Lt Kije Posted September 22, 2009 Report Share Posted September 22, 2009 I agree with Obs Quote Link to comment Share on other sites More sharing options...
Sha Posted September 24, 2009 Report Share Posted September 24, 2009 And what would you do Peter T Find out what the REAL problem is and address it!!!!!!!!!!!!! Don't know whether any problems will be addressed.... but the real reason I think is that having found that the public reacted badly to the plans for 'super surgeries' new tactics were devised to bring them in. A bit like they've been doing with schools. 1) Give people the 'choice' of which doctor (school) to go to. 2) make the ones in the areas they want to close 'unpopular'......by various means such as only giving money/facilities to the 'good' doctors (schools) or spread rumours that they're going to close down anyway. 3) The doctors (schools) in the areas they want to develop will inevitably become over-subscribed whilst the doctors (schools) in the areas they want to close will become under-subscibed. 4) This then gives them the opportunity to knock 'em all down. The 'bad ones' aren't needed and the 'good ones' aren't big enough and all the buildings are 'crumbling' anyway with 'possibly asbestos', 'maybe asbestos', 'could be asbestos' (just to frighten people to death and convince them demolition is necessary) They can then do what they intended all along, build 'super surgeries' this is supposed to cut nhs costs and improve services, which it probably won't. Any complaints will be met with "well it all was down to patients (parents) choice!! We will end up with precisely what they wanted and we didn't! But not everyone will be displeased.....the knocking up of tin pot tack which will need demolishing and rebuilding in approx 30 yrs will ensure developers healthy profits for eternity! Quote Link to comment Share on other sites More sharing options...
Peter T Posted September 24, 2009 Report Share Posted September 24, 2009 Cynicism, but well founded. Quote Link to comment Share on other sites More sharing options...
Paul Kennedy Posted September 25, 2009 Report Share Posted September 25, 2009 Maybe, but ultimately doctors and their union, the BMA, are a very powerful vested interest, if they don't want so called super surgeries then they won't happen, if they believe that, as self employed contractors, it is in their interest then they will happen. Last time they couldn't get the deal that they wanted so they orchestrated a campaign by "their" patients. I've always said and always believed that the NHS is run by and for the benefit of senior medics and administrators, always has been and always will be. Worth noting that in the late 40's when the NHS was founded many doctors were actually against it and were "bribed" in to accepting it. Personally I'd like to see the return of the local modern day equivalent of cottage hospitals...guess we could call them local community clinics with a far more comprehensive offering than many of today's surgeries and requiring patients to visit main hospitals far less frequently for what in many cases are fairly minor procedures. PS Ultimately the provision of NHS services is a question of the supply of doctors and it is worth looking at what is actually happening, the age profile of current doctors and the profile and possible working patterns of those in training....and indeed the training itself. Quote Link to comment Share on other sites More sharing options...
Lt Kije Posted September 25, 2009 Report Share Posted September 25, 2009 Wow Personally I'd like to see the return of the local modern day equivalent of cottage hospitals...guess we could call them local community clinics with a far more comprehensive offering than many of today's surgeries and requiring patients to visit main hospitals far less frequently for what in many cases are fairly minor procedures. Paul I to would like to see these back Thats twice we have been in agreement Quote Link to comment Share on other sites More sharing options...
Peter T Posted September 25, 2009 Report Share Posted September 25, 2009 Problem is that this Gov. thinks big is beautiful, when in fact the opposite is the case. I prefer to deal with a Doctor who is familiar with my case notes, not someone who happens to be available and will or will not assimilate the data on a computer. Quote Link to comment Share on other sites More sharing options...
Sha Posted September 25, 2009 Report Share Posted September 25, 2009 Personally I'd like to see the return of the local modern day equivalent of cottage hospitals...guess we could call them local community clinics with a far more comprehensive offering than many of today's surgeries and requiring patients to visit main hospitals far less frequently for what in many cases are fairly minor procedures. That's a cute little name for 'super surgeries' is that how your guys are going to 'sell it' Quote Link to comment Share on other sites More sharing options...
Paul Kennedy Posted September 25, 2009 Report Share Posted September 25, 2009 Wow Personally I'd like to see the return of the local modern day equivalent of cottage hospitals...guess we could call them local community clinics with a far more comprehensive offering than many of today's surgeries and requiring patients to visit main hospitals far less frequently for what in many cases are fairly minor procedures. Paul I to would like to see these back Thats twice we have been in agreement Crikey. Quote Link to comment Share on other sites More sharing options...
Paul Kennedy Posted September 25, 2009 Report Share Posted September 25, 2009 Personally I'd like to see the return of the local modern day equivalent of cottage hospitals...guess we could call them local community clinics with a far more comprehensive offering than many of today's surgeries and requiring patients to visit main hospitals far less frequently for what in many cases are fairly minor procedures. That's a cute little name for 'super surgeries' is that how your guys are going to 'sell it' Well if they are set up in the right way, don't think the idea will need selling, patients will be queuing to use them Quote Link to comment Share on other sites More sharing options...
Paul Kennedy Posted September 25, 2009 Report Share Posted September 25, 2009 Problem is that this Gov. thinks big is beautiful, when in fact the opposite is the case.I prefer to deal with a Doctor who is familiar with my case notes, not someone who happens to be available and will or will not assimilate the data on a computer. Interestingly Peter, I think it is quite a generational thing regarding seeing the same doctor. With regards to this Government I would suggest that it thinks its control is beautiful rather than the size of something. In fairness there can be benefits from the economies of scale, particularly in terms of the availability of specialist doctors on a round the clock basis and to some extent the equipment. The NHS will I think be a big topic after the next election, and some tough and probably very contraversial decisions will have to be made. As I've often said I support the founding principle of the NHS but not its current structure. Quote Link to comment Share on other sites More sharing options...
