Sadly there is a massive money shortage in general practice and some of the little money available seems to be ring fenced to physician associates. The real question is, will a new labour government offer some better funding. even something small and incremental year or year will give GP trainees some hope for the future. As things stand we seem to be losing our highly trained staff - that might be great for Canada or Australia but it is at our expense as a country.
@@chutney-h3oconsidering GPs who are looking for salaried are also struggling, it’s obviously the system. The GPs are there, there’s no jobs. So how the government can claim they will train more GPs yet where will they go?
It takes TEN years to become a GP. 5 at medical school and 5 in hospital. It is a huge scandal and injustice that these UK trained doctors are now met with unemployment.
@@martinanderson4832 I would say not after talking family members who live in Australia and know a number of doctors and nurses who regret the contracts they signed ... It's not all sunshine and surf... Especially the way it's advertised...
She’s asked what the issue is if people want to see GPs and GPs want to be seen, her answer is people should see nurses and pharmacies instead of GPs. But … why…? If you have plenty of GPs, why send them to nurses???
She doesn't give a damn and why would she? No consequences, fat pension, snout in the trough and no responsibility just need to blag her way through a 5 minute interview now and then. Easiest job in the world being a tory minister.
this was the plan ALL along, NHS is dead hope you have insurance. The best part of over 50s are now going to die, it's called clearing the dead wood, millions shedded from the UK population, it's fabulous for pensions, healthcare, traffic, etc etc etc......... Look at the pattern not the immediate event
What are they not telling us? (1) That the UK spends less on health than most countries, and that it has fewer doctors per head of population than other European countries. Yet they bang on about "inefficiency." We've had fewer doctors since the start of the NHS. GPs are there to ration health spending. (2) There has been a tacit decision to switch care provision to Physician Associates, Advanced Nurse Practitioners, and the like, who are cheaper because their training is briefer, they are paid less and they can't go to work abroad as easily, since every country has different versions of them.
Most of the time I had Nurses and PAs willing to issue a prescription and refer. GPs don't even do as much and they are overpaid. Because of their EGOS!!!
I have already spoken to a recruiter for Australia and looking into Qatar too. Patients are DESPERATE to speak to or see their GP. Instead the Government, hire Physicians associates with 2 years training. Then strangle funding to GP Practices. Already doing private work. The Conservative Government has decimated NHS General Practice and Starmer isn't committed to help NHS GPs.
I hear you. I trained in the nhs and was damned proud of it but that was before working overseas when I realised even 40 years ago that there are many countries whose health care systems are infinitely better! One of the things that gets me is that over all there are only so many health care professionals working across the state and private systems and it’s common for staff to work across both sectors. Which also means that in turn people paying for private care are being put ahead of nhs patients whose need might be greater while at the same time perpetuating the nhs waiting list. My 89 year old mum who lives in Scotland needed a hip replacement went private as the nhs waiting list was so long. No complications thankfully but it cost her £16000, I now live in Australia. A friends whose father in law had retired out here needed the same op and had it done privately . $AU 18000! That’s £9000,! , The difference beggars belief and the uk is making a killing if you’ll forgive the unfortunate pun. Such greed is obscene! And yet our health professionals are paid considerably more than hey are in the uk. One of the first things we noticed when we emigrated was that the wealth of the country is much more evenly divided amongst the population. This story illustrates how wide the gap is but the situation in the nhs is dire. Radical reform across both public and private is required but I don’t see anyone with the skills, underpinning or the guts to do it.
Australia is the same. Most doctors practices no longer take new clients(some havent for 15 years), and the few you can get to see are freshly minted and of a much lower educational standard, full of indoctrination and irrational beliefs, compared to doctors of twenty years ago.
@@davidfrisken1617 it depends on exactly where you are. And you don’t have to register within any one doctor although most people would do for continuity of care. Also most gp surgeries operate ‘drop in’ sessions where you can go if you are prepared to wait your turn which is great for minor complaints.
@@davidfrisken1617 I have lived in Oz for the last 35 years and I have a nursing background. I have NEVER met any doctor with irrational or indoctrination beliefs. In fact I suffered a very extensive stroke at a relatively young age and the management and care I received could not be faulted. I was treated as a public patient in a public hospital.
@@christinefiedor3518How many of these doctors have you actually challenged over the last 15 years? What issues did you probe to be able to make the claim that there are no doctors with irrational beliefs? How did you determine none of these doctors had a religious allegiances? How did they take your challenges?
Because when politicians say they are ‘going to train more GPs’ it’s a lie. They aren’t going to increase any funding for more doctors or even keep current funding as it is today. If attrition rate is high and need is also going up training more GPs is meaningless and will make no difference to wait times or people’s ability to see a GP.
@user-up9rf3nw2i Yes because they ask for ridiculous hours and ridiculous patient lists. You can't fo a proper appointment in 6 minutes. Why even give yourself a headache? Go to Aus
You ain't figured it out yet? Depends on your age. GPS use to have even more patients in the past and had a better turnaround. Last 1 years getting pi$%$% at my GP forcing me for asthma reviews or no meds. How many sufferes in the u.k?? How many visits, so many un-necessary things. The nurse at me GPS get paid £50K + but needs to sent me somewhere else to have ear wax removed!!
I wish this wasn’t the case but Labour are planning to be no better. They have £0 extra planned for staff in the NHS. All their health money is allocated to new machines or infrastructure. They plan to continue the austerity on the NHS. Gps are expensive. Cheaper to have less of them and get patients to be seen by noctors.
@@r3negade47Labour have pledged an extra 40,000 appointments a week and have repeatedly said they’ll pay staff to work evening and weekends. How is that no better or £0 planned for staff? Yes more needs to be done but the waiting lists have to come down
@@andrewcharlton6080 wait you actually believe them?! Pay staff to work evenings and weekends with what money? You do realise locum shifts have all dried up for doctors in the last year. GP clinics can’t even afford enough doctors and staff for 5 days a week and it’s getting worse each year. Labour can pledge a rocket to the moon but if they aren’t raising taxes and they aren’t reallocating funding the NHS will sink under them same as the Tories. Wes Streeting is the biggest liar of them all.
