another last man standing
This is worse than what Jeremy Hunt was doing! Perhaps Mr.Hancock should now go to the Foreign Ministry to negotiate Brexit!
And, of course, he looks and responds to every item in his email box whether or not he has any internet service. The man’s mad but his psychiatric appointment isn’t for at least six months.
So why do I still feel guilty that after 33 years as a single handed GP in a remote mountain practice (and 42 years in the NHS) that I finally jumped ship and left all the problems to the rest of you? I’m still truly sorry but as we say up here “I’m done”.
We are barely able to cope as it is with the conclusion that whatever the problem is then it’s the GPs responsibility regardless of whether it’s funded or not.
Of course a reduction in contraceptive service = rise in population with fewer GPs to provide a service. Then a rise in STDs = potential increased sub fertility so less population! Except that those affected would be expected to be referred to Secondary Care for IVF or whatever other interventions are available!
Oh dear! Is my cynicism showing! Oops!
So the worried well who have nothing better to do than surf the net to make yet another appointment will remain worried and well. The ones who really need our attention, as already said, will remain lost.
When internet access is not perfect, as is the case in my remote mountain practice, you’re stuffed, as making contact by phone becomes ever more difficult.
Recent research showed that 8% of people had never accessed the internet and that was tending to be the old and/or sick. IT may have given us many benefits but leaves us vulnerable in many ways. As I have said in the past ‘Brave or Grave New World’.
And what happens at the end of the 5 years with so much funding money available? I’d better not mention Brexit. Oops!
Too little, too late for some and in particular me! I’m not ‘standing’ for much longer so: going, going, gone! One less to be expected to do ever increasing and policed work on an ever decreasing true budget. Good luck to the rest of you.
I suspect that such actions are more likely to reduce the number of doctors going into general practice and increase the number leaving with or without a pension. As if we’re not policed enough we now run the risk of having to stay where we are purely due to intimidation and threats. Who would want this job where it seems to be going?
Once again we are being promised that ‘pigs might fly’ . However the headline appears to have misspelled one word. I think that it’s meant to read ‘ funding will relive pressure on GPs’.
It’s amazing what difference one letter can make!
The most drastic and maybe sensible measure is to jump ship! Maybe then a more realistic system could be achieved. Easier said than done however as the water we jump into is probably full of sharks (aka NHS managers who would sue us for breach of contract)!
As a single-handed practitioner in a remote practice I’m probably a bit biased in my views! However I knew all my patients for better or worse and had overall outcomes at least as good as those of bigger practices. Could it be that we are coming full circle when in my late fathers time (he was a single-handed GP) virtually all practices were of sole practitioners?!!
I suppose not as most young GPs could not or would not manage the workload in the primary care workplace now. Brave New World!
Firstly ‘pigs might fly’ , secondly this government may not be around by the time that this money apparently maybe available. Of course the £4.5bn will be gratefully accepted by the 10 (or is it less) GPs left in the UK to run primary care in the NHS.
The bottom line is that we are and can be policed by all and sundry but institutions such as CQC cannot and certainly mustn’t be publicly criticised even when justified. This goes way beyond dictatorship, communism etc and certainly isn’t democracy. This GP should be knighted for taking a stand!
I’m all for pharmacists being part of the greater healthcare environment but who would have legal responsibility in the event of a patient developing a significant problem as a result of not receiving a medication prescribed by a doctor because the pharmacist won’t dispense it?
I will be interested to see how the EMIS voice recognition system copes with the Scottish and Doric that’s spoken in my remote region!
I suspect that the new system is also another way of policing us regardless of any medico-legal protection. In the not too distant future we will not be needed at all so patients are welcome to develop a meaningful relationship with the computer. If the computers get it wrong then we’ll still get the blame or could we pass the buck onto the programmers?!
I wonder if this will apply to patients who have moved from within a rigid boundary to just outside as this would be relevant to remote practices where there are no absolute well defined geographical boundaries? If that’s true then small affected communities would kick up quite a fuss. Of course continuity of care isn’t important any more as per some comments made in a recent Pulse article.
Sadly as had been said in a previous Pulse article that continuity is only for the old and sick. Some of us older GPs value continuity as a useful clinical tool for all patients and which is valued very much by those patients.
It would appear that likely younger doctors have lost a degree of vocation in medicine and think that continuity by the same practitioner amounts to ‘familiarity breeds contempt’. Of course we might miss something occasionally but ‘too many cooks’ doesn’t solve that. I do wonder if most patients are happy to see any doctor rather than their preferred clinician but then I am but an old school dinosaur in their eyes it would appear!
All the various arguments are sound but ‘flowers’ comment is the most realistic. It seems that if we don’t guarantee immortality to patients whatever their age or co-morbidities then we are not doing a good job or are unsafe and should be litigated accordingly. Can a bit of common sense be used sometimes. Isn’t that what true general practice is all about or has that all been put in the recycling bin now?
And as usual we know who’s being blamed for the shortage of influenza vaccines! I’m becoming sick and tired of seeing the sick and tired because of all blame being put on us!
And also becoming sick and tired of the ‘sick’ NHS bureaucrats and the ‘tired’ NHS system that we are part of!
Lots of good opposing opinions but Shh who’s saying continuity doesn’t matter unless you’re old or sick? Clearly it seems to matter less to you which is a bit tragic. Let’s have a full population vote on this which will take our attention away from Brexit!
Good on you Cobblers in making the point better than I was trying to do! Some of us ‘mature’ GPs did have obstetric experience and willingly used and enjoyed it. As the midwives ‘took over’ I found that many women were disappointed that the main contact with their GP had been taken away from them against their wishes. How on earth that can be reintroduced back to the GP even postnatally with all the other demands on us would be challenging (understatement!). We can only sit back and see where it takes us.