnt matter and that sort of mindless killing is ok.
this is ridiculous.
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well what i dont understand is why the government simply cant say 'we are not paying, you are ripping us off' and do some sort of financial review, and then put good lawyers on it (like the ones that NHSE used against junior docs and dr chris day) and get rid of it.
its ridiculous the amount these things are costing.
cant they just say 'its austerity, we all have to make cuts and HMG cannot afford to pay these, so f off'
so how on earth are we meant to do it then?
they want us to call in every old patient, including those we dont see often, run the eFI tool (which is validated, and good marker of what they are defining to be frailty), then have the chat?
surely if the algorithm has taken into account the 30-odd factors it says it does, and we have a chat with the patient about falls and SCA inclusion, then thats that.
When the spec first came out, no-one said we couldnt batch add, and in fact EMIS does it automatically.
Im not gonna change it
Qasim Bhatti, GP Partner, Hinckley