'Two birds with one stone'...

I don't know what is the matter with you people trying to think that everyone does their job properly. They don't. Like i said previously every profession every nationality every religion has good and bad. But especially since covid trying to see a doctor is harder than winning the lottery. I will tell you a little story. I had a GP from 1970 to 2013 whose practice was the greatest health care establishment i have ever seen they just couldn't do enough for any of their clients. One of the doctors in particular is probably the reason i am still here. After i had a bad heart attack he was the one that kept me going more so than the consultants at the hospital. As my wife and i got older we had to move into a bungalow. The one we got was out of my old Gps area so i had to register with a new one and believe you me it has been a nightmare. The older we get and the more we need them. And they just do not want to know and there are hundreds of people around with the same complaints about them plus as i have said. As i have been queuing in boots all the people from different areas of Barnsley had the same problem. So get off your high horse, i know there will still be some good ones but there is also a hell of a lot of bad ones.

 

But going back to what someone else said about receptionists triaging. It is the first thing our receptionist asks if we ring for an appointment to see a doctor. What do you want to see them about. Surely a heath complaint is something that is supposed to be private between yourself and the doctor. It makes complete nonsense of the hypocritic 0ath

 

Am I right in believing that gp surgeries are private businesses that essentially have contracts with the NHS to provide services for a set amount per person they get as a 'customer' and that most of the GPs in the surgery are employees of the practice but one or two of them own it but sometimes they all own it?

I have seen in the past that different surgeries pay different amounts to their GPs. Does that mean that the partners of the surgery who own it work like any other business and pay their GPs whatever they want to? And if that's all right would that mean that the reason that some are understaffed and have to provide such a poor service down to the fact that the surgery partners are unwilling to give up some of their salary/profits to employ an extra gp while others are willing to take home lower wages but have more doctors? For example there are two in hoyland, ones average salary is 60 odd grand a year for 9 part time GPs and 2 full time, the others is 80 odd grand a year for 1 full time, 7 part time and 2 locums. So yeah is the difference in service down to the way the doctor partners are running their surgeries?

 

I believe they are separate businesses because Starmer said something last week about he wanted all Gps to be run and paid by NHS. so i am not sure how they work at present

 

There will be huge disparages between surgeries due to how they are run, I would imagine that can go without saying.
The only thing with your question is the lack of people to become a GP.
Oddly enough I was out running this morning with a group of people who are in the NHS and the subject of locum’s came up and how it was summed up was: when I was a lad locums generally were Dr’s wanting to become GP and were basically waiting for an opportunity at a Practice, whereas now there are not these people waiting due to lack of numbers.
Also given each Practice basically gets paid for what they do (more appointments the more they earn), it would make more sense financially to employ more.

 

And your conclusion is that GP’s are lazy?

do you think that maybe, just maybe, your conclusion is wrong?

 

They are seperate, have always been since before the inception of the NHS, in fact the NHS nearly never got going due to demands of the Drs at the time.

 

Have you considered that it means they are really busy?

 

Problem is Drs are like ducks on the lake.
Ringo is comparing his previous experiences to now but what won’t be able to factor in how much the role has changed over the years and what is involved beyond seeing a patient.

 

In all that rambling story you haven't answered my quesiton. What is it you are picturing them doing all day?

 

Being asked by the receptionist why you wanted to see a doctor used to annoy me, until I told them the symptoms and they rang back in five minutes to tell me I was probably having a TIA and should go to A&E. I see now that they have to do it to prioritise cases.

 

I am not saying they are lazy since covid they are practically non existent

 

No because no one is in the surgeries or waiting rooms not like the queues in hospitals or pharmacies. Yes they may be making phone calls but honestly they cannot really diagnose without physical seeing or examination

 

Probably on the phone but not actually seeing patients and taking some strain off AandE departments

 

So it is triage then

 

No
The receptionist never made a clinical decision, they spoke to the doctor

 

@ringo you did mate

 

If they cannot manage the amount of patients on the books they should maybe stop enrolling employ more staff if they can you know a bit like dentists do but until that we shall continue queuing in hospitals when we can get in or go and pester the poor pharmacists a bit more. No matter what way you put it GPs surgeries are failing for whatever reason. But yet we get adverts on tv asking for donations to save the health service in the Yemin. Its ours that wants saving

 

Triage in hospital AandE only advise wether you need a doctor or not

 

They make a note of why you want to see the doctor and the doctor decides who they will see and in what order. The receptionist passes your information on, they don't make a decision.