Samantha Gittins is absolutely right - and it is interesting that no such stories surfaced. I am sure that it wasn't for lack of enthusiastic digging on the part of the Daily Mail and others.
Whether a reorganisation is "top-down" or not is open to interpretation. Promising "5000 more GPs" mean what it says - and he knows that he would be setting himself up to fail.
I do not wish to seem to be defending the Daily Mail - in fact some of their headlines regarding GPs in recent months have made me feel physically sick with anger - however in this instance surely the real question and concern is why last year our derisory 0.28% uplift was supposed to be enough to give a pay rise of 1% while this year it apparantly needs an uplift of 1.16% to give the same effect. At least it seems a bit more realistic. I think it will still be too little too late for many.
Some of these are good ideas - but I wonder how long it will be before politicians and the media are complaining again about care being a "postcode lottery".
Skpe may be "particularly popular" amongst some patient groups but that doesnt mean that it is cost efficient or clinically useful. Look at health checks or "MoTs" of the general population - popular but.................
You can`t knock them for trying - but can it really take a full year to rediscover how to navigate the NHS and British patients?
A very well written piece - it brought back memories of 21 UMT house jobs and lots more besides.
As regards resilience - it does make one wonder what the world is coming to when the powers that be seem to think we need "resilience training" in order to reduce suicides and help us cope if we are subject to a complaint and the associated complaints procedures.
It seems to be the process, and not necessarily the complaints themselves, which is causing the stress and pressure. Why not review and alter those procedures to support doctors better through the process rather than expect us just to man up and be resilient enough to deal with it?
PS Una at 5.49. I too prefer to see named contributions and have used my name, but it is nothing to do with "the socialist system" one way or another.
Some lucky person is going to have the job of interpreting all those XRs / USS / CTs / MRIs / endoscopies / PSAs etc etc and explaining them to the patient. Now - I wonder who that special someone will be...............?
So unfortunately if, as I imagine they will, all our patients take the same attitude as Mr Sarson at 2.32pm, then all we are going to get is critical feedback. Which might be unfortunate if the exercise is supposed to provide a morale booster. Luckily it looks as if we can pick and choose who we ask for feedback to make sure that our morale is massaged in a DoH approved manner. What a load of piffle!!!!!!!!
I do not mean to be derogatory about salaried GPs in any way and understand the reasons why many doctors have chosen to work in this way but I think the key point here is that Ivan is a salaried GP and does not have the open ended commitment and responsibility to provide a service that GP partners have in practices.
What is the betting that the Daily Mail will pick up on gross earnings and conveniently forget all about expenses / increasing demand etc etc
We need to be consistant in our criticism - these practices were all opened as part of the Darzi / APMS initiative of the last government - often against local opposition - to address a perceived unmet need and to increase patient choice in areas which supposedly were under doctored. Their contracts were often heavily subsidised compared to local practices, with generous startup costs. It is right and proper that these contracts should now be examined to see if the practices offer value for money at a time when most other practices in the country are struggling financially.
Dr Mike Betterton
I am concerned regarding the "right" to book ahead with the doctor of your choice - sounds great but every practice has at least one "popular" doctor [for whatever reason] and appointments for these doctors go fast. There are only so many hours in the day and when appointments are booked they are not available to others - no matter what "rights" a politician has bestowed. A recipe for conflict and stress for reception staff and doctors - as well as a guaranteed fail for whichever political party is unwise enough to promise it.
The only bit of the above post which I agree with is that general practice is a vocation not a hobby.
I think the rest must be a wind-up. "if anything access should be extended to 24 hrs so that patients can have the confidence of seeing their GP when they need to". Most of us older GPs have worked 24h shifts or even longer - and we know the state we were in after two or three of them - never mind a working lifetime.
Definately not the real world.
Re the FOE request 10.12am. That reply is appaling. Did you resubmit the request?
Please - not another survey on this. We were pilloried by the Daily Hate Mail and others after the last one which was widely interpreted as a proper balanced view of GP opinion rather than an opportunity for self selected angry people [like me] to have a swipe at the system!
A solution looking for a problem
"Mr Hunt of course recognises [So he says but do you believe him?] that GPs cannot work all night and then all day, but we have to take responsibility for the provision of 24-hour care." What does he mean by "take responsibility?" - Perhaps hand pick the 111 operators? Or interview the night cover docs to make sure that they are caring enough? Or just carry the can if or when things go a bit pear shaped? Yes - I see - it is the latter. Thanks Jeremy.
The main problem is not necessarily what will happen to the data but the fact that the DoH has devolved the duty to inform patients to GP practices and given us only 8 weeks to do it. Their leaflets issued to practices [150 for a 10500 pt practice] stress how patients need to know that this extraction is taking place and that they need to know that they have a choice. If the D0H really wanted to inform patients they should have had a national campaign - newspapers ads/radio and TV etc etc. There is not even a patient helpline - instead GP practices are supposed to field questions using a list of "FAQs".