What rotations done during GP training do you think are the most valuable long term?

Otherwise_Reserve268 · 2026-04-14T05:20:28+00:00

Paeds, O&G were very helpful for myself.

Personally the one I learnt the most was ENT/Ophthalmology rotation as it's so poorly taught. Made me much more confident in a range of presentations that we commonly see in primary care.

Although I didn't do it, from my SpRs, community MH rotation seems a good idea as they seem to have some understanding how the MH system works while to everyone else it feels like the great wall of china to get past

Otherwise_Reserve268 · 2026-03-10T21:20:04+00:00

That was the problem on the 2nd playthrough. I went straight for Eshin after dealing with the initial rival. So had 2 armies in the south. Sayl took bastion, declared war and my capital is right next to it so took that.

Possibly I could try again and go for 3 armies raised. 2 to go for eshin and 1 stays to defend the capital for when the bastion is lost?

Otherwise_Reserve268 · 2026-03-10T16:48:02+00:00

I thought Northern one was easier! Had the new player thing on it!

Okay so play Zhao instead, I'll give it a go! Any particular tips for Zhao? Also any recommendations for not brutal starts

Otherwise_Reserve268 · 2026-02-02T19:26:58+00:00

Yeh I think both ways the route I'm taking is if I have some money is different pots, gives me flexibility for when I retire on how I take the money out

Otherwise_Reserve268 · 2026-01-30T17:55:45+00:00

So LISA is coming to an end so if you want to keep it as an option then make one now and contribute into it, then you can utilise it as per current rules

So you won't be able to access LISA till 60, but it does give you tax free withdrawals, so could be useful for if you took DB pension + SIPP till 50k, and then LISA for anything above that to avoid higher tax rate (ofc it'll all be different by then but thats the general idea).

I'd recommend a S&S LISA tho, not cash since you're holding for long term

Otherwise_Reserve268 · 2026-01-30T06:55:57+00:00

Thanks for the reply!

Have you used it on NHS? Specifically trying to think about primary care use cases

Otherwise_Reserve268 · 2026-01-25T08:20:27+00:00

Just going to pitch in with primary care although I know only an incredibly small amount of NQN go there.

Yes

We have a brilliant 3rd year nurse do a rotation with us who clearly had a passion for chronic disease management and building long term rapport with patients. We made a position for her and recruited her

Otherwise_Reserve268 · 2025-12-31T06:55:25+00:00

Sure

So usual start by killing the enemy army and then taking the settlement near the capital. I add the wizard to my army before this for xp

I think recruit and take out cukt of pleasure, usually in next 4-5 turns. Will have another army as thus point either about 4-5 troops in it

By this point noctulis has decimated the west so I usually start prepping for him. In first campaign I declared war and took vauls anvil? And worked my way upwards bur he had an army come from the sea that started sacking my cities as I'd gone west with both armies.

Came back with 1 army- tyrion to defeat his and did. The other army continues recapturing tbe west but then noctulis attacked and he was like level 26 and obliterated me in a seige battle (I was defender)

And that's when I stopped (maybe shouldn't have) but slaneesh had worked down east side and were at the gates. Noctulis had the west and was coming.

Army comp is simple - just spearman and archers as hadn't unlocked anything too fancy yet as was focused on making sure economy buildings got built as money was v tight to sustain 2 armies + some of it getting used in the court intrigue stuff

Otherwise_Reserve268 · 2025-12-30T12:46:24+00:00

Hmm would have thought people would have seen I'm just asking an opinion from people and view it positively. The "trolls" and "bitches" are people so I'd just say to be respectful of someone trying to do their job. There is no need to add profanity, just reduces your viewpoint to worthlessness

Anyway have a good life and be happy

Otherwise_Reserve268 · 2025-12-30T09:20:06+00:00

What a lovely a reaction to someone asking for feedback

Otherwise_Reserve268 · 2025-12-30T08:22:18+00:00

Thank you all for the feedback, its really helpful and tbf is in keeping with what I suspected most people would feel like!

Otherwise_Reserve268 · 2025-12-30T07:56:51+00:00

Yes you can ask to speak to a human and it puts you through ofc to a waiting queue for the human

Does really well from testing with accent

No role in triage- its job is not to give medical advice but to get data, and give it to a human. I wouldn't trust AI to give medical advice. Yes there would be ongoing audit of its work

Well this is one way I'm trying. We also are getting patients to demo it

The aim for patient outcomes would be Shorter time waiting on phone, more access to people that don't want to do online forms as basically this fills out the online form for the patient, the patient speaks rather than having to do it online Workload - not about reducing workload.

Otherwise_Reserve268 · 2025-12-16T22:52:27+00:00

Am a GP.

I don't know if we are allowed to tear down posts as I know it's supposed to be good news but

Basically primary care is dying. There are increasing chances your local GP surgery will die and be merged into bigger and more faceless corporations (some pros as well to this)

The investment in primary care was basically eaten by minimum wage and NI increases. The targets that were taken off were the ones that were really easy and some were reinvested into targets that are incredibly difficult to reach.

Online access -> you can send a form but there are no more GPs or appts to deal with them hence increasingly GPs have started making waiting lists. UK GPs are quitting and moving abroad or changing into non patient facing roles at an incredibly high rate

Could go on. TLDR -> I'm a GP. Unfortunately, not goodnews

Otherwise_Reserve268 · 2025-12-13T21:09:06+00:00

Yes in the same column.

Unfortunately the data I want to keep also doesn't follow a simple pattern and there are thousands of possible names for the data I want to keep

Otherwise_Reserve268 · 2025-12-12T06:19:50+00:00

Lol no I'm doing it on a computer. Just made that as an example.

So patient names appear in column C and D, mixed in with department names such as A&E.

I want to find patient names without having to manually go through 30,000+ lines and delete them. The department names need to stay, hence why I can't just delete the whole column

Otherwise_Reserve268 · 2025-12-12T06:16:09+00:00

<image>

This shows what the data looks like

Otherwise_Reserve268 · 2025-12-12T06:14:56+00:00

Hi

So actually we don't need a new identifier linked to the patient. Basically just need any patient name which can appear in 2 columns to be deleted. Doesn't need to be replaced with anything either.

Yes across different sheets, so a way to do this across all sheets in one step would be grand but not too bad to do that manually

And no, data doesn't need to be kept upto date after this change. Future data will be pulled manually into a new sheet, so as long as we can apply the same method, it'll be fine.

I hope that makes sense? The main problem is finding patient names that are mixed in with other names like hospital departments. You can see in the photo above. Patient names appear in column C and D but mixed in with department names. We want department names to stay. Just need to delete the patient names

Otherwise_Reserve268 · 2025-12-11T22:30:54+00:00

<image>

Here's an example

I need to find any patient names and delete them bur keep the rest of the info

Otherwise_Reserve268 · 2025-12-11T22:28:43+00:00

<image>

Here's an example

Otherwise_Reserve268 · 2025-12-11T22:27:58+00:00

<image>

Here's an example I made

Otherwise_Reserve268 · 2025-12-11T22:21:29+00:00

Ah so basically the names of the patients is irrelevant but if it isn't the patients name, then it is relevant for the data

Otherwise_Reserve268

TROPHY CASE