Of course the customers should be able to go to ANY gp they want - Comment by 'no-one' in part two of our series of articles on 'How to Get Off Your Lazy Arse And See A GP During Office Hours, Fuckwit'.
In fact patients are free to see ANY GP, anywhere in the UK.
There are two ways to do this.
The first is called 'temporary registration'. It usually is based on the assumption that the patient is staying at a different address from their 'home' one (hence the name), but many GPs will see patients as TRs near the place they work etc.. Simply call up the GP you are interested in seeing and ask the receptionist if you can make an appointment as a temporary resident.
The second method is to see a GP privately. You can simply call round practices asking if any of the GPs are willing to see you privately. Many GPs already see some patients privately: they're called 'American tourists'. These practice should have a fee schedule for non-NHS patients.
Sadly, your own GP won't be able to see you privately: the government put a clause in the new GMS contract banning GPs from seeing their own patients privately (to prevent GPs from 'doing a dentist' by offering a higher quality service for a fee and a lower quality service on the NHS - despite the view of many GPs that patients won't pay to get a service they can get for free, the dentists know that many patients will pay to receive a better service).
I know that 'no-one' will come back and say that there are no NHS GPs that are willing to see him/her privately/as a TR. I guess that's what you call 'market forces'.
Isn't capitalism a bitch when you're sick?
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21 comments:
factually incorrect answer
i did go though every fucking line of the nhs rules at one point
try harder
no one
...and you say you have no time to attend your GP.
Does anyone else smell bullshit?
come on guys i really dont have to explain everything do i
you all got 10 A stars at A level and did the hardest course at uni you must be able to work some things out
we have already worked out that anonymous is trying to be an irritating c--t
im not going to stray over the line of revealing so much or being so specific that i can be easily identified, not that im hiding any more than the rants
At the risk of feeding the trolls, can anonymous (no one) please say which parts of this post are factually incorrect?
A good point, purplepangolin! As far as I knew we've never been able to see our own NHS patients privately - it always struck me as a pretty spiteful bit of GP's "contract" which seemed to have no obvious gain for the government side beyond being a power-play. Not that long ago, we did have some purely private patients but they were a nightmare as the workload and hassle (as they were not entitled to lots of NHS stuff) were out of proportion to to the fiscal benefits. It struck me then that the opposition in the dept of health was dogmatic not practical - bit lke private schools where the savings for the public purse of people paying for their own education are ignored in the quest to dismantle perceived privilege - and it seems even more so now, when gordon's bonkers open-til-8pm-or-bust quest could be acheived at zero extra NHS cost if the option of charging for those late appointments were made available. (Although the current "offer" on the table will not increase the cost to the NHS of existing GP practices - who will lose money instead - it sure as hell will cost more when private companies get their slice of pie providing the evening and weekend hours.) But that "power-play" and dogma have hamstrung GPs so they will never be able to meet the demand being generated.
(So there you have the perfect excuse to draft in Tesco et al instead....)
In fact, it's possible that introducing the option to charge for evening and weekend surgeries would stimulate the whole of Primary care to become even more "patient-centred". It would have the advantage of not off-siding an entire profession (unlike the current "contract" changes furore), it would require simple legislation, and it could even be done according to a tarif set in Whitehall if the control freaks were worried about escalation of costs - then GPs either sign up or not. If the CBI is so paranoid about the costs of its staff taking time out to see GPs, then concerned employers could even pay to ensure evening surgeries were there for their staff!
It doesn't need to mean the end of "free" NHS General Practice - in fact I would not want it to - but it would certainly be a step towards making clear what patients could expect as a right from the NHS, and that anything else should be considered as an "extra". The Postie Johnson is aparently going to introduce an NHS constituion or something alonmg those lines, which lays out the expectations of the NHS in return for its obligations to the patient. What better chance could there be to re-define the doctor-patient covenant that under-pinned things years ago before the "want it now" tendency made on-call untenable and blew demand levels out of the water?
