Junior Doctors Strikes

I will do 180 on that and say its nuts to need to triage to offer GP appointments, there should be enough resources to give everyone an appointment.
Very hard to do when you don't have enough people who want to work in that industry due to the state of the job.
 
Very hard to do when you don't have enough people who want to work in that industry due to the state of the job.
I never said it was easy, and its obviously being made even harder with recent political decisions.
But I dont think thats an excuse to not do it, ministers have no issue making so called hard decisions on easier targets.
 
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Adding more GPs doesnt solve the excessive triage issue due to resource pressures on secondary care

No, but adding direct access to specialist is going to make that problem worse not better. What adding more GPs does do is allow a return to the situation where it is easy to see a doctor in the first place. Most people needing appointments don't need specialists, but they may get worse if they can't see their GP and they may even end up falling back on more limited and more costly emergency treatment options if they can't see a doctor in a timely fashion

Have we all forgotten about the people who have died because of GPs telling young people with cancer to take paracetamol and wait it out, not even a precaution scan was taken. There is enough whistleblowers on all the strains of the system, consultants admitting they denying referrals that need treatment because they have to pick and choose who to treat.

These are very rare stories, which is why you hear about them. There's no great reason to believe that a specialist would have taken a different view and it is an inevitable part of any system with finite resources that doctors aren't going to be keen on sending patients for scans they don't think they need.

Very hard to do when you don't have enough people who want to work in that industry due to the state of the job.

How did we get to the situation where stuff that was considered entirely normal is now considered extraordinary? Same-day appointments were absolutely the norm everywhere I lived when I was still in the UK.
 
If its so rare, then I assume you would support a policy where if someone goes to the NHS first, there is a block on an investigation, then they go private, issue is found, and treated, then NHS due to their failure pays the bill. This would be then a financial incentive to be more careful when patients approach them with problems.
But if you are right and you claim these kind of things are rare, then such a policy would only cost pennies.
The stories rarely hit the BBC, it doesnt mean they rare.
 
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Thank about the highlighted bit, and what I am saying, if you think about it hard enough, they are the same thing.
No not at all. Youre suggesting Primary Care exist to triage treatment, and that secondary care is where treatment occurs. That is not the case whatsoever for a huge number of health issues that are fully managed in Primary Care.
 
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No not at all. Youre suggesting Primary Care exist to triage treatment, and that secondary care is where treatment occurs. That is not the case whatsoever for a huge number of health issues that are fully managed in Primary Care.
I am suggesting a bigger proportion of appointments are taken up in primary care over referral disputes.
Secondary stuff been moved over to primary is effectively the same thing, there is an effort to reduce demand on secondary care.
There is two ways to reduce waiting lists, you either get more resources (expensive), or reduce the people who can get on the waiting lists (cheaper).

I am starting to think there is a cultural problem, the amount of defending and resistance here, refusing to acknowledge there is issues is staggering.

You even said yourself in a earlier post some weeks back, you are sick of the amount of corner cutting in your department.

Simple question to you, do you disagree with a caution first approach?
 
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No, but adding direct access to specialist is going to make that problem worse not better. What adding more GPs does do is allow a return to the situation where it is easy to see a doctor in the first place. Most people needing appointments don't need specialists, but they may get worse if they can't see their GP and they may even end up falling back on more limited and more costly emergency treatment options if they can't see a doctor in a timely fashion



These are very rare stories, which is why you hear about them. There's no great reason to believe that a specialist would have taken a different view and it is an inevitable part of any system with finite resources that doctors aren't going to be keen on sending patients for scans they don't think they need.



How did we get to the situation where stuff that was considered entirely normal is now considered extraordinary? Same-day appointments were absolutely the norm everywhere I lived when I was still in the UK.

Disagree.
I know more than 1 person who's had this happen. Most people just don't go to the newspapers.

Sure it's anecdotal. But when so many people know multiple people with this then it's probably not as as rare as it should be.
 
I will do 180 on that and say its nuts to need to triage to offer GP appointments, there should be enough resources to give everyone an appointment.
Well there isnt. And look at the post above, people are stupid. They want to see a doctor when they dont need one hence triage is vital to weed out the people who dont actually need to be seen or could be seen elsewhere for minor stuff.
 

As I said before get a medicine chest. Hospitals are not for minor ailments. Tough it out.
We had a bloke sat in the ED with a rose thorn in his thumb. I just wanted to tell him to **** off home, pull it out and put some TCP on it. He was a right ******* knob too.
 
Tough it out.
I do agree with this, but also do see how difficult it is to get a GP appointment that some people will have no other choice but to go to an A&E. My local minor injuries unit got closed a couple of years ago making the local A&E service fail their SLA's ever since.

We had a bloke sat in the ED with a rose thorn in his thumb. I just wanted to tell him to **** off home
When I got taken into hospital in October, I was triaged and wheeled through to the Resus unit within 2-3 minutes of assessment.
I had already been wheeled back into A&E overflow at that time and the amount of people who looked livid to see me come in and be pushed through within a few minutes was funny. I suspect a number of these who were tutting at me probably didnt need to be there. As around 50% of the A&E waiting areas seemed to be for people with colds or minor scruffs/scrapes.

On a different note, what are the junior doctors striking for this time?
 
Nature. As humans we love to control everything but we simply can't.
So if nature takes on the role we don't need any form of medical practitioner? So anyone who falls ill or has an accident has to leave nature to get on and decide whether they live or die ( survival of the fittest I think it would be called). No private or public health care and you would be the first to rant if you got a splinter in your finger and it needed treatment.
One sure way of population reduction.
 
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As I said before get a medicine chest. Hospitals are not for minor ailments. Tough it out.
This is because GPs are not doing their job. People get sick and tired of being ignored and know it might take 9 hours in a&e but they will see a doctor and if they need scans / tests etc. It’s all done in the same place. Not being fobbed off with a telephone appointment or if you are lucky a nurse on-site.
 
So if nature takes on the role we don't need any form of medical practitioner? So anyone who falls ill or has an accident has to leave nature to get on and decide whether they live or die ( survival of the fittest I think it would be called). No private or public health care and you would be the first to rant if you got a splinter in your finger and it needed treatment.
One sure way of population reduction.

Life has always been about survival of the fittest. Always has been and always will be.

If people don't like that then have that conversation with Nature or whichever God you follow. Not me.
 
Life has always been about survival of the fittest. Always has been and always will be.

If people don't like that then have that conversation with Nature or whichever God you follow. Not me.
So you'll never use medical services if you get hurt/hurt yourself, or find a lump, or get a constant cough etc just let nature take it's course?
Pull the other one...
 
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