“GPs under pressure”

The BMA is the professional body that represents  the 40,000 GPs in the UK.    However it is increasingly acting like a militant trade union.

Their latest proposition to their members is a handbook of advice with a list of 17 services that GPs should not do.   These are services like:- wound care management, nursing leg ulcers, following up hospital discharges, minor injury surgery services, etc.   All services that are critical to enabling older people to remain living in the community and to return home again after a stay in hospital.   They claim they are ‘inappropriate’ and should be done by someone else.

What this is really about is the growing pressure on the NHS from the rapidly increasing number of older people.    The failure of any recent Government to face up to this, just leads to endless cost shunting around the NHS, between hospitals, GPs and Social Services.   In the meantime expensive hospital beds are occupied by older people, who would much rather return home and be looked after in the community at less expense.

The  British Medical Association which represents all doctors should be more concerned about the interests of their patients.

doctors19 02 16

Instead of looking at things through the eyes of the doctors’ trade union, maybe we make a radical shift to put the power in the hands of the customer.  The Health Secretary, Jeremy Hunt, always argues that the money should follow the patient and this way you would get a service which more reflects individual patients’ needs.  So what if we were to give an allocation of funds to older people to spend as they wished on their health.  This would enable them to select a doctor of their choice and to decide what and how the health services they need should be provided.

This would probably shift the priorities of health care in the direction of preventative health and support in the community rather than concentrating more and more on health services in a few large teaching hospitals.  It would also play to GP’s more customer focused skills.

We are all supposed to be grateful for what we receive from the health service, but it is often forgotten that we are all paying for it through our taxes.  So the health service is not there for the benefit of doctors, it should always be there for the benefit of patients.

The key word, which is not often used in relation to the health service, is customer.

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4 Responses to “GPs under pressure”

  1. I am unsure how to respond to this ”Blog”? Personally I have and am having excellent service, by the local hospital and qualified medical staff, the community district nursing staff, and my GP’s clinic.
    Having said this the media, are unforgiving in the manner to which they are allegedly attacking Mr. Hunt, his policies, especially with respect to doctors and junior doctors at that! The BMA are the horse that gets judged and kicked!
    We do as UK Citezens if responsible pay our taxes, and we are entitled to have the service as promised from the provider of a Public concern, especially in this case the NHS facilities and Staff. What is a problem is that by encouraging ”privatisation” we are becoming ‘Americanised” and we do not , or are not judging the services, as provided by THE NHS, as just and appropriate, and have resorted to the ‘American’ Attitude of to SUE every Blighter/Organisation in sight for financial recompense/reward? This is the sting in the tail as I see the situation:
    Doctors will only diagnoise problems?
    Surgeons will only perform operational procedures?
    Trained and qualified nurses will only attend to Problems as dianoised by a qualified doctor, or the aftercare of an operational procedure by a surgeon?
    Each of the above qualified persons may have to resort to Professional indemnity insurance, and hence, by economic necessity restrict the limit of healthcare that they practice, so they can earn or make a living?
    Initially all young doctors/surgeons I feel should work extended hours over a period of time, during their personal makey/learn period- This is to ensure when they are tired and Knackered by their personal workload, they come to realise that any decision they make, procedure they adapt, under these conditions protect life! i.e. They have the sense when very tired to know their own personal abilities and mental and physical limits and yet can perform in such a way they protect life! This is not to say this should be a continuous practice, but a regulated one by the more experienced and elderly peers in the profession, who have had this previous experience.
    We old of the older generation had kinfolk and forefathers who in the 20th century went through two world wars a serious economic depression and the NHS was mooted and bourne of ”HOPE” after 1945, I think that is what I came to appreciate, and I have to understand that the NHS is run and managed by fellow UK Citezens, and I must give as they must give- It is not for me to be selfish and ”SUE” every person in sight, it is similar as that of going to a retailer- One looks them in the eye, if the conversation is friendly and constructive, and both parties agree one has an agreement, rewarded by cash/money! If either party is devious or mistrustful, or taking known and wilful advantage of the other then we are entitled to ‘SUE’: However this is not the premise for any worthwhile or good agreement.
    One footnote I wish to add, is that I note with some regret, following my diatribe above, is that the Care workers in residential homes, are being drawn into the net of absolute qualifications, within the NHS, and the old NHS staff positions are subtley but gently changing in emphasis, and Training? Health and Safety is very important , but do we as a society wish to quote this, and with the TUC policies make each worker in any career so highly qualified, we can put them into a catagorary or ‘box’ and if they are wrong ‘SUE’ the arse of them.
    Again the politicians and the Enterpenuers are they out to make a fast buck without responsibility, and dupe the UK Population? Where is the social understanding, and support we all need to act as a cohesive and caring society. As I say I look you in the eye! What do I see???
    End Of the lesson- More tomorrow if I am allowed out of school.

  2. Would like to know what Dr David Oliver @BritGeriSoc has to say

  3. Reblogged this on Lorraine Morgan – Wales and commented:
    Worth reading this blog

  4. Alex Robinson says:

    You mention “In the meantime expensive hospital beds are occupied by older people, who would much rather return home and be looked after in the community at less expense.” I know this is slightly off the topic of the blog but the subject of bed blocking seems to be a big millstone which the NHS carries because the welfare budget is held by local councils. Perhaps, if the NHS were allowed to charge the appropriate local authority at, say, £1000 per day after the day they deem a patient fit for release, we might see an improvement in dealing with these cases. Once there is a financial incentive for the authority to recognise its responsibility, it may condsider acting.

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