Sha Posted September 25, 2009 Report Share Posted September 25, 2009 Problem is that this Gov. thinks big is beautiful, when in fact the opposite is the case.I prefer to deal with a Doctor who is familiar with my case notes, not someone who happens to be available and will or will not assimilate the data on a computer. I agree with you Peter, though I don't think it's just this Gov, I think the whole damm lot of them have the same agenda! To them big is cheap even though it never seems to work out that way! Whatever you or I or anyone else prefers will be irrelevant to them. Quote Link to comment Share on other sites More sharing options...
inky pete Posted September 25, 2009 Report Share Posted September 25, 2009 The problem with the family GP model is that it's no longer appropriate to expect a doctor to be available to see their patients 100 hours per week - but most people WOULD like to be able to drop in or make an appointment to see a GP something like 7am to 10pm, 7 days a week. That automatically means that most of the time you're not going to be seeing "your" doctor when you attend a practice but, if you haven't seen "your" own doctor for a year or so and all you want is a referral to a speciallist or a course of antibiotics, does that really matter? Quote Link to comment Share on other sites More sharing options...
Paul Kennedy Posted September 25, 2009 Report Share Posted September 25, 2009 No. Quote Link to comment Share on other sites More sharing options...
Lt Kije Posted September 25, 2009 Report Share Posted September 25, 2009 I prefer to deal with a Doctor who is familiar with my case notes, not someone who happens to be available and will or will not assimilate the data on a computer. Doctor Finlay I presume Quote Link to comment Share on other sites More sharing options...
asperity Posted September 25, 2009 Report Share Posted September 25, 2009 To be honest, and I'm probably lucky in this respect, but I haven't needed a "family" doctor as such for many years, so if I need a doctor for whatever minor ailment I've had anyone competent will do thanks Quote Link to comment Share on other sites More sharing options...
Peter T Posted September 25, 2009 Report Share Posted September 25, 2009 Loo, SAD!!!! Inky/Paul, If you are in reasonable health and rarely see your Doctor, of course it doesn't matter. BUT if you see him/her on a regular basis because of ongoing ill-health, it makes sense that you are dealt with by someone who knows you. "Super surgeries" should be as well as normal practises, NOT instead. Quote Link to comment Share on other sites More sharing options...
Paul Kennedy Posted September 26, 2009 Report Share Posted September 26, 2009 BUT if you see him/her on a regular basis because of ongoing ill-health, it makes sense that you are dealt with by someone who knows you. Don't disagree with that Peter but it of course begs the question that where they might have several hundred regulars do they really recall each case....or do as I suspect they have to refer to notes...that indeed any other doctor could refer to. Psychologically of course seeing the same doctor will give a patient an element of confidence, and I understand that. Interestingly in the case of a hospital stay, whilst a patient might be under the care of a specific clinician or surgeon, you will mostly be seen by a variety of junior doctors, and indeed unless you pay for private care you can't specify who you should be under the care of. Quote Link to comment Share on other sites More sharing options...
Evil Sid Posted September 26, 2009 Report Share Posted September 26, 2009 i have never seen the same doctor twice in a year at my practice (wonder if there is a better word they could use instead of practice, makes it sound as though they don't know what they are doing ) it does not bother me. i assume (rightly or wrongly) that they are competent to deal with whatever ailments i may have and prescribe the correct treatment. a difficult job as, although they have my case notes, they can only go on what i tell them and what they can get from an examination. Quote Link to comment Share on other sites More sharing options...
Peter T Posted September 26, 2009 Report Share Posted September 26, 2009 I can quote cases where the patient gets seen by different people who start the analysis and treatment all over again because they are NOT familiar with the person's case. Paul, reading the notes doesn't necessarily gave an insight into the patients difficulties, and given the timeslot that they have, it would take more than 15 minutes to read and understand someone's history. Surely, certain regular cases would be imprinted in your local GP's mind,whilst those going with a sniffle or some other trivial matter wouldn't. Quote Link to comment Share on other sites More sharing options...
asperity Posted September 26, 2009 Report Share Posted September 26, 2009 One man's sniffle is another man's Bubonic Plague Quote Link to comment Share on other sites More sharing options...
Lt Kije Posted September 26, 2009 Report Share Posted September 26, 2009 Peter T If you have an on going ailment, your GP normally passes you on to a specialist anyway so you are not dealing with a doctor Finley type character anyway. I would rather see someone who is an acknowledged expert in what ever condition I happen to have. Quote Link to comment Share on other sites More sharing options...
Peter T Posted September 26, 2009 Report Share Posted September 26, 2009 Loo, You haven't got a clue as to what I am talking about. I take it that you don't have any illnesses in your family. Quote Link to comment Share on other sites More sharing options...
inky pete Posted September 26, 2009 Report Share Posted September 26, 2009 With a big practice/cottage hospital/super surgery/polyclinic - call it what you like - there's nothing to stop a patient requesting to see a particular doctor, and being offered appointments whenever that doctor is on duty. A bigger operation could even invest in a decent IT infrastructure to show the duty rosters of staff members and enable booking of appointments on their website. Quote Link to comment Share on other sites More sharing options...
Lt Kije Posted September 26, 2009 Report Share Posted September 26, 2009 Peter Sadly we do, and we were referred to a specialist from our Gp, To which I was glad. The days that you halk after are long gone, ever try to get a doctor out at night, These days it has to be contracted out as no doctor wanted to do it. may I suggest you stop trying to be so conceited when answering Quote Link to comment Share on other sites More sharing options...
observer Posted October 2, 2009 Author Report Share Posted October 2, 2009 This was due to this Gov giving them a pay rise for less work. Quote Link to comment Share on other sites More sharing options...
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