Expect specifically for GP practices, GP practices are private businesses that have private patients, the NHS as a client (and therefore NHS patients) or a mixture of both. Since it Is a private model, the NHS are not the ones employing staff at the GP surgery it's the CEO of the surgery, who is a GP. They decide to employ nurses, qualified GPs, trainee GPs, pharmacists, receptionist, and cleaners. So in terms of jobs, it seems the problem is with the ceo of the GP practice. But it seems the GPs practices are paid a fixed amount per patient per year, so they might decide/negotiate to pay £500,000 pounds to cover 5000 patients in a year (just an example). Just cos u have 5000 patients, they might all come 3 times each to that's like seeing 15,000, or if they all come 4 times, 20 000 yet you still have the same £500,000 pounds to look after them and the practice still need to pay their expenses, to pay all the staff, to buy every vaccine, to run every test, even to just turn the lights on and the water bills, but as said before, the money fixed. So overall it's like the GPs surgeries need to open more jobs for GPs but they can't afford to cos the NHS need to pay them more, (growing population, ageing population, rising incidence in things like obesity diabetes etc) so really the NHS needs more funding from the government so they can spend a portion of their budget on Employing GP practices and services The same thing is happening in dentistry, that's why they've all gone private, they cant afford to/won't make enough money if they are only/majority NHS patients
@@missophelie3781Every. Unless you are dying it has been common since the Tories have come into power to wait 3 weeks for a routine GP appointment. I've actually been told by GPs themselves to state that certain of my conditions are emergencies to get an on the day appointment.
9:10 Pharmacy first: "like they do in France", what a massive big lie! People don't go to the pharmacist first in France and they certainly can't give you a prescription there! They can often give you good advice and take your blood pressure, but they absolutely don't substitute a doctor and won't hesitate to tell you that !
Why are UK chemists , who are NOT medically trained, giving ANY medical advice to the public?? If these armchair quarterbacks want to give MEDICAL ADVICE, then why don't they go to medical school first and qualify as doctors ??? IF these people do not want to take up medical training, then do the job they were trained in, DISPENSE medicines and leave medical matters to doctors. There is a REASON why doctors have to train hard and get top results before they are allowed to be picked for medical training because they will be in charge of people's health . Armchair quarterbacks should NOT dabble in giving ANY medical advice. If the UK leaders have goofed up then THEY and those who voted them in are to blame. . PERIOD. If a chemist misdiagnosed, will they be held accountable???
I’ve worked in a GP practice and a community pharmacy. GP practices get too little money for clinical work but make better money dispensing meds (if they do). Pharmacies are struggling dispensing meds but get more money for clinical work like pharmacy first. It’s nuts, it’s completely backwards.
UK trained paediatric doctor here. I am leaving the UK permanently next month. The training for doctors is a shambles. This is forcing doctors out of training. Working in NHS hospitals is horrendous.. there is never enough staff, doctors are continuously having their workload increased and increased (patient numbers and complexity increasing).. doctors pay is shocking.. we have to watch patients have less than adequate care and are powerless to change it. I don’t think the NHS is salvageable, it’s too far gone. I would say the majority of my colleagues are either making active plans to leave or want to leave the UK.
Funny. I'm a Nigerian doctor and over 90% of my colleagues are either now working in the UK, or are in the process of moving. I myself passed PLAB 1 and 2 before I got a better opportunity in canada
My family and friends who are doctors and nurses are all planning to leave some to Australia and other to places like middle East. Better pay and work life balance is the reason
The funding goes up year on year on year! The NHS still manages to hire "diversity managers" on 50K+ per year. The system itself doesn't work. It's not a matter of funding. Throwing yet more money will not correct the flaws of the system.
Back in 2011, David Cameron's health advisor Mark Britnell, head of global health at KPMG, told a group of private healthcare businessmen that the NHS would cease to be a care deliverer and instead would become an insurer. Famously, he added, "The NHS will be shown no mercy."
THANK YOU, All this hullabaloo is about this.And GOD FORBID this.What does she mean by 500 more private Doctors?🤔👀.Are people training privately?I would love too,and get the money GP's get.😊
@puccarts I call my GP Doctor Dolittle. When I can get an appointment, she's useless. She once prescribed me Feng Shui for insomnia. Literally. But only after she recommended ANTIDEPRESSANTS! Actually preferred to prescribe me antidepressants over 3 days of zopiclone. It's because of regulations. And it's much more profitable to have someone on antidepressants for months or years instead of a couple of days of zopiclone to help get sleeping patterns. I've started to suffer from hayfever, badly. I got an appointment with her after having it for 5 or so weeks. She took my temperature and said "You're running a temperature, so you've probably got an infection or virus. Come back in 8-10 weeks if the symptoms don't go away. My temp was 37.7. I'd just walked a mile very quickly and sat in a boiling hot waiting room. I've stopped going to the doctors now. It's a waste of time. It's easier to self help using online pharmacies and youtube.
Brit living in Germany. If I need to see my GP without an appointment I just go to the surgery Mon to Fri and maybe have to wait an hour. A couple of weeks ago, my Mum needed an ambulance in emergency in the UK. Brother called 999 and waited 4 hours for the ambulance to arrive! Here it takes max 10 minutes. Something is seriously wrong with the UK approach to healthcare 😢
@@JWSoulI am from the US and had heard your NHS was generally decent and an issue was wait times for specialists. Now I hear that you are having problems being seen by your doctor and that was not the case before. I am telling you not to criticize, but let you know how an outsider sees it. I may be wrong though. Take care you all 🇬🇧
@@JWSoul LOL, as usual, blame the people, not the cunts that are privatizing it under your nose and getting even richer in the process, while TAXPAYERS die one after another needlessly.
They should start fining people who call for an ambulance that don’t actually need one. People calling over minor injuries (like a cut or bruise) when they can get themselves to A&E or because their child has a cold. It bogs down the system so people in actual emergencies have to wait for hours for assistance. I will say one thing for the US, an ambulance will be at your door within 10-15 min most of the time once you call 911. And that’s because you have to pay for an ambulance visit. So you only call if it’s a real emergency.
The reason's simple: get rid of GPs and replace them with 'Physician Associates' (PAs). Be under no illusion: _your_ children will be injured, disabled or die because of this.
a "P.A.s" IS NOT!!! a doctor and has NO qualification to diagnose anything at all or to accurately prescribe either treatment or medication!! A trained, hospital nurse has more know-how than someone who managed a field hospital in Afghanistan!!! (see practice in Somerset)
@@AtifKhan-ir7oe Welcome to reality-land where end-of-their-tethers GPs are already struggling to provide comprehensive continuity of care to bursting-at-seams appointment lists in 10-minute slots. Of course there will be isolated examples of good practice, but it will not be the norm!
