“That’s Why Healthcare Is In CRISIS!” Former NHS GP Admits Doctors Don’t Want To Work Full Time
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- Опубликовано: 9 июл 2024
- Talk’s Mike Graham is joined by former NHS GP Laurence Buckman to discuss the state of the healthcare system.
Laurence admits that doctors “no longer want to work full time”. Mike suggests that is perhaps “the reason the NHS is in crisis”.
Laurence says: “If you make them work harder, all they’ll do is leave.”
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#nhs #healthcare #health
They aren’t burnt out.They’re moonlighting to private health care.
So they can work less hours?
Yeah, they fob you off, neglect their NHS patients and run separate clinics in Shire hospital whhere theyre raking it in.
Yep nailed it
I work in the NHS and nearly all of us have burn out. I've worked in it for 14 years, best job I've ever had as a health care assistant but have seen the NHS gradually going down hill over the years. We just can't keep up with demand, it's got to the point I'm so tired on my days off from it that it's affecting my home life. At the moment I get a penny more an hour above the minimum wage. I'm now at a crossroads as to what to do with my life which I find very sad as it's a job I love. It doesn't help knowing that most of the bosses of our hospitals get more money a year than the prime minister. This is money that could go towards improving our hospitals.
@@carolharris8167 your job might be better if your colleagues came to work every day.
I remember when doctors used to do house calls !!!!!
Here in Australia we have out of hours doctors that you can ring for a house call. You will get a bill unless you’re a pensioner but I’ve found it’s better than sitting in emergency for eleven hours.
Thats when government used to pay them for transport, but not anymore !
yes me too , its all happened since mass immigration
@@diasah123 They had a small tax allowance for petrol. Today (if you manage to get a GP to come out, very rare usually nursing homes), they are chauffeured, and they do not know the patient and frequently do not understand English.
Me too, sadly long past.😢
Year's ago this would never happen doctor's were far more dedicated..
UK is an economic zone now, not a nation. Heath and Blair did that, not doctors.
One word Torys
@maudiedwards9332 My dad was a GP, he worked really long hours for far less reward than they do today, he did two surgeries on weekdays, morning and evening, he also had a Saturday morning surgery , he visited patients in their own homes, saw patients at the local cottage hospital and was on call weekends and nights, he delivered babies, at the local maternity home if it was complicated. He loved his job, and always went to work in a positive mood, he knew all his patients . He was also a wonderful father, and despite working hard and being tired, he always had time to help us with our homework, and read to us. He died 16 years ago, I have a file full of letters of appreciation from colleagues and patients.I miss his humour and his sense of contentment. He told me on his deathbed, it was the best job one could do.
@@andromedaone3640Go back to Blair and see what happened to GP's when he gave them more money for no weekends or out of hours visits!
Because they weren’t taxed like a cow on a milk farm
I am a GP and willing to work 10 sessions, meaning 5 days a week, and no GP surgeries would hire me as they do not have money to pay me working 5 days a week. It is not that GPs do not want to work more days , it is that surgeries do not have money to hire them for 5 days. This is the problem. The GP in this video is not up-to-date with the current situation and he is doing us, GPs looking for jobs, a major disfavor by saying we do not want to work. I have put at least 30 applications for salaried GPs and could not get a job. I want to work 5 full days a week and no GP surgery has offered me a job. They only offer 2, max 3 days a week as they cannot pay for more. Instead, GP surgeries hire ... Physicians Associates, which are not doctors, and they are hired instead of GPs. We cannot get jobs as surgeries hire PAs, non doctors, to work as GPs.This is the situation !
Thank you for that perspective.
Oh please don't let the truth get in the road of a good online rant!
The screen zombies on line like to doctor bash rather than know what is the truth. They dont want to hear the truth as it spoils their narrative.
I agree with you 100% by the way but the online muppets won't.
The money is put elsewhere, partners pockets. Also a lot of the practices are owned by big companies, not private healthcare but taking all the NHS money for the number of patients in the practice. They pocket the big money and expect staff to work for less.
Why not work 2 days at one health centre,and 3 days at another health centre?
Dumbing down of GP surgeries in order to save money...?
Why is no one talking about the GP's being sacked and replaced by less qualified physician associates
They aren't getting sacked, but their pay is actually being cut
They too busy treating private patients using NHS hospitals and equipment,its disgusting .private patients should have their own drs own equip,ent and own hospitals.This has been going on for years it must stop
When Government refuses to pay them their worth, they would work where they wish. Why don’t you skip paid work and work for free elsewhere?
@@About_turn Why don't they pay back some of the costs of their training?...especially those who go into private practice or decide to go abroad for more money and better conditions ...
@@scathachmuirisc7149 you pay your student loans back without choice mate, they get deducted with tax as soon as your earnings reach a minimum per yr. It was 10 grand or so 20 yrs ago, which was a basic wage part time. not sure now.
@@gglen6574 I was talking about tuition fees...not all students in the UK pay tuition fees...
People take out loans to help them live while studying. I read somewhere that what is charged for medical degrees does not fully cover the cost of training doctors. Perhaps that's incorrect?. Anyway what a waste of time, money and effort if people, as that man said, study medicine and then do not go into the profession. They have taken a place from someone else who might have chosen to work as a doctor. Interesting that that guy pointed out that the UK , unlike other countries, does not conduct psychometric testing to see if people have suitable personalities to commit to a career in medicine...
@@About_turn ......what are you on about when saying the govt does not pay them their worth.......do you actually know how much the govt is actually paying doctors and consultants at the moment?........they are paid handsomely ...its pocket money to them........and greed.
Well done Talk TV for highlighting this : Three day week .
Please don't drop this hot potato .
Not enough to feed scroungers like you?
Try 12 hours shifts in a factory for 40 years, and on your feet for the entire shift, i was constantly knackered
Why didn’t you apply for the Medical school then?
