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'Bad for doctors, bad for patients and bad for general practice'

Read GPC chair Dr Laurence Buckman’s detailed analysis of the impact of the Government’s proposed changes to the 2013/14 GP contract here.

Readers' comments (6)

  • Incredible bleat but totally as expected.
    When are GPs going to admit that in reality they milk the system and fail their patients? Dont worry I am sure you will still be able to neglect your own patient lists and work in other practices for locum fees as you have always done pushing the price of Primary Care through the stratosphere. When GPs stop trying to negotiate £120 an hour locum rates for stop gap services and refusing to do work requested on site such as summarising records then I will believe they have their patient interests at heart. Sadly GPs have their wallets at heart. The percentage of GPs in salaried positions vs the number contracting just proves that none really want to do a fair days work for a fair days pay.
    On a personal note I have hypertension and in a year have not had a single review despite my prescription continually noting that a review is neccessary before the medication can be prescribed again. This note is simply scored through with a Biro and ammended 3 months further on despite the GPs having NO idea what my BP level is. It was 165/110 last night and the diatolic has NEVER dropped below 90 and yet that practice claims full QOF for hypertension.

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  • With a BP of 165/110, the writer above needs his brains tested. He seems to prefer doing down his GPs than taking simple steps to help himself.

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  • Thanks Andrew but the simple step to help myself was to actually visit my GP who then argued that I didn't need medication despite a diastolic varying between 105-115. Glibly explaining that it could simply be 'White coat syndrome'. I suspect that what we really have is a prescribing budget issue. Do you think its reasonable NOT to have had a review since initially being prescribed 1.25mg rampiril at the outset a year ago and not a single review since? But hey they have full QOF on hypertension according to the PCT QOF result listing on their website. I have actually been there managing GPs in a position of Authority so my particular problem is only an aside to a vast issue of a failure of integrity , honesty and accountability that GPs are unwilling to admit to.
    Surely all that is being asked is what GPs should be doing all along isn't it?
    You have done well with the 2004 debacle and the opt out of out of hours - you played a blinder there and came out on top while the mantle had to be taken up with other services costing the country a fortune , but thats how you seem to like things , people paying twice or double for one service or even once for half a service.
    You did well in 2004. This time you owe it to your patients and the country to put something back in.

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  • Dear anonymous I would suggest that instead of tarring all GPs with the same brush you change your GP practice and start to take some responsibility for your own health. Most of the information about GPs pay and workload that you allude to appears to have been obtained from the Daily Mail, and I would suggest you check your facts before making such sweeping statements. Having just arrived home about half an hour ago after working in excess of 12 hours without a break I can assure you I will not be working as a locum in any other practice.

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  • "This time you owe it to your patients and the country to put something back in". Dear Anonymous
    GPs give a lot back as you put it - they work many hours to serve their patients and have been the back bone of the NHS for decades. The NHS would be unaffordable without GPs.

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  • What a fine mess the profession has got itself into now! Where is the leadership from the BMA advising the profession how to get out of it.!

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