GP sheltering since covid running London marathon

[justasking111]

OH raging that our GP working from home since March last year is running the London marathon today is he being unreasonable. He's spitting feathers here. This is the senior partner owner of the building practice

Does he normally have issues controlling his emotions? Seems an odd thing to be so enraged about.

I'd also ask if the GPs are actually working from home or working from the surgery and doing telephone triage. Which is a very different thing.

way to go that GP!!!

its a lonely sport, but marathon day makes it ALL worthwhile! what was his time?

Did you sponsor him?

@Zilla1

"It is pathetic that it is simply impossible to call let alone get an appointment. The only people who can use the NHS these days are the unemployed who have hours to sit on hold." This is the type of disinformation I have in mind. Charitably, that might be someone's view of their own surgery but stretched to the whole of the GP estate in the NHS. FWIW, we have never had a day when we've not seen patients F2F. For the different surgeries at which I and my DC are patients, I've been seen F2F in a timely manner when appropriate and with telephones answered in a couple of minutes after having to listen to the COVID messages. I see the call statistics at my practice so see how long people have to wait. I know this is not the same at all GP practices

It certainly is not.

@Noogar

We should all be angry because otherwise more and more of us will die from preventable/curable illnesses.

More people are going to die if the DR has to take twice as long getting through appointments waiting for people to come and go, have a natter, cough all over them and give them covid.

They should do face to face appointments where needed.

Sorry this is ridiculous. NHS funding should be refused to practices who do not provide a pre-Covid service.

Diagnostics are utterly appalling in this country and lack of face to face is only making it worse. It is a disgrace and people who rightly lost all confidence in the system.

@Dfhugdhvdnjrs

Diagnostics are utterly appalling in this country and lack of face to face is only making it worse. It is a disgrace and people who rightly lost all confidence in the system.

But what’s that got to do with a doctor going for a run..?

www.bma.org.uk/bma-media-centre/public-says-more-gps-are-needed-to-improve-services-as-bma-launches-support-your-surgery-campaign

They try

The BMA are a union and should be defending Doctors' T+Cs - unfortunately much of the time they seem to see it as their role to defend the NHS (or to pontificate on boxing or road safety or something)

Many of the GPs that I know are beginning to realise that the NHS's interests and Doctors' interests actually no longer align. It's not good for patients, it's not good for Doctors.

Anyway, this won't be decided by the BMA. Unless something big changes (like a new contract) it will be decided by the declining number of GPs with a likely move to a model of ANP/Nurse led care with GP oversight (NHS, not private). Of course, no government can overly state this, it would make them unelectable.

@Dfhugdhvdnjrs Not sure what you are disagreeing with but to clarify, the first two sentences in my post was a quote from a PP that I disagreed with hence the "". The remainder was my response.

[quote Zilla1]@Dfhugdhvdnjrs Not sure what you are disagreeing with but to clarify, the first two sentences in my post was a quote from a PP that I disagreed with hence the "". The remainder was my response.[/quote]
Yes I was the PP. what you describe is not representation of the service received in most of the country.

@privateandnhsgp Suspect the intended destination will be large scale corporate primary care by entities large enough to be able to be investable, fund political donations and employ the great and the good as NEDs using a healthy dose of off-shore remote consults at a lower cost base. Then everyone will struggle to see GPs F2F unless they go fully private. Will make the (English as health is a devolved policy) Government's key stakeholders happy, though perhaps not all the voters who voted for them.

OH raging that our GP working from home since March last year is running the London marathon today is he being unreasonable. He's spitting feathers here. This is the senior partner owner of the building practice

I’m not sure what is the point you are making OP? Why is your DP spitting feathers? What direct impact of Dr WFH has had on him? Why is the GP owning the building of note?

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Today 21:59 SW1amp

Dfhugdhvdnjrs
Diagnostics are utterly appalling in this country and lack of face to face is only making it worse. It is a disgrace and people who rightly lost all confidence in the system.
But what’s that got to do with a doctor going for a run..?

🤣🤣🤣🤣

Basic fact is that lack of FTF means higher A&E attendance which will reach unacceptable levels in winter. It is a matter of time before GPs will be forced to resume a normal service.

