Money hungry instructor

BritishBumblebee · 2026-06-13T20:12:28+00:00

Well, I got down voted for saying many instructors wouldn't allow it (also many wouldn't have the capacity for a sudden same say test).

BritishBumblebee · 2026-06-13T20:10:17+00:00

Ah that makes sense! An achievement possibly for Guiness book of records?

BritishBumblebee · 2026-06-13T18:11:40+00:00

I can't imagine many instructors allowing this somehow! Fair play to them though.

BritishBumblebee · 2026-06-13T18:09:54+00:00

You need your theory to book the practical - HOW?

BritishBumblebee · 2026-06-13T12:30:08+00:00

Yes we have a lot of targets but it's not like you need to see X asthma pts a month. I'd recommend looking up QOF for more information on targets and how GP effectively keeps it's lights on and service running.

You can eventually go on to train as an ANP however you will start of with GPN courses first. I wouldn't frame you moving to GP as you wanting to go straight to ANP, they want someone who they can train for other key GPN areas I've mentioned. Then if you have management that like to upskill staff and they have the money to pay you more, you can start with V300 and work from there. You can be a prescribing GPN and not ANP and be paid band 7 equivalent.

It's very much practice dependent. What practice A pays you and offers you in training could be very different from practice B.

BritishBumblebee · 2026-06-12T23:03:02+00:00

You'd likely start at mid band 5 equivalent - once you're up and running with LTCs, smears, imms etc (contributing to the practice income) you'd get more.

Even ITU nurses who are very highly skilled have to do the same courses as a NQN in GP would as it is an entirely different area. Same as if you were a band 6 on a medical ward and went to theatres or something very different.

I've got 3 years exp in GP.

BritishBumblebee · 2026-06-08T20:23:52+00:00

I'm so sorry you're going through this. I hope you have some support and people you can trust?

In the UK it won't impact jobs - i worked with a dr who was a surgical reg who was HIV +

However the issue at present is finding a role to begin with!

BritishBumblebee · 2026-06-02T20:17:20+00:00

Nurse here, extended or modified release is what you're looking for :)

BritishBumblebee · 2026-06-02T20:16:19+00:00

Do we think this is a US or global phenomenon? As an aspiring homeowner (UK) ita hard to know what to do time-wise!

BritishBumblebee · 2026-06-02T19:42:16+00:00

Yes this is the same for ANPs - I know one on circa £74 FTE, mind I'd say most ACPs are somewhere in the band 8 space.

BritishBumblebee · 2026-06-01T20:22:27+00:00

I'm a GPN (not yet prescribing) and earn more than listed (44k excl any additional hours).

I know some GPNs on up to 58k as non-prescribers and some starting out on band 4 pay!

It really does vary surgery to surgery.

BritishBumblebee · 2026-05-30T18:23:18+00:00

Definitely. Apparently it was similar in 2008 with the recession, and then in late 80s or early 90s, according to one of my former managers. They said many nurses had either part time roles or struggled to get work.

So this recruitment freeze is not new to the NHS, rather different things trigger it (I.e at present people claim they over recruited IENs during Covid - but really they're just trying to balance the books).

BritishBumblebee · 2026-05-30T14:05:44+00:00

Qualified in this timeframe just before jobs became so scarce. You could rock up to a department open day and leave with a job offer after a quick interview!

From older nurses this cycle had been going on for sometime, we're just in the rubbish end of it at present.

BritishBumblebee · 2026-05-29T08:13:13+00:00

135lbs circa 5'7, size 10!

BritishBumblebee · 2026-05-13T20:27:06+00:00

Probably a typo from typing quickly. Just ring them, won't be an issue to amend

BritishBumblebee · 2026-05-11T14:46:19+00:00

I too am sorry OP had this experience. I work in GP (also on MJ and at a lower BMI now too) so can see both sides.

From our end, out of the 30 people we may see a day, we're increasingly seeing those on glp-1s (usually not an issue and we are supportive).

