GP trouble!

[AndBreathe]

Salaried GP scale for 2014, from the BMA site:

Salaried GPs
Please note the minimum and maximum of the pay range for salaried GPs employed by Primary Care Organisations (PCOs) are increased by 1% to £54, 863 and £82,789 respectively.

Although partners will be remunerated differently, and likely to be more generously so. That's where the £100k+ comes into things. Would you be a GP for £55k? I wouldn't.

 

[Kat100]

I'm seriously thinking about it.

I understand that they're busy and everything and I don't mind waiting for my appointment if they're running behind.

I don't understand why they are closed for so long and I don't feel as though I'm getting their full attention when I am in my appointment.

I don't really want to change because he's been my gp since I was born but I think his standard of care has really dropped

Indiana x


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Yes there is a feeling that standards have dropped ......( I understand)

 

[Indiana91]

Yes there is a feeling that standards have dropped ......( I understand)

It's upsetting to look at how it is now compared to how it used to be.

There are notes all over my prescription to go and see him about tests and things but I can't even get an appointment!
And I want help to stop smoking too before I buy another pack!

Indiana x


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[Kat100]

It's upsetting to look at how it is now compared to how it used to be.

There are notes all over my prescription to go and see him about tests and things but I can't even get an appointment!
And I want help to stop smoking too before I buy another pack!

Indiana x


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Agree, what happened to good care :/

 

[donnellysdogs]

House visits will still be done apparently if you need one under the new 'no boundary' changes. Dont know how this will be organised though.. Changes due in October...
Watch this space...


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[Westie2]

GPs often close for an afternoon to allow for meetings and training, which does involve the whole team. It is important for the staff groups to have 'protected' time. It allows for discussion and updating. Most practices have a mechanism for dealing with emergencies. I appreciate it can be a problem when trying to contact the practice. GPs also tend to hold their business meetings after the practice has closed. Most GPs do home visits, admin, letters etc when they are not due to be working in the practice, life is busy for us all these days.



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[Indiana91]

GPs often close for an afternoon to allow for meetings and training, which does involve the whole team. It is important for the staff groups to have 'protected' time. It allows for discussion and updating. Most practices have a mechanism for dealing with emergencies. I appreciate it can be a problem when trying to contact the practice. GPs also tend to hold their business meetings after the practice has closed. Most GPs do home visits, admin, letters etc when they are not due to be working in the practice, life is busy for us all these days.



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I appreciate all of that, really I do. But if they have all of that time to do those things then I would expect his whole attention whilst I'm in there, not to have him half listening to me while he writes out other people's prescriptions

Indiana x


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[MrsB]

As westie2 says, sometimes practices have to close for these protected sessions. These are usually arranged weeks in advance with notices put up in surgeries to let patients know, as well as on their web sites. During these times the phones are rerouted to the local out of hours provider I believe. It know it can be frustrating though.

Also, go surgeries are actually individual private businesses run and owned by the partners, contracted to provide a certain level of care to their registered patients. The NHS pays specific prices for all sorts of things and the Partners decide how much of the business income goes into paying for staff, equipment etc and how much they remunerate themselves out of the remaining profits. This will differ with every surgery.

Sorry, lecture over. I do not necessarily agree with how some surgeries are run but it is not the NHS as such that is at fault. Rather it is the individual practice. I would recommend that you look at other surgeries on your area as they may be more suitable to your needs



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[Kat100]

GPs often close for an afternoon to allow for meetings and training, which does involve the whole team. It is important for the staff groups to have 'protected' time. It allows for discussion and updating. Most practices have a mechanism for dealing with emergencies. I appreciate it can be a problem when trying to contact the practice. GPs also tend to hold their business meetings after the practice has closed. Most GPs do home visits, admin, letters etc when they are not due to be working in the practice, life is busy for us all these days.



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Still does not provide good patient care at times when people are in need.....
The NHS it's values attitudes and beliefs IMHO have deteriorated ...
Health care is about prevention diagnoses and treatment...
To many meetings about meetings I feel. Wish care came first.....

Some do try, but the politics ....such a big subject ....

 

[Kat100]

As westie2 says, sometimes practices have to close for these protected sessions. These are usually arranged weeks in advance with notices put up in surgeries to let patients know, as well as on their web sites. During these times the phones are rerouted to the local out of hours provider I believe. It know it can be frustrating though.

Also, go surgeries are actually individual private businesses run and owned by the partners, contracted to provide a certain level of care to their registered patients. The NHS pays specific prices for all sorts of things and the Partners decide how much of the business income goes into paying for staff, equipment etc and how much they remunerate themselves out of the remaining profits. This will differ with every surgery.

Sorry, lecture over. I do not necessarily agree with how some surgeries are run but it is not the NHS as such that is at fault. Rather it is the individual practice. I would recommend that you look at other surgeries on your area as they may be more suitable to your needs



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A certain level of care , that is a worry, maybe the highest level,of care possible would be a better goal...
What would Florence nightingale have said about the care today.... :/

 

[donnellysdogs]

GP allocated time per patient is 10 minutes.. 6 mins to listenand diagnose and 4 mins to make notes, prescriptions etc.

If your GP cannot do it in that space of time or in their allocated catch up time, then I am bemused why you cannot just ask him to stop writing other peoples prescriptions inyour time?

