Work from home fiasco?

[oil barron]

Was speaking to my vet about invisible GPs the other day as vets have always been availableto see animals in person on farm usually on the day or within 24 hours. during the pandemic.
They said the biggest problem is that GPs are paid on the basis of the number of patients on their books and not by the number they see at appointments. If a vet used the same criteria they would not have any income as they have to consult to earn an income.

Several of my wifes former colleagues had children who were studying medicine and made no secret of the fact that they would only need to work part time as pay was so good. Gone are the days when you saw the same doctor during the week and at nights and weekends.


Just to add I never call them DR now as it is just an honorary title as they have not studied for long enough. Just Google it .Daughter with Phd told a bunch of medics at uni one morning at breakfast. I thought she would get lynched but she knew it was true. Hope she never never sees any of them as a patient!!!

I don’t understand how it is ok for NHS doctors to work private as well. Go for the consultation with the NHS doctor, you can be put on the waiting list which is 2 years long, or if you have BUPA you can get it next week. Go with the BUPA option and it is the same damn doctor. I already paid your wages once with the 10% that comes off my wages. Having to pay them again is nonsense.

 

[bluebell]

because the new type ? of doctor sees just money money from getting you to go private ? i personally had a case a few years back, couldnt have it done on the NHS, but oh yes soon could get it done by paying ? i was fortunate to be able to pay ? found out later if i had argued and insisted that it could have been actually done on NHS? Sometimes you have to ask the question, whos it in the best interest the patient or the doctor to do go private ?

 

[robs1]

because the new type ? of doctor sees just money money from getting you to go private ? i personally had a case a few years back, couldnt have it done on the NHS, but oh yes soon could get it done by paying ? i was fortunate to be able to pay ? found out later if i had argued and insisted that it could have been actually done on NHS? Sometimes you have to ask the question, whos it in the best interest the patient or the doctor to do go private ?

I am having an issue with my back atm, needed an mri scan, weeks and weeks wait with the nhs and that's after going to see the doc which is over two wks then lots of pain killers etc etc would have been at least xmas before scan , mu osteopath referred me to a private clinic run as a charity, appointment two days later full spinal scan with 7 different sets of pics cost 260 quid, also was decided I needed a pelvic xray had that next day in the same place, cost 108 quid, from the time I arrived to the time I left was 35 minutes including all the form filling and making the payment, the nhs is wonderful but it is top heavy with pen pushers and inefficient working practices

 

[milkloss]

I don’t understand how it is ok for NHS doctors to work private as well. Go for the consultation with the NHS doctor, you can be put on the waiting list which is 2 years long, or if you have BUPA you can get it next week. Go with the BUPA option and it is the same damn doctor. I already paid your wages once with the 10% that comes off my wages. Having to pay them again is nonsense.

it would be better if there was a flat charge to use nhs services. £50 for A and E and £20 to see the doc........ stuck up a mountain/fell of push bike should be compulsory insurance and 100% paid for.

Would cut down on a lot of wasters and make the nhs more effie]cient (you would hope).

 

[Dry Rot]

I think people are hiding behind excuses, if I'm honest. I can get the mobile phone numbers for almost anyone that matters in a matter of minutes. And if you need a response within a couple of hours to something critical, you don't need the council to help - you call the police and report a breach of planning law, get the cllr to come out themselves or just learn from Swampy and the HS2 crew and go and sit on top of the piledriver yourself.

I am biting my tongue here with great restraint. You, my friend, are talking utter bollox. The Highland Council Planning Department (HCPD) is about as straight as a dog's back leg. You are very secretive about your own activities but I suspect you are one of what I call "the good ole boys" up here in the Highlands with "special privileges" and "personal connections"! It took three successive complaints, each the prescribed few weeks wait in between, to get one major breach of planning even recognised (clearly involving fraud in my opinion) ...and then bugger all done about it.

I've tried the official complaints procedure and was told if I didn't agree the council's decisions I would need to take it to judicial review. Instead, it took me a while, but I got hold of a copy of the law report from the National Library of Scotland that the HCPD refer to in their own guidance notes. (Police Scotland similarly ignored their own guidelines in the fiasco of my seized guns). It is quite clear their own staff either hadn't read the guidelines or were blatantly ignoring them to favour their mates. The report states the law very clearly but I could recognise the smell. I do happen to have professional qualifications in this area so not easily bullshitted and I can read a statute. But, as they say, you can't beat city hall and if people want to live in sh!t, that is their choice.

The latest breach of planning was reported about three months ago. I was told nothing could be done because of the virus and anyway the offender had been written to but had not responded, implying that that was that. "The measure of civilisation is the people's laws and how they are administered". It will be interesting to see how a nation that hasn't managed civilisation will cope with independence as no doubt it will come.

 

[Dry Rot]

You are joking aren't you ? ring the police to report a breach of planning law and the only person likely to be facing a charge is you for wasting police time. Also Cllrs set policy, its the officers that carry out the policies.

This is an interesting area. As I understand it, some planning matters come under civil law but some under criminal law which I suspect is what gets the police confused, so to make it easy they just claim it is all civil.

 

[kiwi pom]

it would be better if there was a flat charge to use nhs services. £50 for A and E and £20 to see the doc........ stuck up a mountain/fell of push bike should be compulsory insurance and 100% paid for.

Would cut down on a lot of wasters and make the nhs more effie]cient (you would hope).