@@BsktImp The non-egotistical and smart GPs will now sacrificing 15-30mins per session is worth the whole extra session. With the right recruitment aswell as trial periods they can ensure they get a PA that will continue to develop and need less supervision by the day.
Maria can say "you dont always need to see a GP" all she wants. She would ask for a doctor. As a doctor who understands the differences in training between the roles, so would I for any member of my family. Why should it be any different for the public? We've trained them, there should not be a reluctance to employ actual GPs? Vote this lady out
@@Galacticmaster yes but it's not really the Tories, I'm pretty confident when I say the 150k+ a year they're earning has a huge impact to their decision making.
I'm a healthcare student and most of my peers are looking to leave the UK after qualifying. It's not because of the patients but rather the degradation of the NHS by the govt has led to a significant loss of confidence in our futures.
Depends how long you have left to go on your education but, at the risk of dismissing other peoples current concerns, you might be okay by the time you graduate. I live in hope for you anyway.
The Tory government has increased the 'envelope' by 259 million pounds. Wasn't there supposed to be 350 million pounds PER WEEK available to spend on the NHS?
It is also about training more doctors, especially GPs. I very recently worked on software projects for Doctors in training. GPs were retiring or leaving overseas, far far more that we were training them. In other specialities it was also similar. Pre-brexit/Covid, we could get by with "importing" doctors. Not any more. Now GP practises want to hire more GPs. But this government has said they have to use nurses, paramedics and pharmacists and cant take on GPs. It's about cutting costs. And damn the pore public and the NHS. In the highly unlikely event the Tories have any say in the next Gov, expect GPs to be privatised, that will fix it isn there eyes
@@faithlesshound5621 that's not the markets solution. Since practices don't have to money to pay they are forced to employ Pa and ANP. Gp practices are saying they don't want to hire them as they are unqualified and dangerous.
@@caspice literally impossible to do if your not a consultant, also I can just about afford to live where would have I have the capital to start a business?
A similar thing goes on in state schools. There is a massive shortage of good STEM teachers. Yet as a UK qualified teacher I have spent the last 10 years privately tutoring A-level maths, further maths, physics and chemistry. Why? Because being older, and very experienced, I am considerably more expensive than a newly qualified teacher or on the job trainee.
@nbbim2012 - I think you are over simplifying things and being alarmist. PAs mostly work in hospital. NPs, Paramedics, Pharmacists etc work predominantly in primary care. Most primary care allied health providers have specialist training, some having passed advanced examination in Primary Care. To suggest that they are poorly trained or incompetent is grossly erroneous. That doesn’t mean to say that doctors are not needed. It should not be either or but rather more staff to include allied health, nurses and doctors.
In Somerset my local surgery has an huge waiting room, 6 consulting rooms, up to 4 receptionists at a time and NOT ONE SINGLE DOCTOR!!! They don't do prescriptions there, (scripts have to be done by some electronic means called "on line" (meaningless to me) or by telephone, (you are seventeenth in the queue! your wait will be approximately 43 minutes!!!) Who can call this a governed country????
Physician associates are well-trained competent generalists and can also specialise in their specific area of medicine - they are not replacements for doctors. This is a problem of the useless Tory governments over the last 14 years mismanaging NHS England and not investing enough funds into primary care in general. Also, GP practices want to hire salaried GPs and partners, overreliance on locum GPs is not sustainable in the long-term and we are now seeing the consequences.
Like many other jobs people learn part of it, GP's look at the symptoms and the blood results then often refer the patient to a specialist in that field. So a PA may well know a lot more than a GP about the field they deal with. You no longer need to see a GP for an injection you can even get them done in a supermarket with a pharmacy. The real problem is as you can see junior doctors driven by the union into over rating their worth with a demand of 35% pay increase when the market already has more trained doctors than it needs. Just like any other job supply and demand dictates the wage.
Who do you blame for the destruction of the NHS? The Tories? No. Blame the people who enabled them, who time after time put them in power for the last 14 years, and that's the British public. You get the government you deserve, you get the NHS you deserve.
yea but theyll just blame brown people comming over on boats because they wont blame themselves so it must be (add minority here). because tory voters are to smart to be wrong.
It's because the people are hoarding the positions. And many doctors are from Europe too. Apply to do red cross if you could til you find a position later on back here. Or join NATO as medics. Or the army ?...
This is unbelievable! I tried to get an appointment for ONE WEEK. No one answered the phone. Eventually I rang 111 and they got me an appointment immediately - it turned out I had had a stroke! Why is the money not filtered down to pay for doctors? Is it all been taken for administrators? A relative was receiving end of life care at home, a bed was delivered, table also. After the passing the company took 3 weeks to collect the bed. The table they did not take, saying ‘that was on prescription, so it’s yours’. WHAT? The person had masses of medical supplies pushed by the 3rd party company. Nappies, saline solution, supplement drinks, wipes, RUBBISH BAGS, and masses more - all unused. NONEof it was accepted by the local medical facilities - WHY, all the items offered were sealed, unused. But the district nurses advised they are NOT ALLOWED to take these and use them - even if there is a shortage. If you break a leg and want to return the crutches YOU CANNOT. Why are the NHS throwing away all these items????? No wonder there is no money for medical staff….
Sad truth: I was on holiday in Albania and can assure you that health and dental treatments are quickly and cheaply available there... Even the private sector is affordable. Something's not clear about the situation we're in the UK. Privatisation ahead?
Honestly in my opinion working in this. A lot of it is the fact people are living longer and thus have more issues. The other issue is people just overusing the services. I kid you not it is common for me to see people with minor issues booking in often. Cold, sickness for a few days, loose stools and Dr's tend to air on the side of caution for fear of missing something. Chesty cough you get an Xray, Ecg Bloods, Cannula. Turns out you have a minor chest infection a cold or I dunno hay-fever! But you have just used all these resources. While someone else dies, on the floor at home because we are all used up attending to the person with a cold. People also know you can come to A & E and get anything wrong sorted faster. Bad Hip? Long standing? Just claim you fell over ring an Ambulance get taken in get Xray get seen get treatment, get further appointments for the issue sorted and maybe even have an Operation.