I had to make a complaint recently to my own lovely GP about the advice I was givento stop my evening medications. I put it in writing. She phoned me and apologised profusely and told me what actions would be takeninthe future to ensure this incident didnt happen again.

Speak up whilst you are there...this is a minor complaint so should go to the gp whilst you are there.

Join the PPG for this Practice and do something about it.

Complainto NHS CHOICES, complaininwriting to the Practice. Change GP.

Its no good just coming on to this website and moaning if you want change you have to do something about it.

Please note, not all GP's are Partners, some are salaried still.


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[Scandichic]

As westie2 says, sometimes practices have to close for these protected sessions. These are usually arranged weeks in advance with notices put up in surgeries to let patients know, as well as on their web sites. During these times the phones are rerouted to the local out of hours provider I believe. It know it can be frustrating though.

Also, go surgeries are actually individual private businesses run and owned by the partners, contracted to provide a certain level of care to their registered patients. The NHS pays specific prices for all sorts of things and the Partners decide how much of the business income goes into paying for staff, equipment etc and how much they remunerate themselves out of the remaining profits. This will differ with every surgery.

Sorry, lecture over. I do not necessarily agree with how some surgeries are run but it is not the NHS as such that is at fault. Rather it is the individual practice. I would recommend that you look at other surgeries on your area as they may be more suitable to your needs



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I would disagree. If they are not given enough money in the first place then someone s health has to be sacrificed. After all you can't make a silk purse out of a sows ear! My doc once told me that their budget is not big enough to pay for all their patients needs. How do they prioritise? Perhaps we should stop treating the docs as the bad guys and look at the people who decide their budgets.

 

[donnellysdogs]

The budgets that the GP's have to work woth have reduced for every patient they get £x.xx each year. However, if they have PPG's they've had more money given to them per patient and this money hasnt gone to the POG volunteers.
Our Practice has also had to buy extra insurance this year and ongoing...
However, it is a shame that GP's do not recognise that many people have to work **** long hours too. My Practice Manager is always stating how long hours the GP's have to work, however, there is only one GP The Senior Partner that does exceptionally long hours, and works every weekend. The others do not. When Senior Partners money diminishes which the NHS is phasing in, then our Senior Partner is questioning whether he should continue putting in the extra hours.
It does annoy me that they do not recognise that some people other than themselves work very long hours for pittance of pay compared to them.


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[Indiana91]

As westie2 says, sometimes practices have to close for these protected sessions. These are usually arranged weeks in advance with notices put up in surgeries to let patients know, as well as on their web sites. During these times the phones are rerouted to the local out of hours provider I believe. It know it can be frustrating though.

Also, go surgeries are actually individual private businesses run and owned by the partners, contracted to provide a certain level of care to their registered patients. The NHS pays specific prices for all sorts of things and the Partners decide how much of the business income goes into paying for staff, equipment etc and how much they remunerate themselves out of the remaining profits. This will differ with every surgery.

Sorry, lecture over. I do not necessarily agree with how some surgeries are run but it is not the NHS as such that is at fault. Rather it is the individual practice. I would recommend that you look at other surgeries on your area as they may be more suitable to your needs



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That would be fine, but what I was saying is that my gp is closed for 3.5 hours every single day and are only open half a day on a Thursday and I don't feel as though I get his full attention when I am in my appointment.

I didn't say anything about budget costs or the NHS.

I was just having a winge about how hard it is to get an appointment in the first place because of his rubbish opening times!

Indiana x


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[donnellysdogs]

Then write CQC, put a review on NHS choices, join their PPG or change to a better Practice.

The opening times for GP's should include extended hiurs of opening. The CQC will not like to hear that GP's do not have suitable hours.

Their opening times should be based on the needs of their Patients. However, this will depend whether their Patient list is full of younger people or older people etc. All this data is available about your GP Practice.

Go online to their website and see if their PPG did a survey last year. If they did it should have been published by 31st March on their website. See if they surveyed Patients about opening times, and what the response from the GP's was.

It's down to you to either help to change the Practice or move.


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[Kat100]

That would be fine, but what I was saying is that my gp is closed for 3.5 hours every single day and are only open half a day on a Thursday and I don't feel as though I get his full attention when I am in my appointment.

I didn't say anything about budget costs or the NHS.

I was just having a winge about how hard it is to get an appointment in the first place because of his rubbish opening times!

Indiana x


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Please Indiana Windge away, it is what we are here for......it is a good topic that has started, my practice is like yours....opening hours are so short,and gp,s don't all want to work long hours anymore , the NHS had changed so much and we feel the negative effects......also we don't want to complain all the time, things don't always change by a few complaints not all of the time....I think gp services should be open 24 hours a day.....that is so big wish.....:/

 

[Indiana91]

Thank you, I agree they should be open longer. Even if they're open all day and have one doctor a day not seeing patients to get other jobs done that would be better.

I've just rang up to get an appointment for this afternoon because she wouldn't let me book one yesterday and the witch at the end of the phone said "is it urgent?" Well obviously not no because if it was I wouldn't have waited until a Friday afternoon to book one would I!

A&E are for urgent cases, hence the word emergency, I would have gone there if I was desperate!



I got one anyway wasn't going to let her fob me off today!

Indiana x


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