If NuLab really wanted to sort things out this would be a start, but you can bet that they will fluff the chance, because they don't want to appear to say "no" to anyone who isn't already lost to them electorally.
its spelt "you're" - penultimate word. the rest of the article is genius and "no-one" is probably a dick
Rahere- your contribution is a breath of fresh air in this discussion. If the GPs dig their heels in they will seem to be working against patient interest and give Nulabour the opportunity to smash GP and allow pharmacists and nurses to pretend to offer the service. By the time the punters realise they have been shafted the Clunking Fister and Darzi will be long gone and unaccountable.
Yes, offer to do the work at less than the private companies would demand. GPs already have the infrastructure in place and don't need to pay media consultants or backhanders to the Labour Party so should be able to do the work and drive the private companies out. Our private radiology set up in a DGH (uk-radiology) does just this and I think we have helped to drive the 2nd wave diagnostics groups out by taking away their raison d'etre. We make very little money for ourselves for the hassel involved but protecting our NHS jobs is our priority. I would work for nothing if I could drive these parasites out of business.
Thanks Dr Ray - it's always nice to be agreed with! However, I am a bit worried that you would be willing to "work for nothing" to drive the "parasites" of big private companies out - it'll give CLunking Fist ideas!!
Doh! He's already thought of it, as we Gps look likely to end up working for less than we do now to keep out the big bad APMS monster....
Seriously, I am glad that your local set-up has worked - I suspect it suits everyone except big business - and GPs would probably love to be entreprenurial about this, but the fundamental difference for us from you consultants is that private practice exclusion clause for your own punters!
It's deeply perverse (and indicative that this is dogma-driven rather than patient-centred) that Gordo's big idea to increase access demands that GPs should be made to work longer for less OR he'll take even more of our money and give it to PCT's to PAY private providers to give the service he expected us to give for nothing....
So, to summarise Departmental views , it seems that: Big Business = GOOD (have some public money, no, really, have lots), GPs = BAD (you can't have as much money because we're giving it to some shareholders)
"In fact patients are free to see ANY GP, anywhere in the UK." er no they are not
for a start there are large parts of the country with GPs who will only see NHS patients, no private patients accepted, so that rules out that method of access, and certainly no dedicated private GPs in much of the country
and a PCT can force patients to register with any GP they like, usually they give a list of 2 or 3 so there is a show of "choice" but often only 1 or sometimes none will have any spaces (then you get lumped in with the problem patients), whole cities in different parts of the country have been forced to move GP against the will of the patients and the GPs - on the excuse that patients will be using "GPs nearer to home" but of course this has the effect of forcing a balanced intake to the crapper GPs, so there is no "patients walking" forcing crap practises to improve dynamic at all, it also ignores many patients who do not spend most of their time at their home address etc, for quite a wide travelling distance around your supposed home GP other GPs will refuse to see you as a temp resident - cos they would be swamped if they were to start doing this, so as for a starter for 10 there are hundreds and thousands of people who have been forced onto the crapper GPs lists - and this has often made it into the local press etc so its hardly a fucking secret
So yes you can sometimes get seen as a temp resident if you are massively away from home, but certainly not in the home or surrounding PCT areas
Now as GPs in middle class suburbia you may not see this going on
I can point you at a few cities in the North East of England as a very much for instance where the whole city has been systematically forced to move GP, unless they were already in the very nearest GP to their home address
So "patients are free to see ANY GP" is a misrepresentation of the truth whichever way you look at it
I could go on with more detailed points
"So "patients are free to see ANY GP" is a misrepresentation of the truth whichever way you look at it"
No it's not. You are free to see any GP that will agree to see you.
