another last man standing
Yes I may be one of the pale, stale etc Zoe describes but we’ not all like that you know! I gladly usually make the tea for my female colleagues and administrators and even buy the biscuits!
Please don’t tar all of us with the same brush however flippantly it was intended or not. If healthcare was truly about sex equality then we would see a 50/50 balance but medicine and especially nursing is heavily female weighted. Perhaps one day our professional world will attain true equality but history tells us not. Meantime I will continue to gladly make the tea and coffee for all and sundry!
What was the point of me doing all the significant event analyses and reflective analyses as one of the five rolling criteria for annual appraisals and revalidation if I’m now instructed to not write reflections?! All the hours I put in for appraisals etc. so that I couldn’t be over criticised seem to have been for nothing.But that takes nothing away from the awful treatment that the junior doctor got for an event that could have been for any of us assuming that I’m not the only doctor who accepts that he or she isn’t perfect.
Not just the anxiety caused by labelling a patient with borderline hypertension but increased side effects from medication that may not be needed and, no doubt, triggering CKD3 from the use of ACE inhibitors and even more costs to the annual medication budget.
Do we really know what we are doing anymore? The days of being a normal healthy individual seem long gone!
Clearly those at the GMC are much more important than the rest of us that work at the coal face of NHS healthcare!
Anyway one reason that the government introduced QOF was that it wanted proof GPs were working hard enough to merit their salary and weren’t down at the golf course every minute of the day (not that I play golf). QOF now seems outdated with all the other expectations imposed on us by both patients and beaurocracy. How our salary would be maintained if and when QOF goes is quite another matter although Scotland has ditched QOF but at the expense of rural practices being disadvantaged. Time for a revolution?
I just would feel as nervous as a small nun at a penguin shoot about making legally binding decisions on the evidence of a video consultation. Risk of litigation must be higher for the problems that slip through the net but they could always just go and queue up in the local A & E Department for a second opinion!
It strikes me that the effective care we would all want to give our patients hasn’t been possible for years due to inadequate funding to provide that care. This seems to be due to wasteful use of funds available especially to the financial ‘consultants’ being given millions of pounds to enforce apparent cost efficient savings much of which went into their pockets!
What a Grave New World we now are part of in the NHS.
As carfentanyl suggested who is really listening or if they are then selective deafness occurs. Who really gives a damn about us GPs? Politicians? No! Patients? Not really and only in a selfish way. College hierarchy etc? I think not! It seems to me that the only way out is to leave,as many are doing, and what sadness that inflicts upon me.
Yes ,Tom Robinson, honesty would be a good option but in the real world it doesn’t win votes! So the public are led to believe that they can have all NHS services whatever and that is a vote winner until, that is, there is no one left in the workforce to provide the guaranteed services.
If the politicians really can’t see what is staring them in their faces then it’s long overdue that they made an appointment at Specsavers!
The staggering pedantic nature of regulation has reached a new level of ridiculous triviality. Have the powers that be been listening to the Strawbs song ‘Grave New World’ from about 1971? It would appear so!
We’ve been here before but this is still a complete and utter disgrace and waste of public money. This is not a cutback but a misuse of £6 million. These financial advisers must be laughing all the way to their bank. Just think what £6 million could have benefited those affected by all the ongoing cutbacks in the NHS.
Of course we should be there to support colleagues in need whenever we can. However it’s all very well to be seen to offer the right support but another matter actually doing it unfortunately. Too often, but not always, the NIMBY syndrome applies as we all have our own troubles and the NHS management don’t give a tinkers cuss about us as long as we get on and do the work. Welcome to the not so brave new world.
As had been said already,why are they coming back to general practice? It maybe a case of ‘needs must’ which is understandable but hardly going to attract those that want to be there. Rather than going on a returners course maybe the criterion for returning should be a psychiatric assessment to confirm why on earth you would really want to return to general practice? I doubt that I would pass that assessment now!
Oh please! The only deep concern Mr.Hunt has is about his own position in the government. If there is any ‘concern’ it’s that there will be one less doctor to be in the NHS workforce! Is it any wonder that fewer want into medicine and those already in can’t wait to get out of the NHS.
And we know who will be blamed for the increase in incidents don’t we! It certainly won’t be the DOH or the Minister for Health who take no responsibility for their actions ever. I despair even more than usual!
I can only wish you well and hope that you get sorted ASAP. I empathise totally but in my case had to wait 4 years until my spinal cord compression was dealt with having been missed for all that time! Unfortunately I didn’t have the support of colleagues and was labelled as a whining doctor. If I hadn’t had BUPA cover I’d probably still be suffering or in a wheelchair.
I am so pleased you have support from your colleagues and had an early diagnosis but feel your frustration at waiting for surgery.
What is certain that if Jeremy Hunt needed surgery then it would probably have been done by yesterday but is he on the waiting list for a lobotomy!
And GPs leaving or retiring increases by 178 per cent in one week!!
Well that is really going to help the NHS budget! What will we have to cut back on to pay for the anti virals? Perhaps refuse to treat the really ill patients? That’ll increase the death rate but will reduce the population to be treated so an overall reduction in costs!! Am I a cynic or what?!
Just when will this sad story end? The bottom line is that fewer full time GPs are coming in to replace the ones leaving whatever their reasons. How many times do I have to say that if the government publically says ‘look, with the funds and workforce available we can afford to afford this but not that in Primary and Secondary care’ instead of saying that the public can have what they want, when and where they want it. Such admission is a vote loser so is unlikely to ever be said.
My demoralisation is both profound and complete. Who will be left to look after me when I need it? After all it’s not legal to treat ourselves is it?
And to finish this farce, sorry story, ‘We all lived unhappily ever after’.