Happy with your GP?

Arry

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Our doctors say it is practice policy for receptionist to ask what problem is so they can signpost you to
best doctor to help you
I did that... then waited for 5 months till a Musculo skeletal specialist called me from a hospital to arrange zoom meeting... fat lotta use that is to me... okay for the doctor though... another case off their books and dealt with... lazy B******s
 

Wrongfoot

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I think what people lose sight of is that the NHS can be broken down into two constituent parts. The front line staff we see and the administrators who, most of the time, we don't. In my experience it is the latter that cause many of the issues we see with the NHS.

I speak as someone who discovered fairly early in my banking career that I was a better administrator than lender (I could lend money but not get it back!). From that point I strove to be the best I could be and studied and read loads on the subjects of man management and administration. I became, I believe, very good at my job. It therefore annoys me to see very poor management being paid high salaries for doing a bad job and then blaming others.

The NHS is plagued by a top heavy administration structure that has far too high an opinion of its importance. This in turn leads to a lack of finance and thus resources on the customer facing front line. And lets be clear, we are customers of the NHS, not patients, not numbers, not an inconvenience but customers. Were we paying directly we would be demanding and getting a much better service.

I have seen numerous examples where NHS "management" take no responsibility, which is when you earn your high salary, and pass the blame to someone else. Normally that someone else is the customer. In no privately owned service industry would this be possible because it would lead to failure.

Unfortunately there appears to be no politician willing to grasp the nettle and take the difficult but necessary steps to correct this imbalance between front line and backroom. Turkeys do not vote for Christmas, so asking the current management to make cost savings and changes will never result in the cutting numbers, or reducing in seniority, of administration staff and managers. For example one simple cost saving measure would be to re-title 90% of "Managers" as Supervisors and, as a consequence, reduce the salary of the role. This would save tens, possibly hundreds of millions. But of course a senior manager has to have a number of junior "managers" below them to justify their high salary.

I, like many others, was made redundant following an external audit of roles within my building. A similar, all be it costly, independent audit of the NHS could, I believe lead to a huge reallocation of funds from backroom to front line with only a positive impact on service.

The management of the NHS has become a costly, self preserving behemoth that surely one day must be seen for the inefficient waste of money it has become. Until then very little increases in NHS finance will find its way to the front line.
The OP asked about General Practice. I'm struggling to see what your post says about running the discrete cost centre of a GP Surgery?

That's not to say that you can't express an opinion about the NHS though.
 

stump28

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You need to speak to my wife pal. She’s worked for the NHS for near on 40 years. You want to hear her views on it. She will tell you that folk think the NHS is brilliant ….. until they come to use them. Or rather …. Can’t use them. We’ve heard enough now about how hard their job is. That’s been rammed down our throats enough. Others out there are under far more pressure but, they’ve grown a set and got on with it. Until you’ve tried using the NHS you do not know how bad it’s got. It’s ####
be interested to know who's been under far more pressure the last 18 months 🤣


Mine would be great if it wasn't for all the other people that think they are ill clogging up phone lines and appointments.
GP on one of the breakfast news this morning saying pretty much that
 

NoCarpPlease

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I've not heard about any "new or revised" Covid protocols that specifically affect GP surgeries but I would make the following observations.
1. Introduction of phone call (or video call) triage is a good step, even without Covid as a reason
2. Care should be taken for patients with specific needs - although such people may even find the phone call more "accessible"
3. on the two occasions since the introduction of phone triage where I've had a potentially urgent need I have been seen face-to-face very quickly (same day and one day later respectively)
4. Our practice is rural and may not be subject to the same pressures that a city-centre practice can be.
5. I can't understand why anyone needs a "named" doctor in this day and age (although I can see that some patients may be more comfortable with one sex over the other)
6. GP receptionists are subject to the same rules of patient confidentiality as others in the health service. I'd have no problems discussing a problem so it can be directed to the most appropriate doctor or nurse.