@@capitalm1257 having too much of a good time being young wild and free no doubt
@@capitalm1257 What a smartarse reply. Different generation different opportunities without today's pampering parents or a university education. Without knowing his early circumstances you can't criticise never mind comment the way you did.
Well said 👏👏
You don't get compassion and decision making fatigue from working in a factor... you also don't deal with patients in a factory. You also don't make life and death decisions about other people's health. You dont have to know a vast amount of knowledge that takes years to learn and perfect where you also have to keep up to date with the latest research and guidelines. You also don't have the fear, knowledge or guilt that a mistake can cause a death and lose your job or end up in court when working at a factory. And if you do have any of these, they are not to the same level or as frequently as what a doctor deals with
Shameful. No longer a commitment. Wrong people in the job.
Right people. Wrong people writing tax laws
Sorry, surgeries do not have the money to hire full-time employees, hence the employment of nurse practitioners in place of Dr's.
There are to many uninvited people here. The whole infer structure cannot cope with the volume of invaders. We have the Government and the invaders to thank for the mess we are in.
Those invaders don't even know what queuing up means at the doctor's surgery 😮
@@CharlottePaige-rg2kq ....they dont have to queue as they get to jump it right to the front.
Absolutely right john Miller get rid of the immigrants and we could all get an appointment and a house people are blaming it on us living longer which is utter rubbish we've let to many immigrants in the country I broke my leg and wrist went to basildon hospital I was the only English person I there and was given a ticket to be seen number 132 😢
They also get a paid interpreter and 2 appointments compared to our one as they take longer to deal with because of the language barrier.
You guys are the problem with this country this doctor just said doctor do not want too work but they like to pick and choose their hours of work that's the problem Doctors but you guys say it's the immigration
GP practices are privately owned, so who owns them?
Americans and Indians.
Usually the doctors themselves, either as individuals or as a group.
Just as "Swindle and Connit" might set up a solicitors' firm together, so a few doctors get together and open one up in an area.
big pharma
The doctors own them
The doctors
A good example of the Me Me society of today. There is no commitment to the organisation or patients
I don't think a lot of people know how GPs are organised.
It's not like, say, the police force or Fire Service where they are public sector employees working in local authority paid-for buildings located in a town or village.
A GP practice is usually a PRIVATE company (or partnership), just the same as if a couple of solicitors/barristers got together and decided to set up a legal services company in a town somewhere.
Just as the barristers can choose to work in, say, criminal law, real estate, or probate, and spend whatever time they like doing whatever work they wish, so doctors can choose the areas they work in.
The barristers may choose to accept some prosecution cases (paid for from the public purse) and some defence cases (paid-for by the defendant).
Similarly, doctors might choose to spend, say, two or three days a week seeing NHS patients, paid for by the public purse, and the rest seeing private ones. Or they might decide to do expedition medicine, medical journalism or many types of other work.
They're not 'public servants' but running a business. It's their choice how they run it!!
@@robertstallard7836 in essence you are correct, however, unless the GPs have formed a consortium that owns and runs the Practice, then invariably the Practices are owned and run by Private Companies/Consortiums and the GPs will need to agree their terms and conditions with the owners.
How come this wasn't an issue in past years? Doctors used to work 5 days a week and then go out and see patients in their homes.
Times change
@@londonlavalout9762 yes, for the worse
Not for the better
The GP who owns my local surgery teaches one day a week, runs his islamic centre another two days a week and does his GP practice the other two days. The NHS isn't broken, its completely failed at this stage.
My GP only works 3 days they expect you to ill to fit in when they work and the receptionist we are flat out yet everytime u go the waiting room is empty.
Someone like that shouldn’t be a doctor or in this country.
Full time working for a GP equates to over £100,000 a year. If part time working may bring in £50,000 a year, that's more than the majority of the population will ever have a chance to earn in a year.
Bit these people don't have medical degrees...are you saying john with 4 gcses should earn 50k just because a doctor can earn that part time.?
@@pault3705 No I am not saying that at all! I am saying that part time GP's earn more than the average person is likely to ever earn in a year! Thats why part time GP's are still very well off, hence there is very little incentive for them to work full time!
My aunties a gp, the thing is as a locum you earn almost 800/1k a day. Even 3 days a week pulls in 6 figures a year so there is no use of a gp doing a salaried job in the same surgery 5 days a week. It does not financially make sense to do the same job and get paid much less...
@@debrakeogh Yes and the fact that many GPs find a similarly well qualified partner taking their combined income to over 100,000 a year, both working part time.
then there's tax
Why should an individual doctor bother working full time if the government is going to take half the paycheque?
@@HDY0903that’s what they don’t understand…. Doctors are not immune to the recent cost of living crisis… and they are not well paid … the people refuse to hold the government accountable but it’s okay to honour at the doctors
The Dental practices are even worse.
The dental service in this country is a disgrace! They should all be forced to give a percentage of their time to seeing NHS patients especially children, pregnant women, and those on benefits.
They'll get better. They're just teething problems
..
@@nickgood8166 😀
'I'm special. I'm a Doctor!' It's a job, so get out of bed and get it done properly. Much like the rest of us.
Selfish and bone idle.. it’s disgusting
Not like the rest of you.. most of you are not that smart.. envy is a low class quality
@@peterholden3672 Firemen are doing longer hours, ambulance drivers are doing longer hours so why cant they? My son works 8 hour shifts in a bloody deep freeze year round. some people dont know when theyve got it good.
@@peterholden3672What pressure are doctors actually under, their patient lists are minimal & tailored to the hours they chose to work, there are far more people doing more stressful, responsible & dangerous jobs on half their pay. The people with low life expectancy are the one's doctors should be treating. Be coming a qualified doctor used to be a dedicated privilege, nowadays it's an excuse to not work & get paid.
