Caporegime
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Synagis is for RSV. Your GP won't know much about it as it's specialist use only.
What's making it difficult to see a GP these days?
- Thread starter Pawnless Endgame
- Start date
Synagis is for RSV. Your GP won't know much about it as it's specialist use only.
I know. Synagis is on his notes but nothing to do with the GPs. Must be a horrible injection he stops breathing when they give it, needs two (one in each leg) next time as well.
The flu one was booked by the consultant at the GP and they cancelled it saying its for older babies/children. Consultant was not impressed and sorted it out, hes had 2 of those so far.
Lack of GPs/Funding
GPs working part time due to burn out.
Patients missing appointments.
Patients making appointments for trivial things that they can either manage at home or see a pharmacist or even a nurse.
10 minute appointments that are meant for 1 issue and then the GP having to spend 30 minutes going over 3 seperate things because "Oh, while I am here, I've got xyz...", hence running behind and patients having to be rebooked.
IT issues (slow systems - I know this, I support 70+ GP practices with IT)
Plus more that I've probably missed.
GPs working part time due to burn out.
Patients missing appointments.
Patients making appointments for trivial things that they can either manage at home or see a pharmacist or even a nurse.
10 minute appointments that are meant for 1 issue and then the GP having to spend 30 minutes going over 3 seperate things because "Oh, while I am here, I've got xyz...", hence running behind and patients having to be rebooked.
IT issues (slow systems - I know this, I support 70+ GP practices with IT)
Plus more that I've probably missed.
Soldato
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It wasn't that much of a mistake, the op mentioned phoning in his post. Besides ever heard of a family or friends?
Did figure it was something along those lines, but was just messing anyway
If they do have same day appointments then do you know if they are supposed to be available through patient access? It might help you for future reference if you know when they become available... for example at my local surgery the appointments for the next morning are released at 9pm each night for patients who book online, once these are gone then you're left with the regular appointments which will likely only be available about a week or two out.
If they don't then it might be worth pestering them/giving some feedback via some patient/GP liaison group and getting them to make them available online.
Seems to be popular with the female GPs I know, both now married with kids and are quite happy to just work 2.5 shifts per week for say 50k or so a year.
Soldato
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Just about every medic or doctor in australia seems to be white british...
That and the fact they retire early and still receive full pay in perpetuity is screwing the NHS or so a doctor I worked for told me
Caporegime
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The current pension is so confusing no one really has a clue what the end result will be. I think I have 2 or even 3 pots on different terms.
Caporegime
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Nice salaried post, work enough sessions to stay under the 40% tax bracket, not a bad life.
Most GPs surgeries a massively over subscribed with patients, they get paid per patient (something like £146 per year on average) so it pays them to keep as many people on their books as possible, there seems to be no control on how many patients a GP surgery can "sign up".
This is quite an interesting site
https://digital.nhs.uk/data-and-inf...data-hub/patients-registered-at-a-gp-practice
it shows my local surgery has 12376 registered patients so they are copping nearly £2 million a year, no wonder it's so hard to see a doctor
This is quite an interesting site
https://digital.nhs.uk/data-and-inf...data-hub/patients-registered-at-a-gp-practice
it shows my local surgery has 12376 registered patients so they are copping nearly £2 million a year, no wonder it's so hard to see a doctor
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Caporegime
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I had a viral back in November and on my return to work, I went stone deaf. My manager told me to book into the GP. Phone the surgery at 8AM as advised, line's engaged for 10 minutes and when I finally get through, all of the same-day bookings are gone. Phone again next day 8AM and the same happens. Eventually, a slot did open up but 3 weeks in the future. What use was that? I did take it though, and when the day came, I was still a bit deaf but the docs didn't find anything. It's the principle though, in that they could have found something had I've been seen earlier.
Now the lovely propagandist paper that is the Daily Express is running this on their front page this morning. Is it a scare story or are missed appointments really that high? I think that patients should pay a £10 deposit. Quick Android / Apple Pay etc when on the phone to bookings. Then if it was genuine, then you get the £10 back. Surely this should get rid of some of the posers. Plus, you get a few text reminders anyway!
I've been with the same surgery since 2002 and booking an appointment was never a problem for me up until 2016 when I last needed to see a GP. Something has happened in those past 3 years.
