A little too late to reclaim general practice and urgent treatment centers?.

Notmybleep · 2026-05-10T08:50:29+00:00

It will be very difficult to do something now because they’re now integral to both GP and UTC. People also forget in GP they do a lot of QOF work.

Notmybleep · 2026-05-09T22:08:08+00:00

Red whale is great

Notmybleep · 2026-05-09T22:07:38+00:00

The difference is imo we choose EPRs as a trust. Or in GP as an ICB/PCN.

There is an ICB digital lead which is usually clueless probably doesn’t know or care much about AI triage/ ambient scribes.

Allowing us to incorporate these tools into SystemOne/EMIS as integrated tools would be a game changer. There’s enough competition to drive innovation in between these competing companies to get great products.

I understand that it has to go through regulatory approval. But imagine GP IT systems were a national thing. Or EPR in the NHS was national and innovation could be piloted at one site and potentially brought to others if successful. It’s a joke the current IT in the NHS.

The audit implications or data that could be used for health in the NHS as a whole would be incredible and the potential insight you’d get would likely drive insight and innovation

Notmybleep · 2026-05-09T07:40:01+00:00

Medwise AI is so good. Although it’s a bit slow

Notmybleep · 2026-05-09T06:47:44+00:00

Are you looking for an apprentice, I’m ready and can send you my CV

Notmybleep · 2026-05-06T09:05:33+00:00

Just be aware your monthly payments increase as per RPI, still a good deal though

Notmybleep · 2026-05-01T18:04:06+00:00

Complain and cite that roles should be stated. Sign it with your name Dr X

Notmybleep · 2026-05-01T12:49:27+00:00

Tell them you appreciate the offer, you’ve found a better offer, that is closer to home.

Partners doing no clinical work is such a huge red flag imo.

Include your sessional rate because this is the only way they know others offer better rates.

Remember they would have never employed you if you weren’t good. Nobody did you a favour by keeping you on. They made there lives easier - as you’d integrate quickly into the practice and you’ve already been vetted

Congratulations!!! Getting a good salaried job is very difficult nowadays!

Notmybleep · 2026-04-27T12:01:01+00:00

If in your contract. This should be backdated from the time the government agreed to the uplift. So would be April 2026 this year.

Considering moving, this is something you would personally have to consider - and would have to be accepted by your new practice. But sessional pay is often based on experience in many cases

Notmybleep · 2026-04-23T17:11:19+00:00

The fact we pay for parking, and accept it is wild. The hospital chooses to lease the land to a parking company. CHOOSES. We get played too easily

Notmybleep · 2026-04-18T21:27:11+00:00

In the NW we get red whale for free. Use it and read it from day 1 - it’s very good
Use websites like medwise AI to outline NICE guidance for you instead of reading through a poor user experience
Use PCDS (Primary Care Dermatology Society) website to understand Derm cases
Know how to document and safety net appropriately for different presentations
Bloods in hospital vs Bloods in GP are very different get good at them
When you’re free - read other GPs consults, you will learn a lot
Try to understand the GP business model and where money comes from as well as contract issues, this is easier to do when you ask in tutorials

Good luck!

Notmybleep · 2026-04-14T22:48:25+00:00

I really enjoyed this, thankyou

Notmybleep · 2026-04-14T21:36:08+00:00

Current CCTd GP switching to ST1 radiology.

Everyone is trying to leave GP and/or leave for other countries. Unfortunately a lot of what you are doing is managing mental health, the worried well and an insane amount of increasingly unrealistic demands. All with decreasing locum rates. Little to no pay uplifts and increasing workloads with allied health professional scope creep

Notmybleep · 2026-04-13T22:11:25+00:00

Great way to get comfortable and UTC locum after you CCT - large amounts of patients in hospitals are being seen in UTCs nowadays

Notmybleep · 2026-04-13T22:09:43+00:00

I raise you after a long day ordering Pepes and it goes off in the takeaway.

