Tuesday, March 11, 2008

I don't have time to see patients.

I came to work at 8am yesterday and worked until around 1am. Then I slept on one of the examination couches, because I was too tired to drive the one hour to my home, and got up again at 7am to continue working until 6.30pm (the staff kindly sent out for lunch so I could eat it while I worked) before driving home cross eyed and collapsing into bed.

How many patients did I see during this marathon work session?

About 10.

And I rushed most of them out as fast as I could to get on with my real work:

THE NEW GMS CONTRACT QUALITY POINTS BONANZA.



Ironically, a recent analysis of the QoF that we did suggests that once you factor in all the staff, nursing, and medical time involved in this New Labour farce, it turns out that we probably make a small loss on the whole thing.

Of course, if we simply dump it as the collossal waste of time and money that it really is, the Primary Care Gestapo will be round like a fucking shot to tell us how crap we are because we didn't score top points.

Meanwhile, the patient is an afterthought to our long days. A pesky nuisance that interferes with the smooth running of our perfect-on-paper practice.

3 comments:

Dr Blue said...

I've got a committee to run, and a conference to attend, and an appraisal or several to do.

Should I join the twaterati? Perhaps I already have.

Actually mucking about with computers and committees is as well paid as seeing patients and much, much easier. You can see why some doctors escape into such work. It's the ultimate way of exception reporting ourselves from all our patients.

But we can talk such a good line in patient centredness, and quality control.

flats said...

That could be a problem isnt it? I guess so, cose if youre a doctor and you dont have time...that what happen in Spain with the public services...regards

Anonymous said...

GP sends away patients to work 17 hours straight to boost his income! Call the Daily Mail!

Seriously though, people who insist GPs should be open longer hours need to be forced to compare the hours they work to the hours their doctors work before opening their mouths.

I love my job, but not leaving the office for nearly 36 hours? Jesus wept.