You should try Medical School then
Unbelievable! I'm with you all the way with this, Mike. For over 40 years I worked 12 hour shifts in a power station where, through thick and thin, we did everything we possibly could to keep the lights on! I don't understand modern-day morals anymore. Wow! What an eye opener!!
They got accustomed to doing the bare essentials during COVID and they don't want to do the work anymore.
A friend of mine is a GP and he said
The more I work the more tax I pay
I pay nearly 70% tax inc NI and pension contributions
Also a lot more patients are now disrespectful and very demanding
The nice ones keep the job worthwhile
Don't forget all the paperwork and the litigation pressure......
Where are all these Dr's, Nurses, Surgeons and Engineers that are being dropped on our shores by dinghy. 🤔
They offer super cheap labour.
@@maisiemoo8343rather seeking benefits
They are wannabe Dr's, Nurses, Surgeons and Engineers. We have to pay to educate them.
my wife is 35, has kidney failure and is on dialysis, diabetes, heart failure, blood pressure issues (the list really could do on).... went to A&E a couple days ago with pain in her side, after a few hours waiting a doctor listened to her chest to find she has fluid on the lungs one side... after discovering this she was then left to sit in A&E for 13 hours without anybody saying anything to her. In the end she simply had to leave and discharge herself, sitting in blistering heat sweating, hungry, barely able to stay sat up anymore. As valuable as the NHS is to us as a family its simply not fit for purpose. We have to just hope now her dialysis treatment will be more aggressive to draw that fluid off her lung and help her feel better because we simply cant get seen in any reasonable time.
Best wishes to you and your wife. Nobody should be suffering like that due to the failings of our NHS. It's too long to wait 3 hours when your very poorly let alone 13. ❤
@@rachelengland3571 thanks appreciate the kind words.
I mean without the NHS we would be in a world of all kinds of trouble, my son is also diabetic and has autism so you can imagine we spend a lot of time in and around hospitals so we appreciate the help we get, my wife had a stroke about 6 months ago and the ambulance arrived in good time so occasionally things do work well it’s just the times when it fails you that stand out the most because often it happens to people that need it the most.
I don’t know what the solution to all this is, who knows but it’s clear too many heads to treat and not enough hands, rooms, beds etc.
Thanks again, appreciate the care.
That’s disgusting
@@sbalmer132 all too common at the moment isn’t it. Let’s hope it gets better and not worse.
@@jinx20001It will get worse.
They must earn enough money from their one, two or three days to live a good lifestyle or they would feel the urge to come in more....what happened to going in to medicine to help people..?
Once you get into the 40% tax band the government essentially takes half what you earn and many think why bother. Then you hit the 60% rate (when they take away tax free threshold) it becomes pointless.
Now if go into medicine to see how many you can maim or hospitalize
@@stumac869Yes totally pointless....they might actually save some people's lives if they got off their arses and came into work, but we wouldn't want to damage their fragile mental health would we?
The NHS doctors and specialists would only be given a workload that keeps them busy 3 days a week and for that they get full salary. The busy frontline jobs are understaffed which gives the impression everyone is rushed off their feet but most are not. Afaik NHS surgeons will do 1 operation a week but in a private hospital they will do 1 per day without compromising outcomes. It seems like the NHS is so badly run they are extremely inefficient.
Those doctors employed by the NHS should not be allowed to practice privately and vice versa.
My wife had a bad chest infection so rang the doctors only to be told there were no doctors available and she would have to see the nurse. My wife works hard and pays loads in tax and national insurance. She never visits the doctors normally. Utterly shameful state we're in.
Blame the politicians who run the country not the doctors.
The only people working in our surgery are the nurses
Same at my medical centre
Lucky you because our don't bother either.
You can have appointment at a different site and you see : ' Physician Associate'
Same here
Practising the new Bird Flu dance 👍
Vastly overpaid and privileged with no conscience at all.
Over paid do you know how much Gp are paid or doctors in general are paid. U must be nutcracker. They are suppose to be the smartest of any society no wonder doctors are leaving to other countries
You are very lucky to be so privileged.
Doctors in the uk are not overpaid…. Get your facts right
@@aristotle9245 Rubbish, you don't know when you are well off, and you will never be satisfied.
No wonder we are so fecked.
I know several doctors that have filled their pension pots (within 20years) & cut hours & doing “other things” ie private work. So they’re not tired. They don’t care. And he’s wrong yes they only get paid for the sessions they work. But if it’s a private practice & they’re a partner then they get a share of practice profits. Basically like everyone in the NHS they only care about themselves. Typical of the selfish society we will in ☹️ cut final salary pensions would get them working & stop private if you work NHS one or the other not both. They having it both ways. If they go private get their training coasts back
Their “training costs”? Like the student loan they pay back? Or the courses they self fund? The exams they self fund? The registration to practice they self fund?
Unfortunately private profits pays a lot more so OBVIOUSLY they’re going to do it. Anybody who claims they would rather work somewhere doing the same job for half the pay is lying. Everyone works for the most pay they can get. Everyone has bills to pay and families to look after.
What needs to happen is the NHS needs reforming. There’s so much wastage on non medics, PFI hospitals and poor supply contracts. Reform it and start paying them properly. Make it worth their while and they will. It’s easy.
@@ChrisKlein0 private companies recoup their training costs it’s standard practice. What’s the point in training someone to work for you & they jump to a commentator ? Salaries are 70% of the budget. With final salary pensions every tax payer funds. Address the salaries, pensions &!perks before picking on the chicken feed of admin.
@ChrisKlein0 An NHS consultant of my acquaintance refuses to work in private practice because he considers it immoral. He works full time for the NHS and says he makes quite enough money from this. If only there were more principled doctors like him.