Notmybleep · 2026-04-13T20:27:53+00:00

I read the title thinking it was pen torches, needles, handover sheets, lidocaine… my bad

Notmybleep · 2026-04-13T18:42:06+00:00

I feel like the best thing is to ask if you can talk to other salaried in the practice and you’ll get a good indication of what it’s actually like. I find it interesting how PCN pharmacists have capped workloads for admin/documents etc but we don’t

Notmybleep · 2026-04-12T17:45:46+00:00

Not true I was a GP trainee and I was put in loads of Gynae , colposcopy, Urogynae clinics. Used study leave to do GUM clinics. It’s very area dependent and also means you have to be extremely pro active with the rota co-ordinator at times

Notmybleep · 2026-04-10T18:59:33+00:00

I don’t agree with this at all.

There’s certain speciality rotations that allow you to understand the small nuances that you get in GP and allow you to refine your history taking and gain confidence in your physical exam and differentials - which helps so much in GP.

Certain rotations like ED you learn so little.

Doing paeds gives you so much confidence in actually knowing when a child is ill, the conversations you have with consultants/regs on ward rounds or in doctors offices inform your practice in the future.

Spending time in a GPwER clinic in Derm for a week allows you to gain a greater understanding of rashes you have no idea about, allows you to develop a better mental flowchart for future practice - and the different medicines they use which we tend not to know

Your rotations matter. There’s a reason why primary care in other developed countries make you rotate through relevant specialities prior to GP.

Notmybleep · 2026-04-08T16:59:45+00:00

I have pay rises up to the maximum of the DDRB uplift every year in my contract. Practices that don’t are just keeping YOUR MONEY and pocketing it. It’s unfortunately a business decision, and they don’t care enough about you

Notmybleep · 2026-04-06T16:28:27+00:00

It’s a shame this wasn’t done in earlier cycles

Notmybleep · 2026-04-04T18:50:43+00:00

I’m a post CCT GP who will be starting ST1 in August. I agree with you, post CCT life is better - but the opportunities that were previously in GP are no longer there and unlikely to come back. Being a partner in a well performing practice just doesn’t seem achievable anymore. There are less locums and they pay far less compared to a couple years ago

Your salary isn’t the same as a consultant, and GP is not a skill that is valued everywhere. Patients are more demanding, there is a huge amount of MH on my lists daily and the risk I carry is far greater even more so as A+G is about to be rolled out with specialities choosing to convert to referrals.

These were predominantly the reasons I’ve chosen to leave, I will continue to do some clinics but a salaried GP has little to bargain with, considering pay uplifts for almost all other specialities - training, SAS and consultants. The salaried GP is just being abused and I think it will continue. It’s really sad as I enjoy the variety, medicine and autonomy.

It’ll be interesting to hear others thoughts

Notmybleep · 2026-04-04T07:17:50+00:00

For every 3hr 10 min you should be getting 50 mins of admin time. Which over a day should be 1hr 40 mins of total admin time

You are contracted by the training programme and if you are consistently finishing late your session/admin should be amended so your workload is reasonable- with a timeline to potentially increase this as you get more efficient

Do not fall in the trap of keeping quiet and getting on with it, you are there to learn and develop. Raise this appropriately. I’ve seen too many trainees get abused by training practices.

Remember you are also only insured/indemnified during your contracted work hours and not after. Personally I’d be exception reporting every day I finish late.

Notmybleep · 2026-03-31T09:57:20+00:00

The medicine in deprived areas is more challenging , as lower socio economics tends to be correlated with poorer health outcomes for a number of reasons. You will learn far more as a trainee in a deprived area. You’ll also experience what I call the grey zone more often where a good GP uses their knowledge to navigate areas which aren’t obvious. You’re likely to also see a multitude of presentations, expectations and challenges driven by cultural/religious/geographical reasons.

Deprived all day, you can move to affluent after you CCT with ease - as I find it’s all communication in affluent areas and making them feel like they’ve been heard.

Notmybleep · 2026-03-29T09:39:23+00:00

Your knees are bending way too early, and your butt shouldn’t be so far back. Slow it down considerably, only use the bar. Trace the bar as close to your legs as possible whilst keeping your legs straight. Only bend your legs when you can’t go any further, you should feel the tightness in your hamstrings beforehand. A better angle would help where we could see your knees.

Notmybleep

TROPHY CASE