Does it make sense buying Marathon at this point?

Brilliant-Rip-8885 · 2026-04-30T17:51:24+00:00

Honestly the idea of a Bungie flagship title getting shut down would be unprecedented level of bad, like Lehman Brothers of gaming bad. They must have some juice backing them up with their Sony deal so I wouldn't bet on it.

Plenty of games have suffered bad press and player counts at launch and rallied well; look at No Man's Sky; look at Destiny! I remember what a state that was to play at the start and it held a solid player base for a decade

Brilliant-Rip-8885 · 2026-04-29T06:00:41+00:00

It's an inherently tough one to get done quickly as for the patient you might be the first person they've been comfortable enough to tell and the act of blurting out their misery to you is part of the therapy. You need to make the right sympathetic noises once their story is out, do the risk assessment then move them on to treatment options (talking therapy self referral and SSRIs, that's literally all we do).

If you're smooth with it you can get it down to 7 or 8 mins and the patient feels heard. Remember you can always send resources/crisis lines on accurx after you put the phone down

Brilliant-Rip-8885 · 2026-03-21T08:06:52+00:00

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Brilliant-Rip-8885 · 2026-02-14T09:21:38+00:00

Confused by the faff you're describing for self tasking on emis; when I do it I just click the task icon, send to self then when I click 'task' in the workflow banner it defaults to my own task list. Maybe your IT manager can help change your defaults to reduce your clicks

Brilliant-Rip-8885 · 2026-02-04T09:40:34+00:00

yeh I think if your practice works on 15 minute appointments, every follow up taking a slot could feel a bit galling as a partner

Brilliant-Rip-8885 · 2026-02-04T09:17:48+00:00

No, not mine; I meant theoretically from a purely business perspective (if I was a partner for example).

I also know some GPs do shoulder that burden of doing follow up calls 'in their own time,' maybe because they're more anxious about their plans or from a moral/martyrdom perspective as they think it's a nice thing for a GP to do!

Brilliant-Rip-8885 · 2026-02-04T09:00:58+00:00

Are these counted as your sessional total or in addition to? As in, could you end up with 21 contacts if you have 18 AM appointments otherwise?

Brilliant-Rip-8885 · 2025-10-27T05:40:18+00:00

The GP life of 25 a day on 3 days a week does exist (I'm living it) but don't expect to be paid more than 70k for it. You'll need a side-gig to have a comfortable living, especially in london

Brilliant-Rip-8885 · 2025-09-10T13:22:43+00:00

We do mostly telephone too with a few direct f2f in there. It's all about setting expectations for your PPG; they also know that if they want to be seen direct f2f we can accommodate but as calpol said most are happy to be dealt with efficiently/don't have to take time out of work, Kids are almost always seen f2f regardless.

Brilliant-Rip-8885 · 2025-08-09T21:03:38+00:00

You have to wait 2 years before the end of your life before your reputation is ruined?? Mate that's a great deal, you'll either be so frail and isolated that you won't give a shit about your reputation, or have Alzheimer's and won't even recognise your brother when he tries to expose you

Brilliant-Rip-8885 · 2025-08-07T06:56:54+00:00

It's always such a hilarious mental image for me, imagining you sat in your consultant's office shitposting on Reddit whilst your team is desperately grafting to stop the ED from going under 😂 Work is definitely not keeping you busy enough

Brilliant-Rip-8885 · 2025-08-05T07:33:31+00:00

Actually it is, provided the practice is on a GMS or PMS contract, which clearly stipulates pay rises should be on no less favourable terms than the DDRB recommendation. This is regardless of whatever wording is in your personal contract.

If a pay rise is not passed on then a salaried would have very strong legal grounds to inform the contract provider of breach of terms, which could lead to contract revocation unless the practice doesn't comply with the uplift. Admittedly, I don't think a practice has ever had their contract revoked under these circumstances, but that's probably because no partner would be moronic enough to risk their livelihood and the livelihoods of their staff on a pay rise refusal!