@@carolineputus1482 good on him 👍 unfortunately most staff in my experience in the NHS don’t have the same moral compass ☹️
I live in a village with six doctors .No one answers the phone it cuts of after waiting . You go down book an appointment surgery is near empty you return to a near empty surgery . Fxxxxng about
Spot on, same with the dentist too!!!!👍
A & E is overflowing because there are no GP appointments. It's obvious that most of the people there should not be at A & E!
GPs are managing patients who are on hospital waiting lists.
I am going to mention something that people won't like. There are an increasing numbers of female doctors now, all part time. My surgery does not have a male doctor. Let's be honest here, they DO get enough salary to enable them to live well or they could not work part time, unlike most people. Add to this their aim is to retire early on a nice pension and it is not a bad way to live. I am old enough to remember GPs working 6 days a week plus home visits. I would just add, as a woman myself, this is based on my observations over the years. Many jobs are exhausting e.g. prison officers, carers, hospital porters, long distance lorry drivers, the list goes on. Long exhausting shift work for very little reward.
Same at my surgery, i didnt figure the reason as you have done but it makes sense. NHS broken
The last few years have taught me that no way would I want to be a doctor. They are told what they are allowed to say and not say to patients on pain of losing their job. What they are told to say is often not in the best interests of the patients. Many of the best have left in the last few years. I personally know doctors that are disgusted with the system. Who wants to give their all in such a toxic working environment?
Make the student fees etc., subject to completing ten years of service in the NHS on a full time contract or be subject to paying all fees in full. It use to be done this way and it should be done this way.
Agree With you, we need to have discipline otherwese the doctor walk over people suffering because they think they are bright and best
Current medicine graduates finish university 100k in debt... what are you on about?
It's not like a mortgage or credit card, it'smore of a graduate tax @@Kam-go3bc. On a 100k salary it will be paid off very quickly.
Mike, in the old days, nurses learnt on the ward and was overlooked by a Sister and a Matron. The wards were thoroughly cleaned by domestic staff. To be a doctor or a nurse was a vocation. Now there are only university degrees to become a nurse, a vocational career. Matrons have gone, and the hospital world has been turned on its head.
That’s all done to Warmongerer Blair who changed the system.
University degree nurses,useless, you can tell as soon as they start working in a ward whether they worked in a hospital or care home before ,no empathy for the people they are supposed to care for,love computers. Don't do personal care.
@@robertadams1054 and Margaret Thatcher!!
I remember those Sisters and matrons. you did not mess with them. They kept hospitals running like clockwork day in, day out. And they did not go to university to attain standards.
@@DorothyGrace-or5iq Of course this is all down to Warmongerer Blair, University University University. That’s why we are in this mess.
AS ACHILD OUR DRS DONE 7DAYS A WEEK AND CALL OUTS IN ALL WEATHERS,GPs ARE CAUSING A PROBLEM WITH BACK LOGS,THE PROBLEM WITH DRS IS THEY DO NOT OBEY THERE HYPICRITICAL OATH THATS OLD HAT IN THERE LANGUAGE
They do obey the hypocritical oath, it is us that carry a false belief that "first do no harm" refers to us the patient, it doesn't
The "first do no harm" within the oath means, do no harm to their careers and the industry
@@paula622they no longer have to sign the hippocratic oath as part of their employment contract. They do sign whilst studying or at graduation can't remember which. The problem is Government who set policies that allow this exploitation of the system. Adfparty. UK :)
This is what happens when you reduce education standards and parents spoil their kids
@@peterholden3672Their education is pharmaceutical led, for the benefit of the pharmaceutical industry,
The pharmaceutical industry are in the business of sickness, they make NO profit from healthy people
Yes and that's what the wef think too. Be careful what you wish for
They are too busy muzzling us, keeping us away from surgeries unless it pays them otherwise. A genuine doctor is a myth in this Country.
Very true!
@@peterholden3672They are not educated to the expected standards of bygone days. Now, they are probably trained to just follow protocol, rather that be independent thinkers, and prescribe for symptoms presented. That's why so many now do telephone consultations - anyone with a sheet of instructions in front of them could do that.
I was in the doctor’s surgery last week for blood test, waited quite a while, nobody in the waiting room, never saw a doctor in all that time. This was 9 in the morning.
Yes same here. I had a appointment and no one else in surgery. I also had to have a echo cardio test was told my appointment was to be in November 24. I rang and said can you bring it forward . I did manage to bring it forward had it done three weeks ago. Expected to be in a very busy clinic as I have been told how exceptionally busy the cardio department is. I went to my appointment one lady in clinic and she was waiting for someone and left with them .I went in had test come out not one person in clinic. Why did they tell me November before I could have appointment. Something doesn't ring true to me.
@@carolfletcher2601 Me too. Visited local GP surgery three times over a fortnight. Absolutely no patients to be seen. Where on earth are all these patients who are unable to get GP appointments? Are they all on trollies on corridors in NHS hospitals??
why on earth would u expect to see a doctor if u just went in for a blood test.
Most doctors get in before 9 and start seeing patients or ringing them up. They'd be in their rooms, so u wouldn't see them.
are you moaning for the sake of moaning jonny boy
@@pierzing.glint1sh76 I didn’t expect to see a doctor for a blood test, but at 9 in the morning there were no patients or doctors to be seen. Has everyone found a miracle cure or have they just given up asking to see a Doctor?
@@johnmiller2739 many ppl find it more convenient to speak with the doctor over the phone. It's also likely that 9am on a Monday many people are at work or at school etc etc so may prefer to speak on the phone.
But you believe whatever you want to believe
This is rubbish, As a GP I used to work 9 sessions a week for the last 15 years + working weekends doing minor surgery lists. The Surgery I was working with for 10 years terminated my contract and I'm out of work and there are so many GPs out of work as the NHS is replacing GPs with physician associates who are cheaper.