So all in all very satisfied.
 

stump28

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Our doctors say it is practice policy for receptionist to ask what problem is so they can signpost you to
best doctor to help you
exactly this, Barbra on reception really doesn't care about your problem she just needs to book you in with the appropriate person, she can't do that if you don't tell her what the appointment is for
 

Lee Richards

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I heard that as well but it didn't say that the days can be 10 to 12 hours long and now includes Saturdays
Media sensationalism at its best
 

Neil ofthe nene

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The OP asked about General Practice. I'm struggling to see what your post says about running the discrete cost centre of a GP Surgery?

That's not to say that you can't express an opinion about the NHS though.
You may be right and I should not have posted. But I have little faith in NHS management be it hospital or GP surgery.
 

Lee Richards

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Don't ever stop voicing your thoughts Neil as they are always interesting to read and even not in agreement you are always willing to openly discuss.
 

Arry

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I heard that as well but it didn't say that the days can be 10 to 12 hours long and now includes Saturdays
Media sensationalism at it's best
For 40 years I did shifts which included 12 hour days and nights that covered weekends too in major Pharma Global manufacture and supply... into every life a little rain must fall... they want the job, then be prepared to put in the time... loads of folks do long hours... but they are not on 50 to 80 grand a year... crack on and get with the plan...
 
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Lee Richards

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The difference is others did not have the health of their lives dependant on the decisions you were making.
Like everything in life it is easy to criticise when we don't have to do it ourselves.
 

Arry

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The difference is others did not have the health of their lives dependant on the decisions you were making.
Like everything in life it is easy to criticise when we don't have to do it ourselves.
Actually in GMS (Global Manufacture and Supply) of vital drugs you do... one mistake means batches of drugs (HIV, cancer, Asthma, Diabetes to name a few types) are ruined with a worst case scenario of someone dying as a result of your cockup... and yes that is the gods honest truth... I did the job for 21 years and the stress of the job and the hours were the reason I took early retirement
 

Lee Richards

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Arry I always respect you comments and opinions but sorry there is no comparison between your employment and GPs or those that make health decisions.

I now manage an Engineering Team that design & manufacture parts for both Civil & Military Aviation - I could easily apply your logic and say that a bad decision on my part could lead to a plane falling from the sky and major fatalities.
There will be many on here that have employment where they can say the same.
 

pies

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No last year i had a could barely get past reception, doc gave me a quick chat and prescribed antibiotics and painkillers for abdominal pain. 24 hours later im being rushed to A&E with a perforated ulcer. Spent 8 hours in there and an overnight stay
No happy bunny docs need to see patients
 

Arry

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Arry I always respect you comments and opinions but sorry there is no comparison between your employment and GPs or those that make health decisions.

I now manage an Engineering Team that design & manufacture parts for both Civil & Military Aviation - I could easily apply your logic and say that a bad decision on my part could lead to a plane falling from the sky and major fatalities.
There will be many on here that have employment where they can say the same.
We made drugs... we cock up people can die... how different is that to any job where your lack of diligence can cost lives...?
There are plenty of jobs, trades, vocations, where the same applies...

If you want to take that concept further... a doctor can get it right, but if we got it wrong, someone can still shuffle off his/her mortal coil... its a chain all the way through healthcare system...
Your point about other folks where the same applies just reinforces the notion that doctors are giving a substandard service by not opening their doors to patients... if everyone who has a job of great import shut up shop, we'd be arse deep in the cacky...

gonna have to agree to disagree on this Lee...
 

G0zzer2

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I am always amazed that a lot of people seem to know the inner workings of the nhs.
You don't have to know the workings of the police service to know whether or not it's doing the job to the basic standard the public expect.
The same applies to the Government.
The same applies to the NHS.

Criticism of a Service (whether it's the Forces, Police, NHS or Whitehall's Civil Service structure) doesn't imply criticism of all its employees. Don't be so tetchy. ;)
 
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