So, what happened today?

[markysimmo]

GPs quality of care has dropped massively. They are more like civil servants processing you quickly than care professionals.


Sitting on my porcelain throne using glory-glory.co.uk mobile app

I think it's a total joke
My friend's wife has been put off for over a year feeling really ill due to COVID etc
She finally got a scan and she has pacreatic cancer, has to have a major operation, maybe chemo and might die
Absolute fudging disgrace, my mates son might not have a mum and my might might lose his wife
The GP's are sorry though, ah that's ok

 

[SpurMeUp]

Yeah you’re kind of on your own unless it’s something simple. It you don’t fit into a quick diagnosis they don’t want to spend the time. It’s not their fault so much as a setup which restricts personal care.

I really hope she be pulls through.


Sitting on my porcelain throne using glory-glory.co.uk mobile app

 

[El Guepardo]

I really think that they’re trying to push towards privatisation of the NHS. By pushing people to look for alternative options. The treatment that your friend’s wife has received has been awful @markysimmo. I wish her best wishes and that she can recover and fight the tough fight that she has in front of her.

I know that my mental health has been as low as ever through the past year. They always want to talk on the phone, so I’ve given up with them. The personal approach has gone so I’d prefer to push on by myself even if it’s harder than anything that I can manage at times.

Last year, I was employed so had medical insurance. Not now, I’m out of work, having been made redundant.

 

[glasgowspur]

I think it's a total joke
My friend's wife has been put off for over a year feeling really ill due to COVID etc
She finally got a scan and she has pacreatic cancer, has to have a major operation, maybe chemo and might die
Absolute fudging disgrace, my mates son might not have a mum and my might might lose his wife
The GP's are sorry though, ah that's ok

Really sorry to hear that.
Similar to what happened to my mum, ill for 7 months, gp wouldn't see her, A&E turned her away because she didn't have covid.
Finally got an xray because they thought it was a cracked (it definitely was NOT a cracked rib), turns out mum had lung cancer.
Hospital would not take her for treatment, gp was invisible, no "care provider" would enter the house if anyone other than my parents were in the house.
We had to fight for end of life care, i told the gp that if my mum was an animal and had treated the way she was the gp would be in jail.
We eventually (the night before mum passed) got a hospice bed. Gp claimed there was no beds in any local hospices, i told her she better think very carefully about that, with one phone call i can find out if that is true. Within two hours a bed had Miraculously been "freed up".
Hospice staff, prince and Princess of wales, were absolutely fudging amazing.
Gp service was scum.

 

[ricky2tricky4city]

I really think that they’re trying to push towards privatisation of the NHS. By pushing people to look for alternative options. The treatment that your friend’s wife has received has been awful @markysimmo. I wish her best wishes and that she can recover and fight the tough fight that she has in front of her.

I know that my mental health has been as low as ever through the past year. They always want to talk on the phone, so I’ve given up with them. The personal approach has gone so I’d prefer to push on by myself even if it’s harder than anything that I can manage at times.

Last year, I was employed so had medical insurance. Not now, I’m out of work, having been made redundant.

I hope things take a better turn for you soon @El Guepardo , there's some good free help out there if you ever feel you're struggling mentally. Not least the thread on Mental Health on here.

The job market looks favourable at the moment, even if you take something to get back in the groove.
Good luck.

 

[monkeybarry]

GPs quality of care has dropped massively. They are more like civil servants processing you quickly than care professionals.


Sitting on my porcelain throne using glory-glory.co.uk mobile app

Firstly, we don't process anything quickly. Please stop spreading false information, you'll raise expectations.

I've had great experiences so far from two GPs, all remote. Saved loads of time doing everything over the phone, including diagnosing a skin condition and the right treatment.
People need to take responsibility too though, if you think it's something that needs face to face, then say so. Usually it doesnt. As a nation we have become so subservient that we expect others to know and fix everything for us.

 

[johnola]

GPS came from the free market idea of family Doctors pre NHS.

70 years later GPs are a referral service treating symptoms rather than patients. And respect for the service and the outcomes for patients seems to have collapsed over the pandemic.

