Nick Mann | Salaried GP10 Oct 2019 5:03pm
I 100% agree
I'm sure this is happening all over the country where any mergers are contemplated - where Primary Care and GP practices in some areas have received historically more money per patient than others in neighbouring areas; the relatively affluent (if we could call it that) areas will never voluntarily merge finances with less "affluent" areas.
The system is inequitable and this kind of tinkering helps no-one.
Bottom line = More money is needed.
Cassandra | GP Partner/Principal18 Jul 2019 5:47pm
Agree 100%. Private firms should lose the NHS logo!
It's all part of the "game plan" to privatise the NHS, and turn it from a "health care provider" to a "source of profit" for the rich "elite".
Christopher Ho | GP Partner/Principal26 Jun 2019 5:31pm
Hi - I just realised who you are (a conservative troll, I believe).
I mixed you up with Vinci Ho! Ha Ha Ha. (Apologies to Vinci!)
I won't be pursuing this thread, as I don't believe you are amenable to reasoned argument.
Once again - "Have a nice day" and "Power to the People!"
Christopher Ho | GP Partner/Principal26 Jun 2019 11:06am
I wondered whether it was worth replying, as this is not truly apposite to the topic of the article; however, I normally enjoy reading very much your contributions, so here's a response:
Firstly, I don't think quoting Churchill, a right wing racist whose actions have purportedly contributed to millions of deaths around the world, helps your arguments, although I think you have actually missed my point.
Secondly, your youtube videos reference the views of Jordan Peterson, a controversial figure who aligns himself with the views of white supremacists and alt-right fascism.
Again, not persuasive.
My point is not to advocate swapping the few capitalists at the top of organisations with equivalent state "stooges" who act in an identical way (as in Soviet Russia for example).
However, having the workforce being involved in deciding how company profits are used (for example having workers be represented on the Board of Directors, an idea which which was once mooted by this Tory government, then quietly shelved)
would inevitably eventually reduce pay disparity between the top and bottom, and would reduce the closure of businesses solely to re-locate abroad, to take but 2 examples.
These are both worthy aims (reduce inequality and reduce redundancies from relocations).
I know that this is only indirectly pertinent to NHS GPs, as we have to deal with the fallout of society's ills; but the principle is sound, and, I feel, is something worth exploring - and pragmatically, most likely done by the Labour Party (under Corbyn) as it stands at the moment.
There must be checks and balances, but, as I have said, in my opinion, the principle is sound.
Finally -- Have a nice day! as they say in the States (and we ARE following in their footsteps), and Power to the People!
By they way, Prof Richard Wolff, at the end of the 2nd video (the Google Talks one) refers, by way of illustration, to Jeremy Corbyn in UK's Labour (as well as a highly profitable firm, a Co-operative, in Spain) as someone who is trying to "democratise" the workplace and re-dress capitalism's inherent inequities to society.
to Dane | Hospital Doctor26 Jun 2019 9:34am
Joe Public has been misinformed about Labour for years; Capitalism is broken and has always been so; it inevitably leads to 4-7 yearly cycles of boom and bust and increases inequality. Marxian economics has been ignored for decades and has been omitted from Economics courses deliberately.
We need an economic model that re-dresses the obscene levels of inequality, and, believe it or not, Labour is our best (only) hope of turning around this nightmare.
Please keep an open mind!
I recommend you watch these two video clips by Prof Richard Wolff (he has done numerous presentations; plenty to choose from)
this is a 14 minute video of "what is not taught on economics courses".
this is a 1 hour presentation at Google Talks about "Democracy at Work: A Cure for Capitalism".
Time well spent watching, in my opinion, as you won't get this information from the propaganda system we know as "main stream media".
The ideas presented are anathema to the "establishment" because they threaten the "gravy train" the elite are running, but from which we are all suffering.
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?