Unfortunately it is not just happening at GPs. Pharmacies are also underfunded, approximately 10 pharmacies are closing every week, and funding for pharmacies have been cut by 40% according to the National Pharmacy Association (NPA).
Induction of physician associates and nurse practitioner is false economy! 6 GP friends of mine left for qatar 8 yrs ago and are not coming back! Likewise one more gp from bolton, uk is leaving for canada. He knows another 20 who has left for canada from north west! This is despite long waiting periods of getting gp appointments. It is dangerous!
@@Rajesh-q6l4t Being a rich country does NOT mean having good health care. The USA, one of the richest, spends the most on health, but its outcomes are poor. The US has lower life expectancy and higher infant and maternal mortality than West European countries do.
pharmacist the same there are 10 chemists closed per week ,recently have been closed 1400 stores in the UK .Wages are going down and pharmacists are trying to avoid jobs due to problems and every pharmacy becoming more busy .
A Locum GP costs about twice as much as an employed one, if there's plenty of work for Locum's they'll never become employed. You don't get continuation of care with a locum because you can't have follow up appointment's with them. What you really want is lots of employed GP's and relatively few Locum GP's - better care and half the price. What you've had is lots of locum GP's and no employed GP's, now we've got lots of locum GP's who are considering becoming employed because they can't get work- this sounds like a step in the right direction.
Finding it very difficult to get an appointment in my Practice now. Why are Nurse Practitioners replacing GP'S in my Practice when holding surgery? GP'S study for 7 years minimum, which is really demeaning, what is their role now, in the NHS? and I am not surprised they are looking elsewhere.
"...what I'm hearing on the doorstep..." is people can't get doctor's appointments, they have an impossible waiting time for NHS treatment, skipping meals, using food banks and the cost of living crisis.
@@carrieellis8847why tax the richest?THEY work so HARD why should they be taxed more?Everyone has 24 hours.But we understand most need extra cash and help,for various reasons.
@@newwineskin5494 to poorest paid us out of the last 5 recessions i think its about time the richest paid ror the current crisis instead of making millions of the backs of the lowest paid for once in like forever
Not all surgeries need more GP's, there are many factors that any business needs to look at when deciding the training requirements each year. One major one is CHURN (how many will leave the industry by choice, retirement or Mal-practice) Next year the number may be higher or lower depending on the forecast and then if the funding is available
Yes they don't address the real issue that is; the population on our tiny island has ballooned over capacity because of people being brought in to the country through various methods. A few extra GP's will do absolutely nothing for the larger problem and it's only set to get worse.
Same in Scotland. I can’t get an appt when I phone. And frustratingly, I have phoned for an appointment only to receive a message telling me the queue is full, and then I get cut off! Honestly the NHS is forcing people to go private. They are creating a 2 tier system of haves and have nots.
6:30 "the GP might not be the best person to see you..." I am sorry what? In that multidisciplinary team a GP is the only person with broad knowledge of medicine in it's entirety, who is qualified and regulated to highest standards. This is unbelievable.
Someone i know was seen by a GP and was trying to convince her that it was nothing, she had to insist on having tests and was diagnosed with gallstones. and had been waiting for approximately 10 months to have gallbladder removed and finally getting it early next month. She has experienced extreme pain, extreme weight loss and great inconvenience to her life. This is just so unacceptable..
a family friend was repeatedly told over many months that she had gastroenteritis. it wasn't until she was rushed to hospital that she was diagnosed with bowel cancer and given 2 weeks to live.
Unbelievable level of incompetence - the Government initiated the additional roles scheme without first benchmarking the the number of existing GPs. PCNs have just replaced GPs with other healthcare staff - no new capacity created
On the plus side, they could work in any other country and they’d have a better standard of living immediately. I expect a massive brain drain in the next few years for Turd Island.
9:05 how.can you expect a pharmacist to do the work of a doctor? How many ppl suffer from 7 common illnesses ??? The question was about ppl that await g.p appointment.
Those seven common illnesses are more common then you think. And they are illnesses that can be dealt with by pharmacists with OTC meds and eventually Abx and antivirals. With each of these illnesses, pharmacists are aware and able to recognise the red flags which may require onward referrals either to a GP or even ED. So yes pharmacist 1st is great as a point of access as well as freeing GP time. But I get about GP waiting times and not enough GPs.
We have heaps that have moved to Australia, I feel made to the UK as it is great for Australia. As arrive on our shores with great training from the UK which is similar to Australia and have very similar values and not to mention great banter.
The lady at the end is spot on about losing fitness levels. I’ve had an arthritic hip for 9 years and on a waiting list for 16 months. I’d gone from being superfit to barely walking. My weight has ballooned and GPs are constantly taking blood expecting me to hit diabetic and heart health markers for statins. However, I was lucky enough to get an NHS hip replacement 4 weeks ago. The transformation is remarkable. I’m able to walk and do physio without pain and am confident I can get my fitness levels back quickly without drugs. Lots of people are not so lucky. The surgeons are frustrated and waiting to do the work. Also, my daughter, a NICU nurse of 23 years, is currently training for ANP status. I can assure you, the training is rigorous and they deserve a little more respect than they are getting in these comments.
I change my GP when they told me to use E-Consult to request 4 more weeks off work after I’d been off for 7 as they couldn’t see me to support a return to work for a month. Changed surgery and I was seen within 4 days and back at work a week later. I told my colleagues what happened and they then pointed out where my old surgery had failed me badly for several years
One of the biggest problems is post code boundaries, you end up with 1 surgery that has a very low patient to GP radio, then another one that is swamped with a super high patient to GP ratio. In reality what should be done, if say there are 10 surgeries in a large area, remove the catchments and merge them all into one super surgery, then they can split the workload between them all. Plus lots of other things that can help as well, but they'll never be implemented.
Coming from Australia and having worked in the NHS over the past 12 months, there is no doubt the british govt want less GPs working, and replace their workload with pharmacists, ambos, nurses and others to take over when there training doesn't allow them to be competent or confident to treat complex medical issues, some might be competent, but this is very poor policy, it sounds like more and more austerity when the country needs to protect and assist its own citizens, I can't want to get back to Australia at the end of the year
What about the use of locums and the impact it has on the quality of patients care? The overuse of temporary doctors has eaten into budgets. They are expensive! But have they discussed their hourly rate v a salaried GP?
