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GPs face GMC duty on ‘back to work’ drive

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I would love to know how the GMC expect us as Gps to accomplish this, when there are limited employment opportunities in the area. Working with employer with basic guidance on return to work, adaptations etc is reasonable, especially if the employer does not have access to internal occupational health. However I do not see how this can be required given a poor support mechanism, and Job centres that tell their patients to 'go on to the sick'.
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GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 14:56as a reply to Anonymous.
Additional duties for doctors--and to fly! and create more than 168 hours in a week!
I hold the DOccMed I've seen the evidence and no doubt it is in the interest of the patient to discuss work but as it stands the GMC can have my (insert anatomical part) on a plate weekly for not following their 'Good Medical Practice' to the letter everytime.
I'd love to see the revised edition as 'Good Medical Practice accepting that you have less than 10 minutes per patient and a practice to run and a life.'
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 15:11as a reply to Anonymous.
GMC "good medical practice" guidelines seems to be make up as you go along.
How on earth do we do it except what we do (supposed to do now). The best option is to remove ability to certify for more than 4 weeks from GP and leave it to a an organization under aegis of Jobcentre which employs Occ health trained docs to assess and issue notes > 4 weeks. They should be able to have access to patients notes. This can be funded by Occ health tax on employers of 0.5% with a adjustement to their NI. We cant be patient`s advocates and their task master!
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 15:30as a reply to Anonymous.
If anyone has a duty to get people back to work I'd have thought it would be the government, can we get them struck off if they fail?
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 15:31as a reply to Anonymous.
Remember - these are GUIDELINES not writ in stone. A GP's first duty is to his/her patients . . . anything else gets in line behind that!
RE: GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 16:02as a reply to Anonymous.
I think we will look back in the future and consider that this was a sinister development. This moves from us being patient-centred to being government apparatchiks doing what the Great Ford dictates. I can just see us putting a Read Code on our telescreens 67N0 - employment counselling - to cover our backs.
Of course it is beneficial to our patients to be gainfully employed but as Rob Barnett rightly says, this is not always an option. To have it made our duty to get people back to work at the peril of our livelihoods (ie a GMC "guideline") is far too much and too heavy handed.
Let us stick to caring continuously for our patients and acting in their best interest and as their advocates.
Let us try to get rid of this clearly government-sponsored guideline inflicted by what used to be a professional body to which i have no choice but to subscribe and to pay for them getting involved with all this nonsense.
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 16:05as a reply to Anonymous.
the issue is not if the pt is fit for work - its more is there a suitable job,

and the problem in reality is that majority of employers would find it very difficult to employ someone with chronic illnesses,

and as an potential employee you cant really lie to your possible future employer about your health and healthcare needs.

pure politics this.
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 16:06as a reply to Anonymous.
The more crackpot the GMC gets the more I feel there needs to be a regulatory authority that we can report GMC to to investigate their behaviour? But I did think they were starting to get better after they removed me from their online listing as they investigated a vexacious complaint about me in which a patient's mother to offence at my remarks on a DWP DBD370(N) GPFR form that the young lad "hadn't bothered" to go attend his hospital outpatients. 9 months later my name was returned to online register and GMC's GP adviser chastised me for poor use of English language and suggested in future I might be more careful of my use of English and been better to have used the term "failed to attend" to avoid causing my patients distress. I obviously accepted my "telling off" but thought this was such a waste of everybody's time - complaint had been through our internal complaints proceedure and I'd apologised. Mother unhappy so went to Health Authority who chucked it out, mum then complained to Healthcare Commission and Ombudsman who felt complaint had no foundation hence mum complained to GMC. And now we are going to be in trouble for issuing sick notes to chaps who say they've got bad backs and can't go to work this week - or ever. This is bonkers. Are the GMC OK these days, couldn't somebody have a quiet word and make sure they aren't become a bit wacky? May be just GMC is going through rough patch at home - be a shame if nobody helped them and they all ended up being unable to work?
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 18:18as a reply to Anonymous.
Rob was right . We are not employment advisor .
Once again , the government wants to turn GPs into 'terminators' to carry out dirty job for it. In this case , to shut the door to sickness benefits .
We are never the best persons to tell our patients off and get back to work as we have a close doctor - patient relationship and hence not ' independent ' enough . The best course of action is always consented NOT enforced . We respect our patient's choice . Imagine the defence lawyer turned against the suspect and joined the prosecution . It only happens in country with no democracy !
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 21:04as a reply to Anonymous.
about time, GP's in the UK are far too eager to pander to lazy patient's sicknote demands, my GP trainer in England would maintain it is not "our problem" if the patient is seeking a sicknote, which should just be provided. then UK GP's cry about the pathetic economy and losing pensions.
GPs face GMC duty on ‘back to work’ drive
Answer
04/10/11 21:06as a reply to Anonymous.
I am my patient's advocate - if the patient tells me they do not fell well enough to return to work then it is my job to support them. Getting back to work is a good idea but it is already taken for granted that I and the patient both want that. Putting up rules, guidelines and targets wont help. How long before there is a QoF target for minimising sick notes. If the patient thinks of me as someone working for the govt/ DWP then I will lose their trust in all other consultations and the Dremoticonatient trust will be damaged and will not be easily repaired.