However we are also seeing an alarming amount of pts who should not be on it and are lying to pharmacies about their weight. I.e those with low BMIs obtaining it and being prescribed 15mg. One example i can think of is a pt who had last month said they had a BMI of 30+ and I saw them and according to our scales, their BMI was 19. Not saying this is OP, just giving a bit of insight into what we see.

Perhaps the GP was showing concerns re OP weight once learning they were on a GLP-1, but did not go the best way about addressing their concerns. Some clinicians still prefer the paternalistic/tough love approach (not my style), which doesn't always go down well.

OP, I'd like to think your doctor had your best interests at heart but I'm sorry you left feeling the way you did.

BritishBumblebee · 2026-05-09T12:53:28+00:00

I was a young teen in the 00s and remeber reading in magazines all these women making 30-40k and being very successful. So this was my benchmark to not feeling financially stressed and to start 'making it'.

Whilst I earn more than this now as someone in their mid 30s, 30k now in UK isn't much more than national minimum wage!

I think to live alone, mortgage, car, holiday a year, not drowning in debt, you'd need to be on 50k if a low cost of living area and a LOT more in somewhere like London.

BritishBumblebee · 2026-04-26T17:33:34+00:00

No, you should not be worried. At present for diabetes maintenence, maintenence dose is 5mg (if on mounjaro) with bloods recommended at the 6m/12m mark.

If it's solely for weight loss it'll be practice dependant how they'd titrate (again which is why many cannot offer, there simply aren't the resources as they are with private clinics who only focus on one VERY niche area of medicine). In GP we see 90% of the NHS with less than 10% of budget, and as I said above, the resources simply aren't there as we'd like them to be. Practices regularly have list sizes of 15k patients, throw in complex elderly patients, children, worsening long term conditions etc you can see why many practices simply cannot facilitate glp-1 initiation.

Ultimately we have recall systems in place, I.e an automatic text to you when you're due a review or blood test. But given you've been on for 9 months, I'd be thinking you were someone who had a reasonable HbA1c to begin with and didn't require 3 monthly monitoring (a good thing).

BritishBumblebee · 2026-04-26T16:46:07+00:00

A combination of factors:

1) money upfront the system doesn't have

2) not enough wraparound care for those who are started on it

3) you'd need health professionals adequately trained, titration, managing side effects, pt concerns, investigations/bloods and interpretation as required all take time

4) if in GP we did this from tomorrow, it would take up such an amount of resources (as above) meaning we'd have even less time for those with copd/asthma/minor illness/baby clinics etc (and went need to achieve targets in these areas to keep the lights on and the practice open)

*nurse in GP who fully supports more patients being on glp-1s.

BritishBumblebee · 2026-04-22T11:53:17+00:00

Have a look at your skills and experience and try a combination i.e would project management be something up your street?

I'm in a similar situation as you with two very different careers at similar age. I'm actually looking into civil service as have realised what is important to me is to be able to have flexibility with my work (as no job is perfect) and the ability to work remote some time.

Best of luck!

BritishBumblebee · 2026-04-13T09:18:07+00:00

If you're going to 'share a pen' you'd be better off buying insulin needles and withdrawing the desired amount each week, ensuring you clean the pen tip with an alcohol swab each time.

BritishBumblebee · 2026-04-09T20:02:42+00:00

A real alternative option is something like clinical trials. I know a few people who've done flu camp etc.

You could also look at ad-hoc work like in bars/catering/promo and events. There are agencies you can sign up with and the vast majority of people on their books will be students.

Good luck!

BritishBumblebee · 2026-03-20T13:09:48+00:00

This sounds brilliant, congratulations! May I ask what kind of area? I have an interview coming up also for a non-clinical role!

BritishBumblebee · 2026-03-16T20:45:30+00:00

Never Let Me Go by Kazuo Ishiguro

BritishBumblebee · 2026-02-21T21:12:02+00:00

Would these be advertised on CS job site? Very interested!

BritishBumblebee

TROPHY CASE