Before the tories nhs was absolutely brilliant. You cant even call a GP anymore they tell you to go online and make a request for a phone call, what if you cant? Even then takes atleast two months for a ruitine procedure.
My friend who is a GP told me about this 6 months ago and I was aghast as it's so hard for patients to get an emergency appointment ( or any type of appointment). Also - why does the government cap the number of training places for medicine courses at university and make nurses pay their own degree tuition fees now?
she lives in coco land, you cut down GP contract and you ask surgeries to pay their admin staff more than they receive. you give them 2% and you ask them to pay 6% to staff pay rises, ofc they will stop hiring GPs to be able to barely pay for their admin staff and keep the surgery running. guess what drs are highly skilled people and are in demand in every other country. they will ofc leave uk and move to another country. you are deskilling the country by using a person with 2 year of basic sceince (AKA PA) To do a doctors job. This will have ramifications for the future when diagnosis are missed and people are getting late diagnosis of cancers cause PA could not pick the red flags for thousands of disease as you can not compare them with a doctor with 10 year of pure medical expertise and knowledge. pharmacy first cause big pharma is lobbying crazy for it in the government.
When i had a lung infection I felt like I couldn't breathe so I had to call ask 111 to call me because I would have to wait 2 weeks for a phone triage with a doctor before even seeing me face to face. I had to go to an out of hour GP at A&E late at night by bus. It was unsafe I know but I had no choice but to call my family member who lived in another city and have them on the phone with me as I traveled to and from the appointment.
Many practices don't want to employ locum GPs. They cost a lot of money. Consequently, many practices simply employ an Advanced Nurse Practitioners/Nurse Prescribers who see their patients under close supervision. It works out to be a better deal for them.
The UK is a failed state. Sheep voting Labor in huge numbers. More punishment coming for the Sheep. Migrant workers should not even think about the UK. Pure hellish state.
I have friends who are GPs and they've both moved to Australia because they couldn't find work in the UK 5 and 7 years ago, despite their being a "shortage". I feel like someone is trying to bring the NHS to it's knee's, someone with financial backing for the US medical industry, who have been trying to privatise the NHS for decades.
Explain to me why GPs are paid per patient. Base salary plus performance element based on predetermined criteria sounds fairer. No surprise they try to rush your out of the room as soon as you walk in
They aren't just paid per patient. That is a baseline and just one small part of the funding. They are also paid on performance such as targets related to things such as blood pressure, asthma, diabetes as well as other services such as immunisations and smears
I'm a newly qualified GP in a few weeks and I can't find a job, the public needs to know that there is enough GPs but the government won't provide the funding to employ them.
I'm a locum GP, it's not as simple as more locums means more appointments, practices that have high locum GP usage have poor continuity of care, equally as frustrating for patients and more wasteful. There is a delicate balance to be struck and probably it was too far in the direction of too many locums. They need to focus on creating conditions where Dr's are happy to stay and offer some form of flexibility leading to better retention and in turn better care for patients.
I don't think the full picture on locum GPs is being presented. I've heard from practice managers that locums want to charge very high rates and then get picky about what they will and will not do. Some don't want to even do the basics. It's no wonder practices don't want to hire them because they drain finances and don't give good service.
The govt want to replace GPs with much cheaper and less qualified physios and physician associates. (Unkindly referred to as “Noctors”). The reason you would want a highly trained person at the front line of health care is because a wart may be benign or cancerous and it’s not always easy to tell which. What offends me is that a govt minister would expect to see a qualified doctor when they go to their private clinic but are happy for you and I to see whoever is cheapest.
I'm a fresh graduate of biomedical I have experience working in A&E while studying. I have been trying to join just as a trainee even though their requirements are just GCSE biology and chemistry. I have applied and rejected at least more than 50+ TIMES didn't even go to the interview at all. This is absolutely mental. As a foreign student I guess have to leave this country after my home country offered me a permanent role.
@@LanaTodd-pn1yg Community Pharmacists especially, if they are a PCN or ACP like myself, then we are most specialised with diagnosis and prescribing but community pharmacists are better with medications themselves.
Get real! The UK Government is bankrupt and the population is aging. Why don't the politicians be honest and get a proper discussion into encouraging richer people to use private medical care and try to focus the resources more to those who need most?
because the rich will have to lose those and actualy use the momey the family has horded over the generations and they cant do that god forbid they might have to spend a penny into the tax system thats for the peasants
Locum = Part time job with full time salary Its that simple, NHS wants salaried staff to control costs, you cant just train in something and decide you want £135 an hour and work 16 hours a week, basically doing what you want . You can earn more in private practice so go there, I dont blame government for changing the job description, its greed 101 .
Locum staff generally cost much more to employ with the local public having no repot and consistency with the clinician as they can be temporary. Why not go full time?
Precisely because there are no salaried or partnership jobs either. So the only work GPs are getting are these random one off short term gigs, like a supply teacher...
GPs earn 6 figure salaries, locums ear over £150K per year. For a non specialist doctor, that's a gross amount of money. Stop asking for so much money and they'll get work.
They did this in Tech. Over trained, told everyone they needed to learn how to code. Then many graduates today have no chance of getting a job because there's 400 applicants per job.
In France All doctors appointments are made online! A clear planning is offered by a GP. You can use a PC or an APP. Extremely effective and appointment times are reliable. You pay for your visit with a healthcare card issued by authorities. Most GPs charge more than standard rate and this is paid for by our mutual.
Since the pandemic my doctors surgery has 2 drs instead of 5 and an empty waiting room that used to be packed. Doctors jumped on the bandwagon since lockdown and shrunk their services in favour of telephone appointments, online systems, 111 non emergency and eConsults. Lack of initial treatment is only going to create worsening pressure on hospitals down the line as diagnoses are missed, symptoms worsen and complications arise.
Surely the reason they have fewer services for you now is that they have only 2 Doctors not 5?! Not that they 'jumped on the bandwagon' Use of online systems and econsult was mandated and imposed on GP surgeries, not their choice.
If 80% of locums are struggling to find work get together and make your own surgery in any town in the country theyll be complaining theyve got to much work then
In France All doctors appointments are made online! A clear planning is offered by a GP. You can use a PC or an APP. Extremely effective and appointment times are reliable.