ps - if the govt is going to steal my pension, why do they think I will be willing to do their dirty work for them for the rest of my working life.

pps Dear BMA/GPC - I want a ballot on GP industrial action that does not affect acute patient care.
GPs face GMC duty on ‘back to work’ drive
Answer
05/10/11 06:53as a reply to Anonymous.
I have done this in my first year of GP life , ended up withany complaints to pct , as usual patient put complaint not to say i asked them to go back to work but about my behaviour. And we all know when it comes to doctor vs patient, patient is always right, last thing instead of any encouragent i was warned by my pct.
GPs face GMC duty on ‘back to work’ drive
Answer
05/10/11 12:49as a reply to Anonymous.
With this extra pressure, clearly from DWP, and the government, as well as the recent Channel 4 asking for the GMC to do something about "Bad Doctors", Can I ask who pays the GMC?
GPs face GMC duty on ‘back to work’ drive
Answer
05/10/11 13:42as a reply to Anonymous.
With ref to that Channel 4 programme on 'bad doctors'- that was about 3 GP's out of 40,000. How unbalanced reporting is that!!!
I am the patients advocate, not the governments, and my responsibility is to my patient not DWP! The GMC need to think very carefully about introducing this concept into GMP as this way beyond their remit!
GPs face GMC duty on ‘back to work’ drive
Answer
07/10/11 08:06as a reply to Anonymous.
Because these changes look like a pointless and gratuitous exercise, i.e., I think most doctors and patients do everything they can together to keep a patient's employment or help them to do more - the motivation for this change is suspect. As the changes are only superficially to do with whether patients work or not their purpose appears to be political: Enlist doctors in a government strategy of vilifying the sick and disabled. It's a slick move. Once doctors are 'officially' labelling sick people as malingerers then even more swingeing measures against them will be 'justified'.
GPs face GMC duty on ‘back to work’ drive
Answer
07/10/11 09:58as a reply to Anonymous.
You can advise patiets that working is good for their general well being till you are blue in the face but that will not get people to go back to /find work. But if they do not it is a problem for the govt to sort out. GPs are not employment agencies. There needs to be a cultural shift so that working and taking care of self and family is the norm for everyone GPs simply cannot be expected to bring that about.
GPs face GMC duty on ‘back to work’ drive
Answer
13/10/11 10:00as a reply to Anonymous.
GP's are not occupational health physicians. I hold the DOccMed and definitely advocate patient's with long term illness and associated sick leave being re-introduced into the work place. However, most Gp's do not have the resources, experience, knowledge or time to do take on this responsibilty. The Faculty of Occupational Medicine clearly state in their ethical guidance that a GP should not act as both GP and OHP to their patient due to the conflict in interest and lack of objectivity. Those in ivory towers at the GMC clearly have spent no time either in general practice or occupational medicine when dreaming up these ridiculous guidelines. It seems their motive is biased by the governments agenda to reduce unemployment and stabilise the economy-these issues are not our problem as GP's and the GMC have no business shoving it down our throats.