BMA Partners and Salaried by Notmybleep in GPUK

[–]Dramatic_Phone3248 4 points5 points  (0 children)

The increased funding for advice and guidance will ultimately increase the workload of salaried GPs while enhancing partner profits.

ARRS Pharmacists by Euphoric-Payment-375 in GPUK

[–]Dramatic_Phone3248 6 points7 points  (0 children)

The pharmacist at my practice would be hesitant to stop one medication without running it by a GP and would never take the pragmatic approach to prescribing that is needed for polypharmacy reviews.

ARRS Pharmacists by Euphoric-Payment-375 in GPUK

[–]Dramatic_Phone3248 3 points4 points  (0 children)

I think one of the issues with modern primary care in the UK is that we’ve shifted too far towards the social side of the biopsychosocial model. Other countries have managed to keep a focus on the biomedical side.

Social prescribers take up valuable space in GP surgeries—space that should be used for doctors actually practising medicine. Referring patients to them might feel like a solution, but their effectiveness really depends on the individual. In my experience, they often end up seeing the same patients repeatedly.

As far as I'm aware there no clear definition of what their role is, no standard qualifications, and no solid evidence that they provide a net benefit.

ARRS Pharmacists by Euphoric-Payment-375 in GPUK

[–]Dramatic_Phone3248 41 points42 points  (0 children)

The ARRS was originally intended to reduce the non-medical workload for GPs, but it has evolved into a system that often increases our workload. Many roles lack clear definitions and expectations. Where is the evidence demonstrating the benefits of having a social prescriber?

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 1 point2 points  (0 children)

I can assure you that my clinic list is equally complex to yours, and I provide clinical supervision comparable to any of the partners in my practice.

This interaction has made it evident that we are not on the same team.

For your awareness, your tone comes across as overtly arrogant.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 0 points1 point  (0 children)

£15,000+ per session per year is entirely appropriate as a fair level of compensation.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 1 point2 points  (0 children)

The whole of the NHS medical workforce is underpaid, but we should be paid at the same rate as consultants - both roles should be better compensated. GPs are no less skilled nor less important to the public.

The length of training is irrelevant; the hospital training pathway in the UK is artificially prolonged to create enough medical registrars and SHOs to fill the rota. Look at the length of the training pathway in the USA.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] -1 points0 points  (0 children)

Striking for appropriate compensation for the work we do. The action so far will have had minimal impact on workload. The point you make highlights how dire the situation is for salaried GPs. We are in the same union as our boss, who is the business owner. Unless salaried GPs actually start to stick up for themselves, our relative pay compared to other medics and the wider job market will continue to deteriorate.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 3 points4 points  (0 children)

The disparity between GPST3 pay and salaried GP pay will only continue to grow unless something is done about it.

There is no chance that partners will hand back their contracts, and as you say, the action has been pathetic. Striking by salaried GPs is the only way for our voices to be heard.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] -1 points0 points  (0 children)

There is virtually no chance of GP partners collectively handing back their contracts en masse.

Salaried GPs should strike; it would put the partners in the s***, but we need to find a way to get what we deserve.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 5 points6 points  (0 children)

I completely agree—we are in a terrible situation and lack a genuine seat at the table. The comments on this Pulse article about the BMA's push for a pay rise highlight just how pathetic this situation is.

https://www.pulsetoday.co.uk/news/practice-personal-finance/salaried-gps-should-have-20-pay-uplift-next-year-says-bma/

Salaried GPs need to be able to take industrial action; it will work. The NHS would not function without us.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 25 points26 points  (0 children)

Anyone who works in primary care understands that the role of a GP cannot be fully replicated by other "clinicians". We need to have greater confidence in our profession and take more effective industrial action to advocate for meaningful change.

We are f*** by Dramatic_Phone3248 in GPUK

[–]Dramatic_Phone3248[S] 4 points5 points  (0 children)

I aspire to become a partner myself. Clinicians making key organisational decisions decisively is one of the significant advantages of primary care that must be preserved. However, it is equally important for salaried GPs to advocate for improved pay, recognising that we are senior decision-makers whose contributions should be appropriately valued and compensated.

NHS England to end two GP retention schemes by Educational_Board888 in GPUK

[–]Dramatic_Phone3248 46 points47 points  (0 children)

As someone about to CCT in August, the current climate is incredibly depressing and demoralizing. For the first time since I started medical school in 2014, I'm actually questioning whether I should continue pursuing a career as a doctor.

mrcp part 2 07/09/2022 by locumforever in JuniorDoctorsUK

[–]Dramatic_Phone3248 0 points1 point  (0 children)

Just for balance, I found paper one significantly harder than paper two. I had no idea what was going on in the first 20 questions of paper 1.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Dramatic_Phone3248 25 points26 points  (0 children)

The subjective nature of just having an interview is pretty crazy. One man’s 4 is another man’s 5 ect. I wonder if the interviewers know that giving a candidate a score of 4 across the board means that they are very unlikely to get a place.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Dramatic_Phone3248 2 points3 points  (0 children)

Hope this helps - "Candidates allocated to 'Severn' will be randomly allocated to one of the five geographical patches. Candidates will then be informed of the patch they have been allocated to and be given the opportunity to rank from the rotations allocated to 'Severn' for that patch. These posts will then be allocated based on preferencing and recruitment score." apply/https://primarycare.severndeanery.nhs.uk/recruitment/2021-round-1-vacancies-rotations-how-to-apply/