Too much greediness from all sides. NHS is rot at the core, too many people earning hundreds of thousands, some even millions pounds a year and they show absolutely no work. Corruption is condoned and reinforced, nurses complaining of understaffing and they spend most of their shift gossiping in the kitchen or smoking… if they show up to their shift. Doctors are overworked but still power mad, so much elitism around a profession like any other, the requirements to apply for medicine doesn’t even make sense. And then in the end, they import these doctors with questionable qualifications that eventually, after some years and many unnecessary deaths, are found to be fake. So much incompetence at every level and the damage is so far gone that I don’t see another future for NHS but terminating it altogether.
It’s purely government corruption, transforming a public service into a profit driven privately owned entity. It’s all money and greed. It’s a rich man’s world.
I work in a GP surgery. It's simply a case of not having the money to be able to pay for appropriate staffing levels. Every tory government talked about producing more GP's, but not one paid for them.
Am I right in suggesting that lots of GP's decided to become locums because it would be better pay for less work? Understandable with the stupid load. When the practices want permanent staff? Also understandable. Any chance of fulfilling both needs somewhere in the middle?
In which case, they will move abroad as the same workload gets significantly better pay than anywhere in the UK. It's the UKs loss as a lot of the GPs are trained up here only for them to go abroad for a better lifestyle and workload.
A few years ago weren’t the press going on about how locum GPs ripping off the practices by charging 3-5x the rates of regular GPs? This is a good thing.
Load OF BS>> im in CANADA> and my relatives in the BRITISH commonwealth Countries, call this BS. MOST have moved to USA cause the pay is in the 200 - 300k $ per annum.. id move to USA also...
Hmmm, well my GP / Health story is quite different . Firstly,I do accept that I have a primary responsibility to look after my own health - I exercise regularly, enjoy my food - but eat sensibly / proportionately ; I do not smoke , but do enjoy a glass of wine with supper now and again . My GP is awfully attentive - always notifying me that I am due for a regular health review , etc , and regularly reviews the generic medication I regularity take to control my blood pressure . The point I am trying to make is that, to make the NHS “ work “ - one needs to FIRSTLY have an attitude of ( self) responsibility towards one’s health : to STAY height/ weight proportionate, to eat/ drink in moderation , to not smoke, to EXERCISE regularly . And yet Brits ( the second fattest/ unhealthiest people in Europe ) moan on about how the NHS is “ broke “ and needs to be “fixed” - when it is Brits themselves who need to rise up to the challenge of “ fixing” the NHS by firstly looking after themselves : regularly exercising, and adopting a healthy attitude towards their own eating and lifestyle choices ( e.g, avoiding/ limiting smoking or drinking ;eating in moderation and avoiding an unhealthy diet of fatty/salty foods, etc, etc )….
GPs are being replaced as part of the Government’s plan to create a 2-tiered health system in the UK Poor - Forced to see anyone else other than a GP ( a professional who’s trained for 10 years to help you) and gaslighted to feel that this is the only & best option for them - because its free on the NHS Rich - See a GP and Specialist same day privately
You can't hold a PA responsible for malpractice, the poor GP will always be on the line if he/she is unfortunate to be on duty. It takes a lifetime to train any doctor, to think a PA with 2 years of training can replace a GP is a joke.
That's an utter disgrace. How does it make sense these doctors can't find work when there's a massive doctor shortage.
Sadly there is a massive money shortage in general practice and some of the little money available seems to be ring fenced to physician associates.
The real question is, will a new labour government offer some better funding. even something small and incremental year or year will give GP trainees some hope for the future.
As things stand we seem to be losing our highly trained staff - that might be great for Canada or Australia but it is at our expense as a country.
The consequence of socialised healthcare.
@@chutney-h3oand it's we the people who have to suffer
@@chutney-h3oconsidering GPs who are looking for salaried are also struggling, it’s obviously the system. The GPs are there, there’s no jobs. So how the government can claim they will train more GPs yet where will they go?
@@justadude8369 Britain has private hospitals. But people want the NHS to work because it's much better priced.
It takes TEN years to become a GP. 5 at medical school and 5 in hospital. It is a huge scandal and injustice that these UK trained doctors are now met with unemployment.
more than welcome in Australia....emigrate
@@martinanderson4832 it's all well and saying that but half of them hate where they end up in Australia!
@@Tim_Shippam gonna be better than anywhere in the UK
@@martinanderson4832 I would say not after talking family members who live in Australia and know a number of doctors and nurses who regret the contracts they signed ... It's not all sunshine and surf... Especially the way it's advertised...
Yes and they are replaced with Nurse Practitioners. 😡
The stupidity of this health minister is shocking.
go long!
She’s asked what the issue is if people want to see GPs and GPs want to be seen, her answer is people should see nurses and pharmacies instead of GPs.
But … why…? If you have plenty of GPs, why send them to nurses???
She doesn't give a damn and why would she? No consequences, fat pension, snout in the trough and no responsibility just need to blag her way through a 5 minute interview now and then. Easiest job in the world being a tory minister.
this was the plan ALL along, NHS is dead hope you have insurance. The best part of over 50s are now going to die, it's called clearing the dead wood, millions shedded from the UK population, it's fabulous for pensions, healthcare, traffic, etc etc etc......... Look at the pattern not the immediate event
@@dismalfist 100%
What are they not telling us?
(1) That the UK spends less on health than most countries, and that it has fewer doctors per head of population than other European countries. Yet they bang on about "inefficiency." We've had fewer doctors since the start of the NHS. GPs are there to ration health spending.
(2) There has been a tacit decision to switch care provision to Physician Associates, Advanced Nurse Practitioners, and the like, who are cheaper because their training is briefer, they are paid less and they can't go to work abroad as easily, since every country has different versions of them.
Underrated comment. Spot on.
Absolutely - and shockingly - correct.
The problem is these noctors are paid more than doctors!! Absolute shocker.
Btw Noctors are paid more than Doctors, mate. I'm glad I moved to Aus, where as a PGY3 Doctor, I can finally outearn British PAs 😂
Most of the time I had Nurses and PAs willing to issue a prescription and refer. GPs don't even do as much and they are overpaid. Because of their EGOS!!!
I have already spoken to a recruiter for Australia and looking into Qatar too.
Patients are DESPERATE to speak to or see their GP. Instead the Government, hire Physicians associates with 2 years training. Then strangle funding to GP Practices.
