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Preview: Comments on The Brown Stuff: Letter to MP

Comments on The Brown Stuff: Letter to MP





Updated: 2017-11-11T07:56:06.070+00:00

 



Bril­liant! Great talk that was extremely insightf...

2013-10-17T11:45:09.085+01:00

Bril­liant! Great talk that was extremely insightful and very enter­taining. It’s given me loads to think about.



Excellent. Wholeheartedly agree.

2008-03-16T18:11:00.000+00:00

Excellent. Wholeheartedly agree.



superb letter. pity you didn't ak him to copy it t...

2007-11-29T07:24:00.000+00:00

superb letter. pity you didn't ak him to copy it to all MP's, who might then be better informed if no wiser.
Each time I read more of the government spin the happier I am that I retired last year.



Thanks for the comment, confused.It wold be entire...

2007-10-01T08:49:00.000+01:00

Thanks for the comment, confused.

It wold be entirely possible to provide a service of that nature, but the costs would be prohibitive. Additionally, there just aren't enough GPs to run a service on that basis. Running it without GPs would be a nonsense: all that would happen is that patients would see a nurse or paramedic and be referred on to their own GP in hours or A&E or wherever. It is a fact that GPs training is in part about gate-keeping. With the best will in the world, emergency care practitioners are not in the same league as a GP when it comes to being able to diagnose and treat a multiplicity of problems.

It might I suppose be possible to alter the current model of provision of primary care, but at what cost? GPs working shifts in large centres further away from (most of) their patients, with littel or no continuity of care, less job satisfaction (and, trust me, that is very important if you want a service that works) and higher levels of staff turnover and sickness absence. That's ignoring the financial cost cost of providing the service.

GP has never been about a 24 hour service of routine care. Even access to a GP out-of-hours has only ever been on an urgent or emergency basis. I used to work Saturday mornings, and I was usually twiddling my thumbs, unless there was a flu epidemic going on.

Why do ordinary consumers need this, and where is the eveidence that they want it? The governments own £11m study showed that 86% of patients were happy with the current system. Now, accepted, 14% of 2 million-odd people surveyed is a large number, but of those unhappy with the service, a tiny fraction wanted Saturday opening for routine stuff.

What about my family? What about my quality of life? If my practice has to open longer hours, my income will drop precipitously as I will have to pay for other doctors to do those hours. I already work about 50 hours a week, I don't want to do any more. If my income drops precipitously, I may well have to consider my position and go and do something else. That is likely to be outside the NHS.

I'm 37. A significant minority of GPs are over 50. How many of them do you think will stay on if the government forces this on us?



What ordinary health consumers need, and appear to...

2007-09-29T14:50:00.000+01:00

What ordinary health consumers need, and appear to want, in the UK is access to a 24hr primary care service outside the hospital system as well has having a "GP" for ordinary times. This does not seem to be possible in the UK. Why not? Isn't this what the Brown govt is aiming for?



Wow! Terrific stuff. Keep it going. Please. It's a...

2007-09-26T07:15:00.000+01:00

Wow! Terrific stuff. Keep it going. Please. It's all so depressing that the author knows that this isn't a shot in the dark, it's a shot into a blackhole where nothing meaningful will ever return. It makes me simultaneously angry and dejected. They know this already. The media are just after copy. We need some kind of revolution. Anyone?