I have never met my GP. So he doesn’t know me let alone my family. He will have no insight into my lifestyle and health. This is a good part of the reason why serious ailments get missed.

And unfortunately even private medical cover cannot replace the benefits of a physician who knows you and your history.

 

[parklane1]

Really sorry to hear that.
Similar to what happened to my mum, ill for 7 months, gp wouldn't see her, A&E turned her away because she didn't have covid.
Finally got an xray because they thought it was a cracked (it definitely was NOT a cracked rib), turns out mum had lung cancer.
Hospital would not take her for treatment, gp was invisible, no "care provider" would enter the house if anyone other than my parents were in the house.
We had to fight for end of life care, i told the gp that if my mum was an animal and had treated the way she was the gp would be in jail.
We eventually (the night before mum passed) got a hospice bed. Gp claimed there was no beds in any local hospices, i told her she better think very carefully about that, with one phone call i can find out if that is true. Within two hours a bed had Miraculously been "freed up".
Hospice staff, prince and Princess of wales, were absolutely fudging amazing.
Gp service was scum.

Sorry to hear that pal.

 

[markysimmo]

Really sorry to hear that.
Similar to what happened to my mum, ill for 7 months, gp wouldn't see her, A&E turned her away because she didn't have covid.
Finally got an xray because they thought it was a cracked (it definitely was NOT a cracked rib), turns out mum had lung cancer.
Hospital would not take her for treatment, gp was invisible, no "care provider" would enter the house if anyone other than my parents were in the house.
We had to fight for end of life care, i told the gp that if my mum was an animal and had treated the way she was the gp would be in jail.
We eventually (the night before mum passed) got a hospice bed. Gp claimed there was no beds in any local hospices, i told her she better think very carefully about that, with one phone call i can find out if that is true. Within two hours a bed had Miraculously been "freed up".
Hospice staff, prince and Princess of wales, were absolutely fudging amazing.
Gp service was scum.

Absolute disgrace, boils my blood hearing stories like that
Really sorry for your family and mum having to deal with that

 

[monkeybarry]

GPS came from the free market idea of family Doctors pre NHS.

70 years later GPs are a referral service treating symptoms rather than patients. And respect for the service and the outcomes for patients seems to have collapsed over the pandemic.

I have never met my GP. So he doesn’t know me let alone my family. He will have no insight into my lifestyle and health. This is a good part of the reason why serious ailments get missed.

And unfortunately even private medical cover cannot replace the benefits of a physician who knows you and your history.

That's what medical records and personal ownership in communicating with are for.
What you are suggesting is unrealistic on both a professional and societal level.

 

[SpurMeUp]

GPS came from the free market idea of family Doctors pre NHS.

70 years later GPs are a referral service treating symptoms rather than patients. And respect for the service and the outcomes for patients seems to have collapsed over the pandemic.

I have never met my GP. So he doesn’t know me let alone my family. He will have no insight into my lifestyle and health. This is a good part of the reason why serious ailments get missed.

And unfortunately even private medical cover cannot replace the benefits of a physician who knows you and your history.

Couldn't agree more.

How was it possible to sit down with a respected Doc who knew you, probably your parents too (with medical benefit), a person who had time for you, and would be able to treat you with dignity?

The amount GPs are missing because they don't have the time or space for some humanity is definitely a step backward. Not their fault. I don't believe GPs are enjoying their practice either because of this.

 

[johnola]

That's what medical records and personal ownership in communicating with are for.
What you are suggesting is unrealistic on both a professional and societal level.

So why am I registered with a Named GP ?

Why should the nhs finance GPs?

 

[Diamond Lights]

6 year old has shingles (had chicken pox as a child).

11month old has a terrible cough.

fun times.

 

[Bedfordspurs]

Right may need some help
I had an interview today for a perm role. I’ve been contracting for 11 years and never looked at going perm
Low and behold this jobs seems ideal and one I’m keen to go for

anyone know any good ways of working out take home pay post pension contributions?

 

[Bedfordspurs]

6 year old has shingles (had chicken pox as a child).

11month old has a terrible cough.

fun times.

Shingles is horrible
It has long lasting effects

 

[monkeybarry]

So why am I registered with a Named GP ?

