another last man standing
Nothing new here is there? If you have a service or business that is understaffed and underfunded then what do you expect. How the politicians wish that they could go back to the old system when us GPs were on call 24/7 for next to nothing. It’s time for the DOH to admit what can and cannot be done with the funds and workforce available but they won’t will they? And anyway those who have ‘flu shouldn’t be in a waiting room handing it on to the rest of the population!
Well well! Depriving Primary Care of funds put by to help this winter will certainly help with recruitment won’t it!
This is no different to switching off a life support system in those that are struggling to breathe. I thought that euthanasia was illegal in the UK but this clearly isn’t the case! Is this really surprising in the current climate of the NHS?
Strangely enough most self-limiting illnesses are known retrospectively and many significant conditions may occur with a lot of the symptoms displayed in the long list of symptoms etc. I wonder who’s responsible if I speculate what is or isn’t a self-limiting illness. Will the DOH issue me with a retrospectoscope? Oh yes, who will fund the cost of this instrument?
Assuming that they complete the GP training just how many will stay in General Practice in the UK or will they have been put off being a GP permanently anywhere in the world ? Unlikely to be the 37 years full time that I’ve managed but then maybe I have been the insane one?!
So tell me something that hasn’t been obvious for a long time despite government spin. I’m sorry for the rest of you left in the system but I finally quit a few months ago after 42 years full time in the NHS. I think that I’ve served my penance but feel guilty to leave the rest of you in the lurch although I wouldn’t like to be starting out now and felt that I experienced the best years of the NHS. Au revoir my friends and past colleagues.
Close to the truth Truth finder. As a single-handed GP in the Scottish mountains with up to 50 mile round trips for home visits who is going to see my packed open (no appointment) surgery patients? As it is the powers that be demand patients can have what they want, when and where they want it and if they don’t get what they want then risk of complaints to the GMC. Thanks for the support! Not!
Do you remember when the DOH set up an institution to recoup prescription charges that patients should have paid? It cost more to run than what was recouped! And how exactly are we meant to collect the money for those that DNA’d when many of those will be on benefits and will just refuse to pay the fine. Seems best to allow us our coffee break for those that DNA unless the DOH intends to setup another bureaucratic machine to collect fines which,of course, would create more useless jobs and reduce the unemployment rate!
Welcome to the end of general practice that we had ever known! We knew that this was coming anyway regardless of the skills that the paramedics may have. The days of the ‘family doctor’ that I was brought up in and tried to practice as a GP are well and truly gone whatever benefits that gave to patients. Welcome to the Grave New World
I presume that the 400 returners have responded well to the Prozac they continue to take following the breakdown that they experienced when previously in practice! ....or is that a contra-indication to returning?
Welcome back to the days before the NHS existed. If the allowed budget for the NHS isn't enough and the workforce isn't big enough to provide the expected care then the lifespan of the population could be comprised. If the population doesn't live so long then pensions will be paid for a shorter time and there will be fewer people needing medical care. Sounds like the ultimate in cost efficiency savings to me or am I just getting even more cynical with age?!
There always has to be a catch doesn't there! Maybe it's time to be honest with the public too and tell them that one day I will die and so will they!! End of and whatever!! If I go down that li then I suspect that half price indemnity premium won't cover me for my actions!
And no doubt every case that a GP reviews to reduce the backlog will have to undergo peer review just like what was intended to our referrals! Oh dear!
And don't forget that we GPs will be blamed for patients turning up to A&E to be reviewed or needing to be admitted because they couldn't be referred. No doubt there will be an increase in the £21 million spent on 'consultants' employed to suggest further cost cutting exercises. Meantime I will try and stay as healthy as possible and not become a patient!
I assume that all other prescribers (prescribing nurse practitioners, pharmacists etc) never make any prescribing errors! Not!! If GP workloads were not so overwhelming then likely fewer errors would be made or, as mentioned, then one wouldn't be pressured to prescribe a pill for every ill.
How disgraceful to have spent £21million on further cost cutting. Just think how much posii care could have been provided with that amount of money. The consultant advisors will have been laughing all the way to their bank account!
That's fine to get reimbursed for ever increasing indemnity fees but where is the money to come from? Presumably there will be cutbacks in other areas to pay for this. For GPs to get crown indemnity will likely need all GPs to become salaried to the state so that the beaurocrats can have complete control over us and that is what the fat controllers want.ie. all medical practitioners are fully state employees.
What another brilliant idea! Not! So this reflects lack of trust that grassroots GPs can't refer to secondary care colleagues appropriately. So referrals are to be triaged by 'experienced GPS who won't know the patient nor the complete background to the referral which, as already mentioned, could already be declined by secondary care. At least my hospital colleagues trusted me with appropriate referrals and thank goodness I retired a few we ago after 42 years in the NHS
Perhaps addressing the causes of burnout would be more constructive but I doubt that is possible. It seems that all areas of healthcare in the NHS are unattractive so until that is sorted then nothing will change. Mentoring the flogged dying horse isn't the answer. I managed 42 years in the NHS before jumping ship at age 65 but was a pale shell of the creature who started so full of good intentions many years ago.
Too little, too late for me! Although I'm revalidated for a couple more years I jumped ship 10 weeks ago after 42 years working in the NHS. I can't see me ever wanting to pick up a stethoscope again so can you blame me? Why do I still feel guilty about leaving the sinking ship HMS NHS and leave the rest of you to try and carry on?