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The real conspiracy of NHS England


It seems like your article has attracted a lot of antibodies Nishma! I a fellow GP trainee too and doing one of the fellowship programmes. I'd like to offer you my viewpoint. I hope you appreciate I'm a bit of an outsider compared to the other commentators; I've spent in total 8 months in GP land 4 as a Foundation trainee and 4 in ST1. I don't think I represent the 'groupthink' cynical GP mentality. It is already quite clear to me General Practice has been burdened under increasing pressure. Us trainees are not immune to this. I'm sure you will appreciate the intricacies of the hoop-jumping e-portfolio (is there any evidence-base this improves training?) and the CSA exam (which is likely to unfairly discriminate against non-whites and males). Is there light at the end of the training tunnel? It doesn't seem like it given the general mood of all levels of grass-roots GPs I've experienced. From all the many things which I've heard, I believe the underlying frustration within the GP profession is with 1) The current state of GP 2) More importantly, the direction of travel. Our 'leaders' are telling us everything is okay, when it is obviously not. There is a shitstorm of factors contributing to this: Funding not increasing with patient demand, CQC, GMC, streamlining, efficiency savings and Indemnity to name a few. There's a German word 'Verschlimmbesserung' which basically means an attempted improvement that makes things worse than they already were. GPs are fed up with the poorly thought out 'improvements' which essentially making things worse both by the disruption of change and the long term. For example, I believe the move towards large scale groupings is decreasing doctor-patient satisfaction and increasing stress by destroying the relationship a patient has with 'their doctor'(See the InnovAiT podcast 21 for further info). Leaders don't need to be representative, but they do require a follower-ship. The growing frustration/alienation of grass roots GPs needs to be acknowledged and the causes dealt with by our leaders. See Jeeves articles recently- I agree the main priority needs to be urgent funding to the core GMS. The sarcasm, critical comments and cynicism will continue to grow if those in leadership positions put their hands in their ears and whilst the people are crying out for real leaders. The crying will eventually stop- but that's because there's no one left cause they've retired or left the country! I hope this feedback serves as a reminder that sometimes we have to self-reflect on our beliefs if the evidence and everyone is telling you otherwise. Good luck!

Posted date

11 Aug 2017

Posted time