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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

GP surgery sent letter to deter us book appointment for toddler

239 replies

Watapain · 03/02/2024 15:24

Today we received letter from Surgery saying that we have booked several appointments in the last month for our toddler who has been sick often and has got a recurring issue needing doctors attention. We should consider other alternatives and not see the GP.
This has really concerned us as me and DH never see the GP. I am fuming as they have sent a form asking us to sign an undertaking that we acknowledge the letter. We are not happy about it and to sign the letter.
Have you been through anything similar and how do we approach about complaining about it as the tone on it seems threatening that they are looking to remove people from their list.

OP posts:
DodoTired · 04/02/2024 21:51

MumblesParty · 03/02/2024 19:44

I’ve been a GP for over 25 years.
In that time, I’ve seen it become much harder to get appointments. One reason for this is the expanding (particularly elderly) population.
Another reason is the vast increase in bureaucracy. Most GPs will now have at least one admin session per week, simply to deal with bureaucracy, such as audits, complaints, CQC, various NHS-mandated schemes etc. The list is endless.
So people should think very carefully before they involve MP, CQC, NHSE etc. Because in the time it takes for a GP to deal with just one such complaint, they could see 20-50 patients.

Something like OP’s issue could be resolved by a quick chat with the practice manager.

Well I recently read that the GPs were offered flat rates for patients (which would mean less bureaucracy) during one of the contract renegotiations, and they wanted to be paid more so have gone for rates depending on the patient illness, type of care etc. which of course means tons more paperwork.
so that endless bureaucracy GPs complain about is self inflicted

jeremykylieminogue · 04/02/2024 22:23

@DodoTired your comment is ignorant and and based on no knowledge and understanding of the work plead of GPS and the expectations about their work.

TigerRag · 05/02/2024 07:16

fleurneige · 03/02/2024 21:00

My cousin who is a GP told me she had one patient who brought her child to the surgery at least twice a week- for vague tummy pains that never ever turned out to be anything at all. Calling wolf ...

My parents were accused of this. 15 years later it turns out their concerns were right. And I'm now fighting to get someone to realise it's causing the symptoms I'm having.

fleurneige · 05/02/2024 09:52

DodoTired · 04/02/2024 21:51

Well I recently read that the GPs were offered flat rates for patients (which would mean less bureaucracy) during one of the contract renegotiations, and they wanted to be paid more so have gone for rates depending on the patient illness, type of care etc. which of course means tons more paperwork.
so that endless bureaucracy GPs complain about is self inflicted

Have you ever worked for a GP practice? Or been a GP? I'm afraid, you have no idea of the realities. Having different of categories of patients, patient care and relevant fees, is NOT done by the GP at all.

You do realise GPs are leaving in droves, and are not being replaced. Many are going to work abroad, or in private care. And just like any professionals, YES, they can choose their clients, aka patients- especially if they feel that the patient-GP relationship is not working, for the patient, or the doctor. Just like dentists.

fleurneige · 05/02/2024 11:16

Within the next 10 years- it won't be possible to find an NHS GP for many people- just as for dentists now. Because GPs are self employed, and not servants of the Government, or the people. They have a choice.

DodoTired · 05/02/2024 11:34

fleurneige · 05/02/2024 09:52

Have you ever worked for a GP practice? Or been a GP? I'm afraid, you have no idea of the realities. Having different of categories of patients, patient care and relevant fees, is NOT done by the GP at all.

You do realise GPs are leaving in droves, and are not being replaced. Many are going to work abroad, or in private care. And just like any professionals, YES, they can choose their clients, aka patients- especially if they feel that the patient-GP relationship is not working, for the patient, or the doctor. Just like dentists.

Its not done by the GP but it was negotiated on their behalf by their organisation.

and I find it shocking that GPs are private businesses unlike the rest of NHS employees (thats a bizarre remnants of pre-war Britain), and I also find it shocking that they complain about working too much when there are never after hours services, they can work part time etc. Comparably paid professionals (eg lawyers or bankers) work much longer hours and do not moan about it. (Im a lawyer)

DodoTired · 05/02/2024 11:37

fleurneige · 05/02/2024 11:16

Within the next 10 years- it won't be possible to find an NHS GP for many people- just as for dentists now. Because GPs are self employed, and not servants of the Government, or the people. They have a choice.

Hopefully the government will make them employees of the NHS, like in other countries. This “private business” of a vital primary care service that’s a gatekeeper to the rest of the NHS is ridiculous.

fleurneige · 05/02/2024 12:31

Which other country? You force GPs to become 'employees of the State' and they will just be gone, like dentists. Can't you see that? there are shortages all over the world, where they would get much higher pay, much better conditions. Why should they stay?

Gruffallowhydidntyouknow · 05/02/2024 12:45

Watapain · 03/02/2024 15:29

4 times in a month. DC needed antibiotics

Every time?

lieselotte · 05/02/2024 12:46

caringcarer · 03/02/2024 23:19

Can you clarify did you DC attend GP surgery 4 times in a month and given antibiotics on all 4 occasions or just once or twice?

The antibiotics are not relevant.

What is relevant, is that the OP was worried about her toddler and got through the triage process to see her GP.

An automated letter has been inappropriately sent.

You can't make an appointment for a small sniffle anymore.

lieselotte · 05/02/2024 12:47

fleurneige · 05/02/2024 12:31

Which other country? You force GPs to become 'employees of the State' and they will just be gone, like dentists. Can't you see that? there are shortages all over the world, where they would get much higher pay, much better conditions. Why should they stay?

"Can't you see that" is SOOOOO patronising.

So why do GPs and dentists have to be independent, but other medical (hospital-based) staff are employees of the state? What's the distinction in your view?

Trinnitus · 05/02/2024 12:59

MumblesParty · 03/02/2024 20:25

I give up, I really do.
OK OP, don’t bother to have an adult conversation with the practice manager about this rude and upsetting letter. Go straight for the kill - MP, CQC, NHSE, in fact, why not go and camp outside number 10 till Rishi Sunak listens to your anger.
Meanwhile the GPs in the surgery can spend all those potential appointment hours dealing with the fall out. You all only have yourselves to blame when you can’t get appointments.
You may all hate me for what I’ve said, but I’m a GP and I know how it is.
And no point in having a go at me because I’m going to hide this annoying thread now, so you’ll be wasting your time.

Edited

As a senior doctor, I find your response dismissive and quite childish. The surgery is at fault here. I agree that talking to the practice would be a good first step. But you can’t blame people who feel they might not be taken seriously by a surgery that sends this kind of letter.

Trinnitus · 05/02/2024 13:05

And maybe the practice has a point. Perhaps the OP is overusing the GP service. In that case, somebody senior from the practice needs to pick up the phone and have a conversation with the OP about the issue and discuss other ways of them accessing help. A letter like this is inflammatory and not helpful in anyway. Asking a patient to sign a receipt is such a bizarre request.

of course, this is another sign of the NHS in collapse. But this is not the way to go about reducing demand.

JenniferBooth · 05/02/2024 14:17

Just seen in our fb group that the online booking system at our surgery has closed for the day ..............at 8.11am "as we have reached capacity for the day"

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