Why should the nhs finance GPs?

https://www.bma.org.uk/advice-and-s...quirement-for-all-patients-to-have-a-named-gp

Because GPs contractual arrangement has an element of account manager and service delivery; that is distinct from one to one clinical services.

Indeed you have the choice to see one GP if you so wish:
That is likely to increase the GP to patient knowledge, especially if you are a regular visitor or have distinctive needs.
The flip side of that is longer waiting times.
It isn't, however, a need for General Practice clinical services delivery - information and skill is.

Why should the NHS fund GPs? I don't really understand the question - what's the alternative?
Uncontact GPs? That equals people that can't/won't pay either getting sick and remaining untreated or overwhelming hospitals with General Practice needs rather than the type of clinical needs hospitals are designed for. (Hospitals do also have a version of a GP on sight for anyone that can't access a GP - extending that would be a solution, however volume and locale's are likely to disadvantage people)

 

[monkeybarry]

Right may need some help
I had an interview today for a perm role. I’ve been contracting for 11 years and never looked at going perm
Low and behold this jobs seems ideal and one I’m keen to go for

anyone know any good ways of working out take home pay post pension contributions?

Salary calculator website.

https://www.thesalarycalculator.co.uk/

Has all the variables you need.

Oh, congratulations on the job!!

 

[Bedfordspurs]

Salary calculator website.

https://www.thesalarycalculator.co.uk/

Has all the variables you need.

Oh, congratulations on the job!!

Haven’t been offered the job yet
Although they want a second interview tonight
It’s for danish company who are very very big in my field and it’s a very senior role so a great step for me

what I’m trying to work out is with pension constributions what my take home would be

 

[johnola]

Right may need some help
I had an interview today for a perm role. I’ve been contracting for 11 years and never looked at going perm
Low and behold this jobs seems ideal and one I’m keen to go for

anyone know any good ways of working out take home pay post pension contributions?

Maybe a better way is to add the gross of the employers contributions to your basic? Say 5% or whatever it is?

 

[johnola]

https://www.bma.org.uk/advice-and-s...quirement-for-all-patients-to-have-a-named-gp

Because GPs contractual arrangement has an element of account manager and service delivery; that is distinct from one to one clinical services.

Indeed you have the choice to see one GP if you so wish:
That is likely to increase the GP to patient knowledge, especially if you are a regular visitor or have distinctive needs.
The flip side of that is longer waiting times.
It isn't, however, a need for General Practice clinical services delivery - information and skill is.

Why should the NHS fund GPs? I don't really understand the question - what's the alternative?
Uncontact GPs? That equals people that can't/won't pay either getting sick and remaining untreated or overwhelming hospitals with General Practice needs rather than the type of clinical needs hospitals are designed for. (Hospitals do also have a version of a GP on sight for anyone that can't access a GP - extending that would be a solution, however volume and locale's are likely to disadvantage people)

I understand the way it is and why. But if you can insist on seeing the same person I was unaware of that and will try and do that in future.

Can I give you a case study. My father.

He has Alzheimer’s, and is 88. These issues don’t help perhaps with filling in the physician he is put in front of with any background.

He has had issues with his feet feeling very painful at night. After a long runs of investigations, arthritis was diagnosed by a consultant somewhere at some time. No treatments offered for whatever reason and his complaints and reporting of this issue continued.

Fast forward two years. He developed a chronic pain across his forehead, cue another slow sequence of investigative procedures instigated by his surgery/gp. A Blood test, then antibiotics to see if it was a sinus infection, and an eye checkup to make sure it wasn’t eye strain, and then right now they thing it is guess what, arthritis. And they have no idea why they are not prescribing him anything for his feet.

The go will have all of this evidence, but my dads file is going to be heavy.

So to my mind, he needs, we all need,a dedicated physician to act as a case officer.
And if we cannot do that, as you suggest, then let’s admit defeat and just pool all the medical resources more sensibly where we have none of the drawbacks of local bottlenecks nor the pretence that a dedicated gp has the time and resource to act as a case officer.

Basically let’s improve the systems to make it patient led and rather than service led.