Whose record is it, anyway?
Dr Chris Lancelot
There is a point beyond which I stop being amazed and simply despair. A recent poll by the Medical Protection Society has found that 40% of patients think they should be able to amend their medical records without their doctor’s approval, and – wait for it! – three quarters of patients believe their records should be written in simple language, avoiding medical jargon and terminology.
Can federations help GPs to live long and prosper?
What have Earth, Vulcan, Tellar, Andoria, and Alpha Centauri got in common?
Right now there are two kinds of people reading this – the ones who will die a slow painful death trying to look for a connection, stars? moons? book characters?- and the ones who will reach old age and grow rich because they know the answer.
Who is to blame for this NHS 111 out-of-hours nightmare?
In my time I’ve done my fair share of out-of-hours work. I still do a bit when the registrars need experience. It is without doubt one of the most challenging facets of general practice.
HMRC, ‘sweetheart deals’ and GP car insurance
The Guardian reported a leaked document this week which disclosed that HM Revenue and Customs (HMRC) was paid £4.5bn from four ‘sweetheart deals’.
These are arrangements that HMRC comes to with taxpayers. Now that sounds like a lot of money to you and me, but as Margaret Hodge, chairwoman of the Public Accounts Committee asked: ‘How much did they not get?’
Returning out-of-hours responsibility to GPs would be ridiculous
Dr Chris Lancelot
Whenever an ultra-successful Roman general was awarded a ‘triumph’ – a procession through Rome with captives and booty – he had in the back of his chariot a slave whose sole job was to repeat, time and again, ‘Remember — you are only a man’.
Jeremy Hunt takes a Suarez-shaped bite out of GPs
I’m open to what’s-his-name being a substitute. Lets face it, the Silver Fox was the real health secretary, but he didn’t get to the promised land. Even so, as a substitute he’s gone a bit Louis Suarez and then some.
GP practice mergers and is bigger better?
I have had a number of GP clients who have taken over or merged with other practices, some have done well, and others fared worse.
The reasons are complex, but to put it into a simple sentence, the success stories are where the more successful practice gets involved with the less successful.
Hunt misses point when blaming GPs for pressure on A&Es
I was speaking to a GP client this morning, discussing the current state of general practice and the depressingly familiar view of the future when an email message popped up on my screen: ‘Hunt wrong to scapegoat GPs for pressure on A&E’.
Don Berwick and how can GPs become capable of the transformation required?
‘What’s my motivation here?’ is apparently a phrase which actors use to ‘explore their characters’.
It’s an interesting concept, perhaps one we might think about applying to our medical practices. All those parents who thought I was jabbing their little prince or princess out of pecuniary interest should look at the storm of activity in Swansea to realise that sometimes as GPs we work for a higher cause than money.
Dear GMC, Why this GP blogger is remaining anonymous
Dr Chris Lancelot
An open letter to the GMC.
Dear Sir Peter,
I was concerned to receive the GMC’s recommendations about doctors’ use of social media — particularly that doctors who blog, tweet or use Facebook should identify themselves. As you will know, this has caused a great deal of consternation among many anonymous medical bloggers.
How the French use top-up payments for their treatment
My other, some say better, half – Madame Custodes comes from a nation across the water, not the Isle of Wight, but further afield. A country where small men with much taller, beautiful partners tend to rule.
‘Sneaky’ changes in GMS Premises Cost Directions
If you have a spare moment or two and you want to find out how the funding of GP premises works, the GMS Premises Cost Directions 2013 make interesting reading.
It covers all forms of reimbursement, for those GPs to pay rent and those who own their own surgery.
Are there superbullies in the top NHS echelons?
Dr Chris Lancelot
The more I see of the NHS post-Francis, the more uneasy I’ve become. A slow progression of events has led me to feel that there is something extremely unpleasant lurking underneath. And I mean really unpleasant.
Tying the knot with CCGs and the honeymoon is here
The honeymoon is here. The engagement took a long time, and the ceremony was very public but we’re finally in bed together, really doing it, committed together forever.
Thing is, I remember her being a lot more attractive when we first stated going out. She was going to take my name, engage me in her plans, had lots of money, promised freedom, no strings attached.
GPs pressured into signing leases can’t be evicted
A piece in GP caught my eye, confirming that GPs in health centres which were being pressurised into signing leases on the transfer to PropCo could not be evicted.
Of course they won’t. But what this shows is the typical management nonsense that dogs general practice. For years – actually decades at least, GPs in health centres have effectively had a license to occupy and pay service charges on a negotiated basis without the formality of a lease.
Latest jobs Jobs web feed
- SALARIED GP (female) Mount Pleasant and Earlsheaton Medical Centres Dependent upon experience, Dewsbury / Batley, West Yorkshire
- Full Time GP Partner/ Salaried GP Newtown Medical Practice Negotiable, Mid Wales/Shropshire Border
- Salaried GP's Avicenna Medical Practice Negotiable and to include benefits, Bradford, West Yorkshire
- Part-Time Salaried GP (with a view to Partnership) Culcheth Medical Centre Competitive Salary, Warrington, Cheshire
- Full-Time Partner Badgerswood Surgery Negotiable, Hampshire/Surrey/West Sussex Border
- Full Time Partner/Salaried GP (8 sessions) to replace retiring Partner Stirling Road Surgery Details available on request, Devon
- Harmoni admits running out-of-hours centre with no doctors
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- TV show seeks GP couple as presenters
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- NHS threatened by US trade deal, warns Lord Owen
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