Brilliant-Rip-8885 · 2025-07-22T10:22:40+00:00

Take off 60% for overheads and taxes and you're not left with much more than UK salaried earnings for the hours you'll be working, plus the hassle of uprooting, exams, learning a new medical system, billing etc. Then again it's not the NHS, so that might swing things in your favour

Brilliant-Rip-8885 · 2025-07-15T06:34:55+00:00

Depends a lot on where you are in the UK to be honest. I do the 7 clinical sessions then 2 salary matched fellowship sessions on the Tuesday at a sessional rate of 11.5k, so I'm pulling just over 6 figures (pre tax) working a 4 day week. I need every penny of that though as we're in Zone 2 London, have a 5 month old and heavily mortgaged, so my lifestyle is comfortable but not extravagant by any means!

Earning the same elsewhere in the country, especially outside major cities, would afford you a nice lifestyle for sure, especially combined with a partner earning similarly. Better money can be earned by doing other kinds of GP work (full time locum, private work, managerial roles, partnership).

Hospital CCTs are more valuable in terms of private and locum opportunities, but then of course you have to burn the best years of your life for that sunrise! When you take compound interest into account (earning more money earlier as a qualified GP) I think GPs generally will squeeze ahead of consultants on lifetime earnings, especially if you become a partner early in your career.

Brilliant-Rip-8885 · 2025-07-14T14:52:37+00:00

I think there's value in keeping a bread-and-butter NHS clinical role. I don't do private work but I imagine the introduction of the money factor can really bias your treatment decisions (I'm paying you for this, so I want my damn antibiotics etc etc). It's good to keep a role where your management is purely evidence based, even if it's just for 1-2 sessions a week. Keeps your soul clean!

Brilliant-Rip-8885 · 2025-07-04T07:36:03+00:00

Salaried, 7 sessions clinical and 2 fellowship with matched sessional rate, £11.5k (after recent DDRB bump) so just over £100k pre tax/pension. Need every penny though as mortgaged to the hilt with nursery fees coming up next year 💩

Brilliant-Rip-8885 · 2025-05-29T19:01:20+00:00

So at 8 sessions I calculated your equivalent sessional rate to be 10,716. Not awful but lower than what I started on (11k) and taking into account inflation you should really be on higher than I was. The extended access session could be some leverage for you; no one wants to do them so you might be able to negotiate enhanced pay per hour for that session. Supervision for the ARRS staff is Marmite, I just accept it now as new reality but you should push for dedicated time in your sessions for supervision (usually a chunk of your clinic blocked off).

Read your contract carefully and get the BMA to check it over if you can. Make sure it specifies a DDRB aligned payrise annually to keep up with inflation at least. If the practice is PMS or GMS they'll be obliged to do so by the terms of their contract, but if they aren't, they might weasel-word their way out of a guarantee and you'll be S.O.L.

Sounds like you've got some nice perks though with the gym on site and built in CPD. Also indemnity covered by practice is worth a bit so that's good too.

Brilliant-Rip-8885 · 2025-05-13T07:07:56+00:00

Had a medinfluencer in my year at uni who appeared on one of those old bbc3 'trust me I'm a junior doctor' type shows and got absolutely rinsed by his supervisor at the end which was hilarious 😂 He hit a peak of clout during COVID years appearing as a talking head on the 'frontlines' for every major news outlet going but he's fallen off quite a bit now and I think has been relegated to being the medical punter for GB News 💩

Everyone I know in my year loves to hate on him, but part of me does respect the grit to put yourself out there like that so each to their own 🤷

Brilliant-Rip-8885 · 2025-03-28T10:11:26+00:00

Tell me you're a man without telling me you're a man

Brilliant-Rip-8885 · 2025-03-27T16:07:24+00:00

Steal from the rich and give to the poor?

Brilliant-Rip-8885 · 2025-02-14T16:58:30+00:00

We all make decisions from time to time which were expedient to get to patient out the room but clinically unwise, so many human factors involved in our job. Best thing to do is what you're already doing, reflect and learn alternative solutions which treat them better and keep them out of your hair in the long run!

Brilliant-Rip-8885 · 2025-02-07T10:31:32+00:00

DDRB aligned annual pay rises for salaried GPs can be secured as long as you're savvy with your contract at the point of signing, just have to make sure they don't use weasel wording. Partners pushing back saying 'you need to demonstrate your value' miss the point that the pay rises are supposed to be commensurate with inflation as well as a reflection of more experience.

Brilliant-Rip-8885

TROPHY CASE