All part of the "Establishment" plan to further the demoralisation of staff and to continue to run down the NHS in preparation for its transfer to private sector!
This app has nothing to do with "free(ing) up ‘thousands’ of GP practices in England" and everything to do with directing dispensing business to the Co-Op; also controlling, or interfering with, the patients interaction with their GP practice - "Patients can’t order more than they need, can’t edit things".
There is no direct relationship between the number of GP appointments for consultations and profitability or economic viability of a practice; rather, appointment demand needs to be managed in a way to best provide safe GP practice.
An "App" is likely to skew the status quo towards an increase in demand for appointments (not good for the practice) or interfere in the dialogue between patient and practice (not good for patient or practice).
This "solution" doesn't answer any of the real problems we face in GP and has the potential for increasing micro-management and producing their own version of "Crapita" chaos.
Christopher Ho | GP Partner/Principal30 Jan 2019 10:17am
You say "it is in societies with MOST socialist policies, that we see people dying of starvation/malnutrition/lack of healthcare."
I say look at the scandinavian countries, all of whom have a socialist bias in their policies. They're doing a helluva lot better than we are (healthcare wise, certainly).
to: Christopher Ho | GP Partner/Principal29 Jan 2019 5:39pm
A shining example of the best of the NHS values is that of equitable access to health care, prioritised on health care needs, not ability to pay; the traditional role of General Practice (as a gatekeeper to secondary care) was a key factor in keeping the costs and health care wastes down; of course governments have eroded that gatekeeper role and abused and taken advantage of our good will; that doesn't change the principle.
Many health services around the world are copying that model for their own health care services.
Even the USA has made attempts to move in that direction.
Suggest you watch "Sicko" - old film now, by Michael Moore about different health services around the world (incl our NHS) designed to show what the USA may "steal" from other countries. I especially recommend his interview with Tony Benn.
Subsequent films by Michael Moore don't feature the UK so much. Why? Because we have moved so far towards the USA system, we have nothing good left to steal!
You say "And lack of awareness of our true market value globally." - I say that mindset is the problem; the NHS does not operate well as a "market", as has been consistently shown since Maggie Thatcher introduced more management in the 1980's.
Regarding Venezuala - which is off topic, by the way - I suggest you stop swallowing all the Main Stream Media and BBC (Tory party propaganda service) propaganda, and research the issues; Venezuala has one of the largest oil reserves in the world and the USA has been trying to interfere in their politics for over 20 years now; there are problems, of course, but the current socialist government has supported welfare for the poor, and not toadied to the USA so much. The UN rapporteur who visited Venezuala recently accused the USA of "economic warfare" against Venezuala, hurting their economy and killing people; he reported that the US sanctions were illegal and could amount to "crimes against humanity" under international law.
The "politics" of the NHS works better when it is adequately funded.
When Tony Bliar (no typo) put money into the NHS in his early years, the NHS waiting times went down, and Sure Start clinics made a definite improvement in child care.
With the Tories cutting funding to record levels the NHS is being set up to fail, and therefore thrown to the Private sector.
A socialist government (not "New Labour" b*llocks, mind) would move to end the PPI racket, and jack funding up.
It is well known that an adequately tax funded NHS is the most efficient means of providing healthcare - we just need to raise NHS investment to match other countries (ie increase the proportion of GDP put into healthcare). A socialist government is our best chance of mitigating against the micromanagement and privatisation that is happening now.
Granted, no quick fix, but, IMO, our only hope.
Anyone watched the new film, "Groundswell - the grassroots battle for the NHS"?
This is just another step in setting primary care up for privatisation US style; using financial levers to coerce practices to work together or be financially penalised. Of course practices don't HAVE TO comply but then they lose any "major funding boost" that may be being waved about.
This doesn't solve any of general practice's major problems.
Oops - just to prove a point - I mean "to reach the incompetence"
Proof that NICE are striving to reach to incompetence levels of NHSE and our Brexit negotiators.
Wonderful advert for all things British.
Ha, Ha, Ha, Ha!
Only 2wks before these doctors complete their GP training and they have to work anywhere but in the UK!
NHSE - the joke of the world, as equal in incompetence as our Brexit negotiators!
Yes, registered via the practice reception, but the system is wholly unusable as not able to log on online! So results in having to trudge down to the practice to order scripts, make appts etc face to face in reception! Usually b*llocks from NHSE.
I think you will find that Jeremy *unt SoS for Health is NOT now responsible for the health of citizens.
The Health and Social Care Act 2012 removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948.
He is laughing all the way!
Here's a question - how do other professionals demonstrate continuing competence as the years roll on - solicitors, magistrates, judges, engineers, accoountants, pilots, Secretaries of State, etc etc?
Dr Stuart Hazle
This is a political action to divert blame away from NHSE to someone else; in this case Locums.
You are right to complain and push back, as, unchallenged, this sort of thing sows a seed in people's mind, and they start to believe it.
"patient safety is doctors’ primary concern and so it is right that we listen and respond to concerns about the ability of the NHS to maintain a safe service"
I thought the strikes were planned because the imposed contract was thought to be unsafe for patients? The ability of the NHS to maintain a safe service is related to (1) proper whistle blowing protection (currently not present), and (2) adequate NHS funding (note the proportion of GDP put up for healthcare in UK cf other European countries!)
If the NHS cannot provide safe emergency care when many weeks of notice has been given already, then it cannot provide safe health care when "winter pressures" arrive; this is NOT the responsibility of individual doctors but the responsibility of Tory government and *unt in particular.
I'm disgusted and minded now to cancel my BMA subscription.
This is boll*cks!
How can you "pause" something that hasn't started?
This bit of nonsense means absolutely nothing and should be ignored - junior doctors should keep their options open and plan for their next move.
Power to the people!
I suggest that this open letter to the PM is sent to the newspapers to publish in full; hopefully at least one of them will print it; the more this message is put out to the public the more leverage the message will have.
Dr Stuart Hazle,
Journee Medical Practice,
my error - should be Allyson M Pollock
The direction the NHS has taken over many years now has been driven by political will; politician's are destroying the NHS as we used to know it - *unt is but the latest one (albeit one with obvious lack of knowledge of, or overt antagonism to, NHS principles).
They can impose conditions despite our protestations and reasoned argument; to always blame the BMA negotiators is a red herring.
The main problems are moving away from focussing on public Health Care NEEDS to Health Care WANTS, incessant micromanagement of Primary Care with disregard of the value-added gained from GP professionals organising their own work for maximum efficiency, and chronic underfunding of health care services & primary care in particular.
It is incumbent for each of us to focus on what we "can" do and want we "cannot" do, and, I would suggest, we look after oureslevs - prioritise our personal decisions on looking after ourselves and our families in the first instance; yes, provide the politicians with our professional opinion of the "road of travel" the NHS is seemingly embarked on, and then leave it up to them to (hopefully) be voted out when "joe public" wake up to reality.
Anyone who wants more details of how successive governments have pushed the NHS towards privatisation should read Allyson Pllock's book "NHS plc".
Retirement is looking increasingly attractive, and not long to go!