I'm fully committed and even ready to do night shifts, but there is no work, as GPs are being replaced by unqualified staff.
Who owned the Surgery that terminated your contract?
Poor attempt to gaslight darling. They have terminated your contract for another reason and you are now picking on Physician Associates. Tell the truth. What have you done to loose your job?
Unbelievable!!! 😮😮😮
I'm burnt out being a cleaner on 12 hour shift a day in a hospital but guess what I still get out of bed and WORK 🤷🏻♀️
Question: why are we the only country in the world that has a National Health Service. A waiting list of 7 million who need treatment or highly paid health managers could be part of the answer.
Its a world health service and yes, top heavy with administrators.
Tell me which European country dos not have NHS? Most of them have.
My surgery has half a dozen doctors,the waiting room has four or five patients,some of them waiting to see the practice nurse. When I left school I knew that I had to work to live, what planet are these lazy people on?
Well done Mike; you stated facts, spoke the truth and didn’t pussy foot about. No wonder so many people, including myself, admire you for your gumption and wit. Thank you for your down to earth approach.
There is something seriously wrong with the health care system. Also there is something wrong with the housing system.
If you go to the walk in centre where I live Your told that you cant just.walk in???
While us working class, working over 60 hours a week, don't have the option of getting "burnt out".
You should have studied well at your age and got yourself a better job, maybe a Doctor?
lmaoo yeah they do get burnt out, I see many of the ''working class''
asking for 3 month long sick notes for ''anxiety'' to sit at home and get universal credit 🤣
Atleast Doctors are still working!!!
@@pierzing.glint1sh76 well if they aren't working they aren't working class are they
@@r4vr4c feel free to ring up and get a sick note whenever you feel you need a break from your difficult ''working class'' job
@@r4vr4c do you even know the meaning of W O R K?
Apathy and lack of commitment. ...
Hard work???????? They should try unloading lorries on ten hour shifts when you feel like your arms are falling off after twenty minutes.. They don't know what hard work is.. Some people have to work like that for seven days a week because of the cost of living.. They are a joke..
Spot on mate! that is why my back is wrecked and waiting forever for an urgent op!
I can understand what you're saying, I work in my local hospital and would say it's more mental health than physical. It's affecting all staff including me at times and I'm 57 years of age
Everyone thinks they work harder than the other person hahah
Doctors have spent their young and prime years with work and clinical practice , let them enjoy life now at-least
Other people enjoyed their younger days and as a result of that now have to work much harder to make money because they didn't work hard enough earlier.
Very hard to do that when you're smart and young and fit, its very tempting to piss about and enjoy yourself.
You might say doctors don't know what hard work is.
They could say YOU don't know what discipline is
@@pierzing.glint1sh76 Come off it.. Doctors spend their young years partying at university.. I work in a popular university city.. They are constantly partying and dressing up and parading through the city having fun.... Junior doctors do go through hell in their junior years but after they qualify they can take it much easier.. They only have to work 30 years to get a full pension paid for by hard working current taxpayers while normal people have work 40 years to get a pittance of a pension by comparison..
Discipline is is getting up for work at 3.30am every single day and working 10/12 hour backbreaking shifts which barely pay the bills.. I know because I've done it..
It is more a mental strain than a physical one. Think that every patient you deal with could potentially have a life threatening problem and you need to be completely focused to try not to miss anything. Doing that for hours on end with that level of responsibility is a whole other level.
none round here work full time. quite a few 1 day or 2 days only.
Do you get the choice of seeing another doctor in your practice though if one is available?
WTF
I was a labourer all my working life, I did scaffolding, building site work, I was a dustman for a few years back when it was hard,
- try walking 30 miles a day, in steel toe-capped boots in two foot of snow for weeks on end, or unloading 6 40' shipping containers a day, each fully loaded with 50 kilo hessian sacks of either ground nuts or coffee beans.
I was usually at work by 6am everyday, whatever the work was, and usually didn't get home until well after 7pm.
Yeah, I did suffer from some stress and depression over the years, but I carried on.
I now care for my extremely old mother 24/7, and for the first 7 years I received no benefits, but for the last 2 years I've received around £80 a week, that's just over £10 a day for 24/7 care work.
But I do it all, because I'm a good person, it's not about the money, or the stress, it all comes down to empathy, compassion and understanding,
- and most importantly, being able to put other people's needs before your own.
Cry me a fecking river, doctors don't know how easy they've got it...
god bless
Touching two years now I have been unable to see a doctor at my surgery, told to use online e-service. Then the local walk in centre closed down! So basically people go to A & E and clog that up with non emergencies.
It’s no longer a vocation no longer a way of life or 24 hrs on call!!
Now they want a nine to five job seriously Doctors used to be a highly respected occupation now they just a part time job with full time money!!!
That's rubbish It was messed up during covid They dont want to see patients They use to work 5 days & on a call They didnt have 'mental health'
I'm a frontline A&E doctor. My take home pay is less than a security guard
Shame shame shame
I earn the status of a doctor by achieving the highest stats in many subjects
The problem is that most of the important treatments are locked behind a metaphorical gate and the GPs hold the key to the gate.
I'm talking about antibiotics and therapies in general.
The game has changed considerably in the last 100 years.
There isn't an every day infection that you can't find on the internet in terms of its symptoms and recommended therapy.
There isn't a therapy that you can't find on the internet in terms of it's usage, its dosage and the conditions that it treats.
Antibiotics should be available OTC or online.
I shouldn't have to rely on someone who doesn't want to work in order to access treatments for my illness.
I self diagnosed for decades and ordered my treatment online when I needed it.
Successfully for decades.
Then the government ordered the banks to cancel the accounts of the online drug vendors to preserve the government's monopoly.