P.S. The fact that I've posted an Express story is not an invitation to diss immigrants. A lot of them are skilled and in the medical field. I don't think that immigrants is the issue.
it's been like this for as long as i can remember. 10 years easily.
Associate
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Not enough GP’s per person.
France has more per person and the service is vastly superior. Everything happens fast, blood tests, xrays etc.
France has more per person and the service is vastly superior. Everything happens fast, blood tests, xrays etc.
Most GPs surgeries a massively over subscribed with patients, they get paid per patient (something like £146 per year on average) so it pays them to keep as many people on their books as possible, there seems to be no control on how many patients a GP surgery can "sign up".
This is quite an interesting site
https://digital.nhs.uk/data-and-inf...data-hub/patients-registered-at-a-gp-practice
it shows my local surgery has 12376 registered patients so they are copping nearly £2 million a year, no wonder it's so hard to see a doctor
28,439 at ours, building loads of new houses as well so only going to increase.
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Ultimately there is still nowhere enough doctors. I assure you nobody is going to want to work in places where it’s many weeks before a routine appointment as it’s bound to crippling work with extras all the time and no spare capacity. Most places that don’t have enough doctors would love for more, but they simply don’t exist.it will be one of the biggest stresses on partners to ensure recruitment and retention is good
But that’s simply not true. You aren’t retiring early on full pay. Pensions don’t work that way.
Come on minstadave. You know what doctors are like personality wise. You aren’t having great swathes deciding to go for very part time for ‘an easy life’ that’s very disingenuous. Most of the part timing is either around starting families including often to allow their partners career to stay on track and take up all of the childcare issues (2 doctor families are very common as you know), or is in an attempt to avoid burnout which I’m sure you will have seen results of in colleagues. It isn’t a popular career choice and still remains worse subscribed than most (possibly all, I haven’t looked at stats) of areas in medicine
Soldato
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I don't think that's particularly fair.
My wife has gone down this route but it's certainly not for the easy ride. I think the beauty of general practice is flexibility. Whilst she works 4 sessions as a salaried she then does walk-in out of hours, extended access, odd locum shift and also teaching at our local medical school as well as having a 15 month old to look after. As for recruitment, not a single one of my peers at the end of ST3 training in my VTS are at present interested or applying for partnership nor even planning on working full time (8 sessions).
Soldato
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Why post such a lengthy OP then take no part in the conversion that follows over the course of a few days; I hope you're keeping well, @Pawnless Endgame 
Caporegime
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I don't think that's particularly fair.
My wife has gone down this route but it's certainly not for the easy ride. I think the beauty of general practice is flexibility. Whilst she works 4 sessions as a salaried she then does walk-in out of hours, extended access, odd locum shift and also teaching at our local medical school as well as having a 15 month old to look after. As for recruitment, not a single one of my peers at the end of ST3 training in my VTS are at present interested or applying for partnership nor even planning on working full time (8 sessions).
Why would you go into a partnership these days? I know several partners who have sold up and taken up salaries posts. If you money there's locuming, if you want a life then there's salaried working. Partnerships aren't rewarding enough to be worth the hassle.
Caporegime
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My wife being a salaried, part time GP - I think I'm ok to comment. It's a nice prospect. I'm not saying it's some gravy train or that part time GPs are killing the NHS, neither is true. But GP is not a bad life compared to secondary care and is much more what the job should be like - flexible with renumeration tailored to the location.
There is a downside to that though in that there are a cohort who choose GP or move into GP from other specialities for the lifestyle who aren't actually any good at it or have any real interest it.
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Most GPs surgeries a massively over subscribed with patients, they get paid per patient (something like £146 per year on average) so it pays them to keep as many people on their books as possible, there seems to be no control on how many patients a GP surgery can "sign up".
This is quite an interesting site
https://digital.nhs.uk/data-and-inf...data-hub/patients-registered-at-a-gp-practice
it shows my local surgery has 12376 registered patients so they are copping nearly £2 million a year, no wonder it's so hard to see a doctor
GP partner here. 16k patients and the practice income is nowhere near that amount (£2m).
You realise there are costs in running a surgery? £80/patient is base. Anything extra (e.g. extended services) requires resources.
Why do think partners are abandoning ship?
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