Bend over and hand me that traffic cone

So you wouldn't agree with this then:
http://blog.nhsgooroo.co.uk/?p=971 Rob Findlay

How refreshing; common sense!! It is a shame we can't prescribe common sense to our politicians! Anon NHS Manager

Thank you Dr C - well put.
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@RF - that blog is the zeitgeist, but if we GPs are so excellent why do they keep cutting our wages and increasing our workload?
(I personally am bored with health service reforms and simply cannot become enthusiastic, I qualified 15 years ago and cannot recall a time without reforms - it's rearranging the deckchairs... largely pointless and keeps far too many bureaucrats in employ) peter windross

Why the KY Jelly? More effective without for this purpose GRAHAM EDLIN

So eloquently put Dr C. It is such shame that you tirade at the radio instead of sharing your views widely with the general public. What is needed are GPs that openly state they are not local health needs oracles and that they would much prefer to be treating patients rather than joining the consortia as to press, the coalition have had little kick back on their mantra about GPs fully supporting this move. jjb

Dr. C you must be one of those silent minority of GPs as as the government continually tells us over 80% of GPs have signed upto the reforms.

And against that kind of landslide support, and backing of The Great Reformer by the BMA members at a special representative meeting, then they could not possibly make any substantive change to the reforms at this late stage!

So against their better judgement (prefering to make some changes but not wanting to derail the majority of GPs wholeheartedly leading this process) they will have to leave this in the hands of the GP's who have all the skills to manage this properly and do the best for their patients! After all if they don't get to know the patients needs, very fast, the patients can walk straight into the practice and tell them what they think of their GP Led Commissioning. They could even petition politicians to remove funding for those nasty GPs that have used this reform as an excuse to ration treatment and restrict patient choice. How dare they undermine the governments intentions; to protect front line services are not affected and ensure patient choice.

Look at the money the government saved in one fell swoop removing all the management costs at PCT and SHA level. All the direct access support they facilitated from streamlined bodies of public health, councils, patients and commissioning boards. Only for GP's to hand ill conceived contracts over to private companies making obscene profits out of public finances. Those profligate GPs will have to pay for this out of their own funds or we shall have to find others to take over running of the Primary Care System.

Yes I know, a tad melodramatic, but we can all see where this is heading. With the only consistent message getting across to the public that a majority of GPs are clamouring to leading this reform, let's hope the path they find is the right one. Or that the substantive changes don't prove more restrictive/beauracratic than anything the PCT had to employ huge numbers of people to deal with. That GP's dont spend more time with; spreadsheets, reports of population needs from a variety of different souces, surveys and legal headaches, than with deserving patients. That hard working GPs ,many of whom want to be clinicians first, don't get hung out to dry when the coalitions big gamble (allowing GPs to take control and shape the reforms?) fails to deliver increased services, outcomes and quality for patients before the next election.

Or alternatively: Everything will be in place for GP's to succeed by April 2013 - so don't worry!

What is that flash of orange I just caught in the corner of my eye....

OUCH! (dont you realise that will only act as a loud hailer when I next talk out of that orifice!) Patient Eye View (from NHS Employee)

We all know this in GP land - although have never seen it put quite so eloquently put - but thanks for trying to spead the word anyway -who knows, it might make make a difference - don't know that you will get an invite to the Listening Exercise though. steve doherty