Already doing private work.
The Conservative Government has decimated NHS General Practice and Starmer isn't committed to help NHS GPs.
I hear you. I trained in the nhs and was damned proud of it but that was before working overseas when I realised even 40 years ago that there are many countries whose health care systems are infinitely better!
One of the things that gets me is that over all there are only so many health care professionals working across the state and private systems and it’s common for staff to work across both sectors. Which also means that in turn people paying for private care are being put ahead of nhs patients whose need might be greater while at the same time perpetuating the nhs waiting list.
My 89 year old mum who lives in Scotland needed a hip replacement went private as the nhs waiting list was so long. No complications thankfully but it cost her £16000,
I now live in Australia. A friends whose father in law had retired out here needed the same op and had it done privately . $AU 18000! That’s £9000,! , The difference beggars belief and the uk is making a killing if you’ll forgive the unfortunate pun. Such greed is obscene! And yet our health professionals are paid considerably more than hey are in the uk. One of the first things we noticed when we emigrated was that the wealth of the country is much more evenly divided amongst the population.
This story illustrates how wide the gap is but the situation in the nhs is dire. Radical reform across both public and private is required but I don’t see anyone with the skills, underpinning or the guts to do it.
Australia is the same. Most doctors practices no longer take new clients(some havent for 15 years), and the few you can get to see are freshly minted and of a much lower educational standard, full of indoctrination and irrational beliefs, compared to doctors of twenty years ago.
@@davidfrisken1617 it depends on exactly where you are. And you don’t have to register within any one doctor although most people would do for continuity of care. Also most gp surgeries operate ‘drop in’ sessions where you can go if you are prepared to wait your turn which is great for minor complaints.
@@davidfrisken1617 I have lived in Oz for the last 35 years and I have a nursing background. I have NEVER met any doctor with irrational or indoctrination beliefs.
In fact I suffered a very extensive stroke at a relatively young age and the management and care I received could not be faulted. I was treated as a public patient in a public hospital.
@@christinefiedor3518How many of these doctors have you actually challenged over the last 15 years? What issues did you probe to be able to make the claim that there are no doctors with irrational beliefs? How did you determine none of these doctors had a religious allegiances? How did they take your challenges?
Why do you need to train more GPs when there are GPS that can't get jobs! It seriously makes zero sense.
Because when politicians say they are ‘going to train more GPs’ it’s a lie. They aren’t going to increase any funding for more doctors or even keep current funding as it is today. If attrition rate is high and need is also going up training more GPs is meaningless and will make no difference to wait times or people’s ability to see a GP.
Royal college of GPs lists many jobs. Just not jobs folk want.
@user-up9rf3nw2i Yes because they ask for ridiculous hours and ridiculous patient lists. You can't fo a proper appointment in 6 minutes. Why even give yourself a headache? Go to Aus
What an excuse ! Off course we see a nurse if is available but sometimes we need a GP before going to hospital.
You ain't figured it out yet? Depends on your age. GPS use to have even more patients in the past and had a better turnaround. Last 1 years getting pi$%$% at my GP forcing me for asthma reviews or no meds. How many sufferes in the u.k?? How many visits, so many un-necessary things. The nurse at me GPS get paid £50K + but needs to sent me somewhere else to have ear wax removed!!
What a ridiculous inept government we have
I wish this wasn’t the case but Labour are planning to be no better. They have £0 extra planned for staff in the NHS. All their health money is allocated to new machines or infrastructure.
They plan to continue the austerity on the NHS. Gps are expensive. Cheaper to have less of them and get patients to be seen by noctors.
@@r3negade47Labour have pledged an extra 40,000 appointments a week and have repeatedly said they’ll pay staff to work evening and weekends. How is that no better or £0 planned for staff?
Yes more needs to be done but the waiting lists have to come down
Lies again? Careers jobs to poor people
why dont you run and fix it?
@@andrewcharlton6080 wait you actually believe them?! Pay staff to work evenings and weekends with what money? You do realise locum shifts have all dried up for doctors in the last year. GP clinics can’t even afford enough doctors and staff for 5 days a week and it’s getting worse each year. Labour can pledge a rocket to the moon but if they aren’t raising taxes and they aren’t reallocating funding the NHS will sink under them same as the Tories. Wes Streeting is the biggest liar of them all.
GPs looking for work whilst patients are looking for doctors and appointments are three weeks out?? My goodness.
Which city is this where one needs to wait for three weeks?
Expect specifically for GP practices, GP practices are private businesses that have private patients, the NHS as a client (and therefore NHS patients) or a mixture of both. Since it Is a private model, the NHS are not the ones employing staff at the GP surgery it's the CEO of the surgery, who is a GP. They decide to employ nurses, qualified GPs, trainee GPs, pharmacists, receptionist, and cleaners. So in terms of jobs, it seems the problem is with the ceo of the GP practice.
But it seems the GPs practices are paid a fixed amount per patient per year, so they might decide/negotiate to pay £500,000 pounds to cover 5000 patients in a year (just an example). Just cos u have 5000 patients, they might all come 3 times each to that's like seeing 15,000, or if they all come 4 times, 20 000 yet you still have the same £500,000 pounds to look after them and the practice still need to pay their expenses, to pay all the staff, to buy every vaccine, to run every test, even to just turn the lights on and the water bills, but as said before, the money fixed.
So overall it's like the GPs surgeries need to open more jobs for GPs but they can't afford to cos the NHS need to pay them more, (growing population, ageing population, rising incidence in things like obesity diabetes etc) so really the NHS needs more funding from the government so they can spend a portion of their budget on Employing GP practices and services
The same thing is happening in dentistry, that's why they've all gone private, they cant afford to/won't make enough money if they are only/majority NHS patients
@@missophelie3781Every.
Unless you are dying it has been common since the Tories have come into power to wait 3 weeks for a routine GP appointment.
I've actually been told by GPs themselves to state that certain of my conditions are emergencies to get an on the day appointment.
@@yellownoiseclubFunny how the Tories lie about it.
@@MsPeabody1231 Really? My, have not witnessed that myself. What city are you in?
9:10 Pharmacy first: "like they do in France", what a massive big lie!
People don't go to the pharmacist first in France and they certainly can't give you a prescription there! They can often give you good advice and take your blood pressure, but they absolutely don't substitute a doctor and won't hesitate to tell you that !
