Well Oh Well
I woke up this morning to "The Today Programme" on "Radio 4" that bastion of politically correct middle class biased but thinks its impartial coverage of the nations political life
And what was their top story?
The Government says in many areas GPs have a "Gentlemen's Agreement" to restrict the patients ability to choose a GP! Well what do you say..? As previously reported in this blog and elsewhere patients often in practise have no choice of GP and it looks like the Government has finally cottoned on
And all those medics who kept telling me that I'm wrong and that choice is alive and well in GP land have been left with a big fat family fortune X X X as they are shown to be wrong
Let me repeat some truths
i) In many areas, many urban, when you move there and try to select your GP based on convenience of their opening hours, their reputation with their patients, the general cleanliness of their surgery etc in many parts of the country you will be told by all surgeries apart from the very closest one that you are "outside our catchment area", other tactics are adopted such as "yes we release spaces on our list but you have to come and wait in person every third Tuesday when there is a full moon" (slightly exaggerated but not much) SO PATIENTS HAVE NO CHOICE OF GP thereby encouraging the lazier more useless GPs as they have guaranteed patients press ganged onto their lists
ii) Your ability to use the NHS relies too much on the ability of your GP, in the "GP as gatekeeper to all other care" model of the NHS you depend on having a decent GP, if your GP is one of the worst in the country and you cannot move GP you are fucked, big time fucked
iii) The public were never going to put up with this long term, and medics who do not believe this is going on in this country really need to get out more and see why people like me report this
So there you have it, reported here first, on Radio 4 much later
Lets hope the patients are given some genuine day to day control of where they take their health spend, force the GPs and others to need to attract individual patient transactions in a much more competitive way, this is the only way to drive improvements in opening hours, punctuality of docs, cleanliness etc etc
Come on docs smell the roses you cannot continue to believe your comfy status quo is going to stay much longer?
Or do you like seeing crap service provided by your peers?
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16 comments:
You Are A TWAT.
ah a rugabe supporter. Or possibly rugabe himself.
Have a little pity for the poor docs. They are truely dinosaurs, some already producing petroleum byproducts. You would act irrationally if you had a red dot on your forehead.
Well put though.
The "red dot on the forehead" remark has a rascist slant against Indian doctors and cannot be tolerated even on a blog that pushes the boundaries of decency such as this. I suggest you remove that comment or the post.
BTW before you start doctor bashing me, I'm actually a teacher.
Clearly in some areas the "gentleman's agreement" regarding taking on patients is a problem, usually inner city under doctored areas, but you cannot apply this to the whole of GP land.
In this area if you were to move here, you would have the choice of 3 local surgeries, all within 2 miles of each other, you could bring in your NHS medical card, we would register you straight away and you could see a doctor or nurse later this morning.
I think that's a pretty good service and 94% of our patients agree with me as per our annual Patient Survey.
Primary Care is not all bad.
What a coincidence, a gentleman has actually done just that whilst I was typing!
Oh NIKU, by the way I hope it isn't you I'll be seeing at 10.30
doc doc
great, so its good where you are thats really good, im happy for you and folk in your area
the sad fact of the matter is that there are large parts of the country where its not like that at all, and there are no inbuilt incentives in the system to encourage the system to self optimise, like there would be if GPs needed money from patients for instance
there is little point in publishing practise opening times, feedback from patient surveys, etc if patients new to the area can then only pick one GP anyways
and all this "catchment area" nonsense should be swept away, we should be able to see any GP anywhere, next to work, on holiday, at our second home, absolutely anywhere, and GPs should be incentivised (ideally with money) to want to see patients walking in off the street
niku is nothing to do with me, sometimes i agree with him, often i dont, not convinced red dot is a racist remark - it could mean several other things, and im not interested in politically correct bollocks, speaking as someone who hired a korean guy and supported him as he was initially screamed at with racist abuse when he walked on site, and have several races as part of my close family, i dont think i need lectures, feel free to direct any comments at niku directly
and im fed up with racism being the first slagging from the politically correct who themselves happily talk down to folk just because they have the wrong accent, so many double standards in this country
no one
"that pushes the boundaries of decency"
Its polite compared to that idiot Dr Rant.
Calling someone a twat is decent?
"I'm actually a teacher."
Explains why you are so thick.
'No one'
Having this level of hatred for the professions (you've now shown you have no respect for teachers) is deeply disturbing. I can only conclude insulting people on this blog something your therapist has recommended.
Frankly I'm now bored of this blog and will read and participate no further. You are an irrelevance on the fringes of society. You have nothing of value to add to any debate.
Have a nice life.
I do agree with you that a "red dot on the forehead" is not a racist slant as it was clearly not in a racial context.
The gentleman who registered this morning was very grateful to be seen so quickly, he is from Pakistan and working here for 3 years. He offered to pay me for seeing him so i explained that he was entitled to "free" (ok he pays tax) NHS care, he would normally pay approx £20 to see a doctor in Pakistan.
I will again state that i do not want the NHS privatised, and agree some areas would benefit from polyclinics to resolve the issues you mention. But the one size fits all approach is wrong. Locally the PCT wants to set up 2 polyclinics, do you really feel that is necessary with the situation described this morning?
The money would be better spent in the area you mention, this is where the politicians are making mistakes not necessarily the doctors.
when did i have a go at teachers? i may have done? but i forget
doc doc thanks, im not sure polyclinics will solve the issues
but the issues do need solving
for me the only way is to empower the patients, and turn the nhs into a state run health insurance system and stop it running any medical providers
nhs service is really bad compared to many other countries i have lived in
ok so there are some pockets of not so bad nhs, we need a system of financial imperatives which make it essential for providers to self optimise and need good customer experiences
No It was me who insulted the teacher.
"You are an irrelevance on the fringes of society. You have nothing of value to add to any debate."
It describes teachers quite well.
anon - you can spin it anyway you want. There isn't any racial connotation at all. It simply refers to the red dot that appears on a persons forehead from a laser just before a high calibre rifle round enters there skull causing, in most cases, death. In your case there is a distinct possibility that you will survive as your brain in apparently the size of a pea and not easily hit. The fact you are a teacher would support my pea brain thesis.
damn - missed anon leaving in a huff. Will miss their physco babble bullshit.
I am pretty sure it was rugabe in drag
Hey nugabe!
You talk more bollocks that wugabe, who in term makes gubabe look sentient.
kugabe
p.s. See what I did there? Well clever innit? I took the first letter of someone's name and appended it to the suffix 'ugabe' to try to draw a comparison to someone and that twat from Zimbabwe with tertiary syphilis.
p.p.s Where are cugabe and xugabe these days? I miss them.
Suck my balls. My traingravy fed massive hairy balls.
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