When i qualified as an Eiectrician the week on nights was sixty hours. Later in my job,i was clocking fifty six hours a week, ten months a year. I'm going to open a clinic treating ex-sparkies with fluorescent light and socket burn-out.
The problem with those working in the NHS is that they forget the end user
If the whole of the working population behave like this then nothing will work. Frankly this line of reasoning is pathetic.
Most of em had six months paid leave over the covid 'emergency' and haven't been able to rouse themselves since.
I'd like to know what happened to the supposed 'nightingale' units they built in 10 days (according to Boris Johnson) to cope with Covid. Were they even real and if so what happened to them? They were supposed to be fully equipped.
I don't know where you get your facts from but as a GP I did not have even one day leave due to go COVID-19, when the rest of the country was on furlough money, enjoying half price eat out to help out, the only thing we got was clapping once a week we did not even get additional funding from the NHS. We had to arrange our own PPE, as the little amount of PPE we got from the government was out of date.
Quite a few of my colleagues died from covid-19 providing care for patients, some of them are still suffering from health issues due to covid-19.
@@VNavale I'm self-employed, I was sent home by our idiotic government. I had no income at all for six months for the sake of an illness I had already had once and recovered from 3 months before the lockdown even started. A few short weeks ago I had my over sixties exam, It was I believe the first time I had seen the inside of my GPs surgery since the Covid emergency started. My experience of my local GP is marred by a shocking experience I had a number of years ago when immediately following a bout of lithotripsy I was confined to bed with what can only be described as an excruciating kidney infection (I and others thought I might be dying) and my personal plate Jaguar driving GP at the time would not make a house call. I could go on, My late father died of recurrent strokes at the age of 57 having been sent home the same day following the first one, he was transported in each direction in a police van because the ambulance drivers were on strike at the time. My relatively spritely late mother died in hospital more recently at the age of 91 having been admitted for a minor fall at home, she was kept in over a weekend simply because no consultant was present to sign her release on the Friday evening. I knew when I saw her on the Sunday she would never be coming home, it felt to me like somebody in the hospital had decided to ration her life expectancy.
In the bigger picture to junior doctors striking for a 35 percent pay hike because that would bring them back into line with 2008 pre-austerity pay I say 'Join the club' in 2009 my hourly rate was £29-£30 today I will be lucky to get £27 if indeed I can get a contract at all, I am an active 62 year old whose state pension will not kick in for another five years.
The way how the interviewer thinks is crazy! Medical doctors have human rights too! If they do not want to work, they do not want to work! The key is that the renumeration is not attractive enough for the stress involved.
The UK Government is bankrupt. People have to accept that quality free public healthcare is the past. Neither Labour nor the Tories could change the fact.
This interview begs so many more questions and analysis of the real causes of the collapse of the NHS, Welfare and the country in general. One simple question, if the GP Practice gets a regular income based on patient lists, which are continually rising, but the individual GP's only get paid for the number of sessions worked; what happens to that pot of money which is paid by the NHS to the GP Practice, but not given to GP's, because they nearly never work a full week. Is it given back, or is it divided up between the partners who own the practice? There must be a step I am missing.
They get to keep it as profit , watch the documentary on here called , " the great NHS heist " it explains exactly what you are wondering . It began when the blair government restructured the way the surgeries receive the money , any money left over became profit which inadvertently encourages the GPS to see less patients so that there is more money left over at the end of the year , documentary explains it better than I ever could .
They don't give a damn about patients.
They don't want to work full time but want full time salary though! Then they have the absolute Gaul to go on strike for salary increases they do nothing to earn!
They’re all foreign ,it’s the culture!
yes African Care wokers provided by the state from my experience are bloody lazy. Ive caught them lounging around on their mobile phones during visits when they are supposed to be working for the ten minute visits they actually turn up to, they even leave their car engine running outside ready to make a quick getaway, we have timed their visits and the shortest was 3 mins in duration, hello , goodbye and off. They also stole my Mothers Jewlewry and when challenged called me a racist, if I was a racist they wouldnt be allowed anywhere near my elderly parents house. we have since changed the state carers which incidentially we have to pay a contritribution towards because my parents own their own home. Disgusting behaviour. Watch them and watch them carefully, ive even caught them shouting & screaming at my Mother.
If the foreigners left the NHS would collapse you fools
If you chavs could read and write and had the aptitude to pass very difficult exams then you could be doing this job instead of claiming benefits.........
The main thing is there are too many managers trying to rule the roost, there used to be a few in the office, a Matron who had worked on the ground floor and she oversaw the nursing staff, the manager would control money and the cleaning services and doctors were respected and worked hard.
That's in a hospital, not a GP practice. Very different things.
@@robertstallard7836yes you're right but some of the comments on here are also talking about GPs in hospitals, and the state of our hospitals at the moment.
You can't get an appointment for weeks yet the waiting rooms are very quiet ?
When you finally get seen they have very little time for you, and don't make good judgements .
Ive lost faith in Drs
Waiting rooms are quiet? It's appts only, would you rather you had to just come and sit with dozens of other poorly people? The gps have little time you are correct in that bit, they get allocated 10 mins per appt. Try taking a full history , getting to the nub of the issue , doing an examination and any tests, eg BP etc writing notes up, making sure it would pass legal interrogation if the no win no fee brigade decides they could get you a few quid by suing, referring onward if required. And bear in mind it takes 'Elsie' 15 mins to get to the room and get settled. No wonder it seems the gp has no time for you.
When your Gp works shifts at the hospital for a £1000 a shift and you never see them in your surgery.
They are badly organised.
End of.
Its intentionally disorganised. Then they call all faff about doing nowt.