However, the fact that large numbers of GPs won't see private patients (at £200 per hour) kind of proves my point for me. That simply 'giving patients the money' (ie: £20 per appointment) and then having them buy GP care from any GP that will see them, is no fucking use at all when the GPs are too busy to see you at £200 per hour.
it doesnt
when GPs cannot get a good income from being the worst GP in town, and all their patients being forced to use them by the PCT, then the GPs will have to improve, and they will have to accept free market cash payments
competition amongst the providers and free will amongst the customers is much more noble and effective than top down targets
No one, it's a nonsense that you can only use the GP specified by your PCT. I am registered with a GP in one PCT area and live in another PCT area. If you want to register with a different GP, the only limitation is whether that GP will take you on his books. Of course, if you slag off GPs in person the way you slag off GPs in general on here, you may have difficulty finding a GP that will let you register with them.
its not a nonsense cos it happened to me, and my parents, and various other close folk, IN DIFFERENT PARTS OF THE COUNTRY
now just because YOU have not suffered this dont tell me what is and is not happening in this country
you are legally entiled to fuck all from the nhs
the PCT has all the power
the complaints system is a sham
pleaaaaaaaaaaaaaaaaase dont call me a liar
ive already given enough away for any reasonable person to be able to test what im saying, and testable it is
now fuck off and stop charging me a fucking fortune for a service that is so none existant
and you wonder why ive lost it and am on here? for fucks sake!!!!!!!
arghhhhhhhhhhhh
Your a liar.
I lived in inner city Manchester, Inner city Cov amongst others.
Never had to see a nurse...had tummy pain. No fob off...i even got an endoscopy when it didn't clear up on medication.
Your a liar, you don't get charged a fortune. Unless you count the pittance you pay in NI as a fortune...you go on about chronic health problems....i bet your a net drain in resources.
Your a liar, the complaints system made the NHS pay out millions in compensation last year (look it up the figure is huge).
your a liar,....you have various legal protection to treatment in the NHS once you inform a medical person responsible for your care about a problem they have a duty of care...though if in real life you are as you seem to be here no wonder you get turned down by other GPs.
funny fucker your back and talking bollocks as usual
sadly the good docs will get royally shafted with people like you on their side
im not lying, and the fact you dont realise that shows how out of touch u r
now fuck off and keep away from the medical business cos tossers like u r fucking it up
ive now tracked ur lies through quite a number of months and its not pretty, ur a fucking sad fucker rnt u
please tell me where you think i have lied?
So far the things i have said are all true.
I'm someone who has had a careers (well one and a half actually) before joining medicne. i'm not really out of touch, i'm still skint so i live in not great areas (and did through both degrees), had a couple of medical problems which landed my in the GP's a fair nyumber of times as well as in the operating theatre...seeing it frmo both sides helped me both frmo before medicine and afterwards.
Oh and i'm not messing anything up...i'm too low down the food chain to do that.. i just enjoy what i do and seem to get on well with the people i come across.
I even get the odd compliment from both the bosses and the patients. i guess i just think your trying to stir up things here with exaggerated claims or are actually so wond up that your perception is way off the mark.
Plus you don't come across as a very nice person...so you get my back up.
I may wind others up as my views are pretty simplistic and maybe a bit black and white...yours are just white..you have no concept of two sides to an argument which is why i think i take exception to your posts.
I love the job and i love being a part of it...i am saddened by the changes i see and the way peoples attitudes and expectations seem to be at odds with what they are prepared to put in to the system.
I would still say that your still in the minority of patients. Maybe i'm ust an optimist buy when i read the posts telling potential new medics on other forums to aviod it like the plague...well i get a bit down (plus i think people should still want to be medics as it can still give a sense of satisfaction).
My god my keys have been rearranged! please excuse the spelling i was typing in a hurry.
http://www.casualtyplus.co.uk/page.php?n=118
Are any of the clinical staff going to be doctors?
I just wonder as if someone presents with what turns out to be a non-minor problem will they be reviewed or just told to go to the local A&E?
No-one will be over the moon about this.
Then againa broken leg is only £190to get sorted. Do they follow people up? Or can they reffer to a hospital fracture clinic?
Just don't ask for a consultant..."Price on request"
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