@Stuckhere2021

Bookmark

Today 21:59 SW1amp

Dfhugdhvdnjrs
Diagnostics are utterly appalling in this country and lack of face to face is only making it worse. It is a disgrace and people who rightly lost all confidence in the system.
But what’s that got to do with a doctor going for a run..?

🤣🤣🤣🤣

Yes hilarious for those who have died from cancer due to lack of FTF.

Do we have too few GPS? Or too many part-time GPs?. I'd love to see some data on the headcount compared to FTE.

[quote Zilla1]@privateandnhsgp Suspect the intended destination will be large scale corporate primary care by entities large enough to be able to be investable, fund political donations and employ the great and the good as NEDs using a healthy dose of off-shore remote consults at a lower cost base. Then everyone will struggle to see GPs F2F unless they go fully private. Will make the (English as health is a devolved policy) Government's key stakeholders happy, though perhaps not all the voters who voted for them.[/quote]
This is why I set up my own private practice with a colleague.

Setting up CQC etc was a breeze with the experience we have, we have a modern clinical system that's not constantly throwing up QOF alerts and there is plenty of time to listen to patients and practice good medicine. Earnings are proportional to how hard you work - it seems fair.

Of course, one appointment costs nearly a year's worth of GMS and that's not something that everyone can afford. Private days are a breeze in comparison to the warzone that is NHS General Practice at the moment.

Last Monday over 10pc of our entire NHS list called us on the same day for appointments or prescriptions - we have over 10000 patients. It's totally unsustainable.

@Dfhugdhvdnjrs

Basic fact is that lack of FTF means higher A&E attendance which will reach unacceptable levels in winter. It is a matter of time before GPs will be forced to resume a normal service.

The situation is more complex than your simplistic analysis.

Most practices have put on more appointments then previously when it was mainly F2F. Ours has and so has every practice I know. And let's ignore waiting room capacity, extended clean down times etc

So 'full' F2F will result in fewer appointments overall and longer waits to be seen compared to the hybrid model now. And a wait of 3 weeks for a face to face appointment will result in....... more ED attendance.

More demand at GP coalface will result in more overspill to ED regardless of F2F / remote consulting. There aren't enough appointments whichever way you cut it.

This assumes that patients regard FTF as an acceptable replacement for FTF. Many don’t do the end up at A&E. I was in a major A&E a week ago and certainly there many arriving said they were attending because their GPs wouldn’t see them. Personally without FTF the appointment time at my GP has doubled and quadruped if you then need to be seen FTF. It is a pointless service so I have gone 100% private but the majority cannot afford to do so.

Agree that the number of appointments was, covid or not, entirely inadequate.

@justasking111

The gps were FTF yesterday for the first time en masse to administer the flu jab. The covid jabs were all done by nurses. He clocked that as well hence his ire

Yes because nurses do many more injections as their bread and butter so are more experienced. I'd prefer a nurse to do a jab for me rather than a GP (and I'm married to a GP!) They are also cheaper to pay extra for a flu clinic than the GPs.

"many arriving said they were attending because their GPs wouldn’t see them"

Patients have said this since the beginning of time. It's not a good way of assessing what proportion of patients present to ED because they don't like remote consulting - you don't know how many patients were successfully managed away from ED because you don't know the denominator.

How has your husband managed to track the GPs movements so thoroughly for the past 18 months?

(I don't disagree that there is a major problem in getting access to GPs right now. )

@privateandnhsgp That sounds a less stressful operation. Presumably you live in a geographic area with the demographics to support a viable private service? If so, I'd expect you'll find recruitment easier in the future than for a NHS practice in England.

@privateandnhsgp

"many arriving said they were attending because their GPs wouldn’t see them"

Patients have said this since the beginning of time. It's not a good way of assessing what proportion of patients present to ED because they don't like remote consulting - you don't know how many patients were successfully managed away from ED because you don't know the denominator.

So is the view of the medical profession that a hybrid model sufficiently manages risk? How had this been assessed and what precedents are there for this elsewhere so we can understand its future impact. I am genuinely interested as a senior professional who is not a doctor that deals in potentially costly risk on a daily basis.