An extra 650.000 people using the NHS every year 🤔
And these are the people who are called Heroes and we did seal impressions on Thursdays night for them. 😮
I only banged my pan twice before I felt ridiculous ,
Yep the seal impressions were a vomit inducing embarrassment to us all.
More so boris promising that nhs staff would be well rewarded after covid. That's why we all went on strike. Lies lies lies.
The doctors at my surgery are part time NHS and part time private GP’s
Also I know of a surgeon who was expect to spend time working abroad
Sadly all true I for the pass five months have tired see a doctor specialist bad knee Arthritis Had to in the end give Up
Only managed two phone calls from the medical team
With very little or no assistances or help was told down load an app covering sports related injuries to assist me !!!!
So in the end turned to my private Health insurance provider & was given doctor appointment within 48hrs & referred to physiotherapy with follow ups
I have always had great respect for the NHS Now sadly don’t
Surely if the money isn't attractive enough they would have to work full time! At the moment there sal;ary is obviously good enough to only work part time! Shocking.
Actually, I'm thinking doctors are paid far too much. If you are comfortable working 3 days a week you are doing all right.
It is probably not PC to mention this, but about half the number of doctors these days are women, who probably have children and their work/family balance is crucial for many reasons. This is not a criticism, just a statement of fact and proof that this country needs to train MORE doctors and nurses.
I have just retired at 66 after working for 35 years as a lift engineer.
I had no option in any contracts but to work a 5 day week as well as covering emergency call out 24/7 every 3rd week.
Many occasions having to get up in the middle of the night to release people trapped in lifts.
I often worked 70 hours plus.
It's called the job. People rely on you when you give them a contract.
Do gp's just think that they are more important than us.
No they just think their special and entitled
No wonder doctors are leaving for better countries.. a doctor is far more essential than any other profession.. you ppl are envious and insecure and it shows
The nhs is only going to get worse bcos docs don't want to work for ppl like u in this country
Why earn £100k a year for a 40 hour week, when you can get home work balance on £60k for working for 30 hours. Most of the rest of us don't have that luxury, but doctors do and exploit it to the max.
Taxing anyone at 40% + 6% national insurance will discourage work in any sector. It’s a disgrace that people should work to have half of it stolen.
When you earn between £100k and £125k the marginal income tax rate is 60%. Most of the population don't realise this but doctors do, Something most of the population don't realise.
Yes I read about this.. it’s incredible how this country destroys ambition with its tax system.
They admit alcohol tax is a sin tax, and they levy it to make people consume less, well the same applies to work. Income tax is the ultimate sin tax.
Obvious really if your lucky to have a base salary that takes you into a marginal 60% tax tax rate then your probably thinking any overtime makes no real financial sense but the time off makes real emotional and physical well-being. No one likes being robbed for working hard.
Many GPs are women with children, that’s why they choose to work part time.
What is wrong with these doctors??? Disgusting!!
The problem is, and always has been, staffing levels in the NHS. Staff are given an unreasonable amount of work to get through and it becomes stressful for a lot of people unless they can put boundaries around the work load. I worked in the NHS and saw staff taking admin work home, working extra hours on a shift and it is still happening today. My argument was that they were perpetuating the poor staffing levels. All too soon those who did this started to get stressed out, took time off sick and eventually went off with depression and left the job.The NHS workplace has become stressful for the majority of staff and the NHS doesn't care! Bad management all designed to save money and reach targets. And the targets get harder and harder to reach because once a target has been reached the pressure is on to increase the target even more! It is a downhill spiral of increasingly trying to cut costs and staff! It is now falling apart!
As an ex nhs worker what you say is so true!
Taking work home is standard.
A culture change in not doing work fir free has affected the nhs. Self care is not selfish. Noone should be expected to work for nothing! I am sure all the working class heroes on here slagging the nhs workers don't do extra for nowt, neither should the nhs!
The NHS is in a mess because all the illegal migrants are in the hospital
Wanting free treatment
Thay should pay
Like we have to when we go on holidays
Yep
GPs are a waste of time.
use chat gpt instead.
I agree - GPs are just professional drug dealers. They never treat the cause, just prescribe loads of pills
My daughter had trouble with her legs and arms coulnt move her arms above her head
Went to drs a few times
Said ridiculous stuff
Eventually saw a dr who sent her straight to casual. Stayed in hospital for a week
Various tests gave her steroids. Eventually cleared up might have been a virus I her spine. What would ha e happened if the dr hadn't sent her to casualty.
Sadly, more a waste of our lives.
GPs ARE A WASTE OF OUR TAX MONEY, SAME AS THE POLICE. GET RID OF THE2 DAYSs BACK TO 5DAYS,AND STOP THE BLOODY LUNCH HOURS THATS IN EVERY S
Dr Buckman says the money is not attractive. I would love to be able to only work 3 days, the money is TOO GOOD !!!. This is in part the result of allowing more than 50% of trainees to be women, although I applaud this in principle, who after a few years want to work partime and have a family. It needs to be a contract if we pay for your training you need to give us at LEAST 10 years full time work.
What is this propaganda about the government paying for training? It's completely false. Current graduates finish university 100k in debt. The NHS bursary only covers the last 2 years and is not nearly enough to actually cover living costs. It's also means tested. The years covered by the bursary are all on placements in the NHS which means the students are contributing to the work force.
@jp80a68 What are the Male GPs doing? Not looking after their own kids, so that is illustrative of males giving less time to their kids and females picking up their slack?
See how well things function if all the women doctors, pharmacists, dentists etc stop altogether.
Women may take some time out, but they practice throughout many decades.
From my own experience, 10 years in NHS plus family working in organisations that work with the NHS, young male doctors leave because they cant deal with the stress and can earn more money doing things that their medical experience and knowledge of the system will reward more highly financially.
At the same time we keep hearing that locums can't get permanent jobs even though we really need more GPs to be practicing and more appointments.
