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DESpair

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Here’s today’s word-quiz. What prefix works for the suffixes, ‘pise’, ‘pair’, and ‘erve’?

Answer: DES. Appropriate, that. Because, as far as the new DES arrangements go, I despise the paperwork, despair at the complexity - and we deserve far more than the pittance they’re paying.

I say this because I’ve tried to grab the DESs by the horns and I fear I’m coming off second best. Some started back in April, some are kicking off now and some are yet to come. Payments will be provided by NHS England or the CCG or Local Authorities or Public Health England or, and I’m guessing here, no one at all. Each of these has a different set of contacts, predictably all emails rather than phone numbers, and each appears to require us to ‘train up’ to their particular systems, which are all different. Trying to get my head round how we might claim, monitor or chase up what we’re doing/owed has made my eyes bleed. And the documentation is typified by one missive I’ve just opened from our local DES-masters which is ‘useful’ guidance to support the online DES - which is useful, I guess, provided you’re the sort of person who likes guidance to come in 63-page attachments. 

In short, does anyone have a friggin’ clue what is going on, or is this simply a deliberate attempt, as with QOF, to overcomplicate and overload the system to the point that we just give up?

It’s tempting. Because it’s now 1am, I’m still ploughing through emails and documents, and I’ve just  read one which contains the abbreviations SLA, DES, CQRS, PGDs, GPES and N3 in one single sentence, which surely begs the question, WTF? I think I may have to resort to seek and DEStroy.

Readers' comments (6)

  • I just took VER and now realise I DESpised all the crap thrown at GPs and love the retirement I DEServe having done all those unappreciated 1:2 rotas over the years.

    The Goverment have DEStroyed General Practice and it will soon be in a DESperate state.

    Avoid it like the plaque

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  • You forgot one - GPs will soon be looking at a future of DEStitution.

    Just hope that all the good ones don't DESert!

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  • So this is Lansley's getting rid of bureaucracy - four half baked systems where there was one. Seven years in the planning followed by three years of implementation and it is a complete mess. All Hunt can do is try to fool the public through bashing the NHS with the help of the BBC and the Daily Wail.

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  • what the future of GP will be is going to be the Australian model. best 4 everyone. Greedy GP partners have ruined the system beyond repair.

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  • DES,LES,COMPLEX COMORBIDITY PLANS,QOF,A+E ADMISSION RATES,REFERRAL RATES,FREDS,ICP,COMMISSIONING,APPRAISAL,RE-VALIDATION,TYC.
    IS THIS MEDICINE - IS THIS WHAT WE TRAINED TO DO - ANYTHING TO WITH PSEUDOPSEUDOHYPOPARATHYROIDISM.
    MORE LIKE TAKOTSUBO OR BROKEN HEART SYNDROME. WE HAVE LOST OUR SOUL.

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  • Not quite sure where the greedy partners jibe comes from - as here am working ass off and burning out and falling income and no-one coming forward for partnerships!

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From: Copperfield

Dr Tony Copperfield is a jobbing GP in Essex with more than a few chips on his shoulder