Think its about $45 to see the doc here, kids are free.
I don't remember a time I couldn't get an appointment on the day I rung, for myself or the kids.
During lockdowns they always send out emails encouraging you to still go (or at least ring) if you're feeling crook because they need to keep the $'s coming in.
Specialists are not so easy, but not terrible.

 

[bluebell]

KIWI POM, whats the population of NZ at the moment ? how much a year is it increasing ? Reason i ask is here in the good old UK the population is and has grown by millions in the last 10 years, if you read the tread from where i live, the population has tripled in 50 years? the forecast for my local area if it is all built is another 28,000 extra homes by 2034 ? Is it no wonder that everything is at breaking point ?

 

[kiwi pom]

KIWI POM, whats the population of NZ at the moment ? how much a year is it increasing ? Reason i ask is here in the good old UK the population is and has grown by millions in the last 10 years, if you read the tread from where i live, the population has tripled in 50 years? the forecast for my local area if it is all built is another 28,000 extra homes by 2034 ? Is it no wonder that everything is at breaking point ?

Its growing fairly fast here - at least it was until the PM shut the border - but we're barely 5 million, most of them on the North Island.
We currently have a housing shortage and a shortage of people to do all the sh*t jobs and some of the skilled ones.
Like most countries really.

 

[HatsOff]

it would be better if there was a flat charge to use nhs services. £50 for A and E and £20 to see the doc........ stuck up a mountain/fell of push bike should be compulsory insurance and 100% paid for.

Would cut down on a lot of wasters and make the nhs more effie]cient (you would hope).

Not sure why you mention bicycles, but broken bones aren't what are costing the NHS loads of money. They are cheap and easy.

It's all the old and fat people. Diabetes costs £35k/person/year to treat.

 

[milkloss]

Not sure why you mention bicycles, but broken bones aren't what are costing the NHS loads of money. They are cheap and easy.

It's all the old and fat people. Diabetes costs £35k/person/year to treat.

I think people going thrill seeking should accept some responsibility for their actions when it all goes wrong. Put it in the private sector and make them have insurance.

as regards diabetes etc...... well I'm type 1 diabetic and have eye trouble. The nhs started lasering my retinas, I'm thankful for them to be able to treat me but it's destructive and expensive. There are far cheaper and less destructive treatments available that enable me to keep my driving licence etc but the nhs won't pay for it even though my private treatment takes place in nhs facilities for which have to pay myself. So, yes, diabetes and that sort of chronic illness is expensive but, being the dinosaur it is, the nhs can't always see the benefit of new treatments nor the possibility of co-funding with the patient.

 

[puppet]

Was speaking to my vet about invisible GPs the other day as vets have always been availableto see animals in person on farm usually on the day or within 24 hours. during the pandemic.
They said the biggest problem is that GPs are paid on the basis of the number of patients on their books and not by the number they see at appointments. If a vet used the same criteria they would not have any income as they have to consult to earn an income.

Several of my wifes former colleagues had children who were studying medicine and made no secret of the fact that they would only need to work part time as pay was so good. Gone are the days when you saw the same doctor during the week and at nights and weekends.


Just to add I never call them DR now as it is just an honorary title as they have not studied for long enough. Just Google it .Daughter with Phd told a bunch of medics at uni one morning at breakfast. I thought she would get lynched but she knew it was true. Hope she never never sees any of them as a patient!!!

I think a GPs income is quite complicated and not just per head. How many patients do you think they deal with each day or what hours are involved.

 

[Dry Rot]

I think a GPs income is quite complicated and not just per head. How many patients do you think they deal with each day or what hours are involved.

I get the impression that they might be on piece work? Is that even possible?

 

[warksfarmer]

.................. now where are all those hard working immigrants when you need them

Doing exactly the same. Claiming for doing Jack s**t

 

[Swarfmonkey]

I get the impression that they might be on piece work? Is that even possible?

No idea what it's like north of the border, but down south GP surgeries get a fixed amount for each person on their books (just over £150 a head per year, IIRC), plus extra for running clinics and the like. That's why a private GP will see you whilst a NHS GP will fob you off. The former only get paid when they see you, the latter get paid whether they've seen you or not. If the latter were paid on the same terms as the former you can bet your boots they'd not be able to get the surgery doors open fast enough.

 

[Northernlights]

No idea what it's like north of the border, but down south GP surgeries get a fixed amount for each person on their books (just over £150 a head per year, IIRC), plus extra for running clinics and the like. That's why a private GP will see you whilst a NHS GP will fob you off. The former only get paid when they see you, the latter get paid whether they've seen you or not. If the latter were paid on the same terms as the former you can bet your boots they'd not be able to get the surgery doors open fast enough.

From what my vet said its the same here in Scotland

 

[puppet]

it would be better if there was a flat charge to use nhs services. £50 for A and E and £20 to see the doc........ stuck up a mountain/fell of push bike should be compulsory insurance and 100% paid for.

Would cut down on a lot of wasters and make the nhs more effie]cient (you would hope).

For those sums they may see you but wouldn't be any talking until 3 times that much. Then suddenly you are ill and have to attend monthly? There would have to be some insurance-based cover then top-ups which of course means a lot more bureaucracy.

 

[bluebell]

A GPS practice gets so much a patient, a year thats signed up to that practice, please someone correct me if im wrong, but i believe its round the £1800 a year figure ? Open to abuse like so much of the NHS with some practices padding it out with bogas patients, some been dead for years ?

 

[JP1]