We have fantastically well run GP services and really bad ones. My last 2 GP surgeries and own doctor have been very good, as is all the staff from nurses to reception to pharmacy, but my Daugter in laws previous surgery was absolutely shocking, bad, abysmal, downright terrible...negligently so in my view considering how impossible they made it to get appointments, so it was a relief when she moved in with us and could finally change to our GP when their list reopened. I've moved a lot in my lifetime and been registered at many practices, but they were the worst, with my grandmothers surgery somewhat similar, until she moved and we got her registered at the practice I used to be with and the rest of my immediate family have been with constantly since the 80s!
What isnt clear is why so many practices are so badly run.
I am sympathetic to a lot of GPs who are really carrying the burden, working long hours and it is very challenging and intense job. Peoples lives depend on you listening carefully and making the right judgements and they could ve seriously ill or die if you dont get it right. I dont want exhausted GPs, I want fresh and alert ones and enough of them
We don't pay for their training!
Anybody with a basic education knows that the student is in debt fir their university education!
If they pay for their own education its up to them what they do with it!
If like many on here they have little education then they will have to do long hours and physical graft to make ends meet. Education gives choices, lack of restricts choices but fosters jealousy of those who have them.
@@rosss825 It costs more than the tuition fees charged to home students to deliver their education. Once a medical student graduates they have to join the NHS and secure a training place. They do 2 years of Foundation training, FY1 and FY2, following a curriculum set by the UKFPO or UK Foundation Programme Office. They complete multiple rotations through various areas of medicine to learn some basic skills and familiarise themselves with the different areas of medicine. This has to be done in a hospital that is set up to deliver their training and monitor them to ensure they pass each area of competency before progressing to the next stage of training. They then choose a Specialty, and then progress through training programmes set by the Royal Colleges which comprise CMT or Core Medical Training and then further grades associated with their Specialty, progressing all the way to consultant over up to 7 years if they choose to go all the way, but most don't and will be trained to a particular grade and stay there, perhaps taking time out between progressing further or not at all. These are non training posts as opposed to training posts. All the people who deliver thjs training are qualified doctors, nurses and other professionals. Their formal Educational Supervisors and Clinical Supervisors are remunerated for these roles in addition to their standard salary for their grade. There is an enormous cost to the NHS for training doctors, from the curriculums to the specialist IT systems that they keep a record of all training and assessment and outcomes, working with the Royal Colleges, and delivering the administration of their education, which is necessary to ensure they have the skills and incompetent or dangerous practice is stopped and if necessary the doctor is struck off if they are incompetent or dangerous in any other way. Its very complex and involves significant costs. I worked in this area for a decade and believe me, the NHS invests an enormous amount of time and money in educating doctors...and nurses, midwives, pharmacists, dentists etc, but the biggest most expensive programme is training doctors in hospitals to the point where they are properly useful. FY1s are not very useful yet, FY2s are a little bit useful by the end of the second year. That is not a disparagement, it's a reflection that it is their first 2 years in the workplace with real patients in the real working environment with an awful lot to still learn in terms of practical skills, judgement, emotional management, bedside manner, how to complete patient documentation, and how a hospital or GP practice actually works, let alone medical knowledge.
Definitely no appointments, i ve tried and tried...my blood work is awful no thyroid, saw a specalist recently who said she would send my report back to my gp.. ...gp sent me a message saying " if im still having trouble with my thyroid medication please make an appointment 😂😂😂😂 what a bloody joke..not at all bothered about my awful blood work or how to resolve it......well I'll just go away and die shall i...😡😡😡😡😡
So how did all the old school doctors cope then FFS working a damn sight harder and all hours, delivering babies at home and home visits every day.
If you got rid of nhs. These people would have to work more hours to get their £££
Evidently, the juice isn't worth the squeeze.
Doctors feel swamped by the avalanche and want a better balance so it comes down to too many people needing the service again really.
I hurt my arm, went to A&E who treated me. They said to see my GP after a few days if I was concerned. Guess what? GP refused to see me and told me to go back to A&E. I didn't waste more A&E time, so I'm left with a damaged arm, no GP support and private healthcare as the only way forward. Pay taxes? We must be mad to do so.
It's very complicated, its modern society and you can't put this back in the box
Another way of looking at this is they are earning so much they can afford to work part time....
I worked 5 days a week, 12 hours a day in the commercial world, for 37.5 pay. That was reality. Three days rediculous.
I totally get it ……I was in the aviation business …….its the same ……..you get overworked …….then you suffer from fatigue and then you make mistakes ……..mistakes can kill so that’s why you decide you want to work less……..ie burnout .! 😊
For Doctors that leave and do private stuff for more money ……well that’s another story !
The big question is …………how do we sort this mess out ? 😢
UK wasted £450bn on Covid 19.
I worked a social healthcare system in the US for decades.
Healthcare use by patients in social medicine is 2.7 times higher than those privately insured.
It's like tables of free snacks vs tables of snacks that cost money. Which is consumed more?
100% correct.
When my father retired from medicine, many years ago now, he was so relieved. He said he was spending almost as much time doing paperwork as seeing patients and that is not what he went into medicine for. On top of that you have patients sueing left, right and centre. When you think about the responsibilities doctors have, often with lives at stake, they should be earning far more than they do and treated with respect, as they are, eg, in Australia.
Go and sit in a GP surgery and observe the demographic in the waiting room. Then you'll see why Doctor's dont want to work.
Your right about the same doctors in nhs and same doctor in private .
Somehow I don't understand it. In our country, it is usual for a doctor to treat at least 10 patients a day. Five days a week.
10 patients a day is luxury
Perhaps if we didn't have 90 million people in the county with no apparent end to it.... we wouldn't have a crumbling NHS
Our doctors was empty when i walked in but no appointment available