That also surely applies to Nurse Practitioners.
Why are UK chemists , who are NOT medically trained, giving ANY medical advice to the public?? If these armchair quarterbacks want to give MEDICAL ADVICE, then why don't they go to medical school first and qualify as doctors ???
IF these people do not want to take up medical training, then do the job they were trained in, DISPENSE medicines and leave medical matters to doctors. There is a REASON why doctors have to train hard and get top results before they are allowed to be picked for medical training because they will be in charge of people's health . Armchair quarterbacks should NOT dabble in giving ANY medical advice. If the UK leaders have goofed up then THEY and those who voted them in are to blame.
. PERIOD.
If a chemist misdiagnosed, will they be held accountable???
I’ve worked in a GP practice and a community pharmacy. GP practices get too little money for clinical work but make better money dispensing meds (if they do). Pharmacies are struggling dispensing meds but get more money for clinical work like pharmacy first.
It’s nuts, it’s completely backwards.
@@OllieX123 your country is a joke
I know right. What rubbish is coming out her mouth
UK trained paediatric doctor here. I am leaving the UK permanently next month. The training for doctors is a shambles. This is forcing doctors out of training. Working in NHS hospitals is horrendous.. there is never enough staff, doctors are continuously having their workload increased and increased (patient numbers and complexity increasing).. doctors pay is shocking.. we have to watch patients have less than adequate care and are powerless to change it. I don’t think the NHS is salvageable, it’s too far gone. I would say the majority of my colleagues are either making active plans to leave or want to leave the UK.
What country have you chosen to move to?
Where are you moving to?
Funny. I'm a Nigerian doctor and over 90% of my colleagues are either now working in the UK, or are in the process of moving. I myself passed PLAB 1 and 2 before I got a better opportunity in canada
oh,,l hope you are coming to Canada,,we need docs like you,,retired RN..
My family and friends who are doctors and nurses are all planning to leave some to Australia and other to places like middle East. Better pay and work life balance is the reason
When are we going to realise in UK heathcare, be it doctors, dentists, nurses or anything there is no staff shortage. There is only funding shortage.
The funding goes up year on year on year! The NHS still manages to hire "diversity managers" on 50K+ per year. The system itself doesn't work. It's not a matter of funding. Throwing yet more money will not correct the flaws of the system.
Elaborate your point please and thank you.
Yep nurses are struggling to find jobs too
@@nancymcgregor8691that’s the part they keep leaving out. They have enough staff, that’s not the problem they are refusing to pay.
You know what needs to happen....the NHS needs to be privatized.
The Tories have always wanted to get rid of the NHS. Period.
Back in 2011, David Cameron's health advisor Mark Britnell, head of global health at KPMG, told a group of private healthcare businessmen that the NHS would cease to be a care deliverer and instead would become an insurer. Famously, he added, "The NHS will be shown no mercy."
@@faithlesshound5621what a vile individual
👏🏾👏🏾👍🏾
THANK YOU, All this hullabaloo is about this.And GOD FORBID this.What does she mean by 500 more private Doctors?🤔👀.Are people training privately?I would love too,and get the money GP's get.😊
Blair and brown put the first provisions into privatising the NHS.
Both sides have always wanted/paid to represent such a system.
I'm doc and even I can't get hold of my GP practice , I was so unwell and still couldn't get an appointment
Don't "Docs" have to have a certain level of SPG?
@@garethjohnstone9282
What's SPG? Is that another pretend doctor replacement for the plebs?
What is spg@@garethjohnstone9282
@@garethjohnstone9282 No, they don't. They can't even prescribe for family/friends in emergencies.
@puccarts I call my GP Doctor Dolittle. When I can get an appointment, she's useless.
She once prescribed me Feng Shui for insomnia. Literally. But only after she recommended ANTIDEPRESSANTS! Actually preferred to prescribe me antidepressants over 3 days of zopiclone. It's because of regulations. And it's much more profitable to have someone on antidepressants for months or years instead of a couple of days of zopiclone to help get sleeping patterns.
I've started to suffer from hayfever, badly. I got an appointment with her after having it for 5 or so weeks. She took my temperature and said "You're running a temperature, so you've probably got an infection or virus. Come back in 8-10 weeks if the symptoms don't go away. My temp was 37.7. I'd just walked a mile very quickly and sat in a boiling hot waiting room.
I've stopped going to the doctors now. It's a waste of time. It's easier to self help using online pharmacies and youtube.
Brit living in Germany. If I need to see my GP without an appointment I just go to the surgery Mon to Fri and maybe have to wait an hour. A couple of weeks ago, my Mum needed an ambulance in emergency in the UK. Brother called 999 and waited 4 hours for the ambulance to arrive! Here it takes max 10 minutes. Something is seriously wrong with the UK approach to healthcare 😢
It's far to liberal and abused that's what's wrong mate. Frequent flyers and people using it for colds.
@@JWSoulI don’t think it’s just this. The actual system, the pay for the doctors and nurses and the low staff number combined is as well contributing.
@@JWSoulI am from the US and had heard your NHS was generally decent and an issue was wait times for specialists. Now I hear that you are having problems being seen by your doctor and that was not the case before. I am telling you not to criticize, but let you know how an outsider sees it. I may be wrong though. Take care you all 🇬🇧
@@JWSoul LOL, as usual, blame the people, not the cunts that are privatizing it under your nose and getting even richer in the process, while TAXPAYERS die one after another needlessly.
They should start fining people who call for an ambulance that don’t actually need one. People calling over minor injuries (like a cut or bruise) when they can get themselves to A&E or because their child has a cold. It bogs down the system so people in actual emergencies have to wait for hours for assistance. I will say one thing for the US, an ambulance will be at your door within 10-15 min most of the time once you call 911. And that’s because you have to pay for an ambulance visit. So you only call if it’s a real emergency.
The reason's simple: get rid of GPs and replace them with 'Physician Associates' (PAs). Be under no illusion: _your_ children will be injured, disabled or die because of this.
a "P.A.s" IS NOT!!! a doctor and has NO qualification to diagnose anything at all or to accurately prescribe either treatment or medication!! A trained, hospital nurse has more know-how than someone who managed a field hospital in Afghanistan!!! (see practice in Somerset)
You are a liar
Not if the GP partner is responsible, and supervises the PAs accordingly to their skill level.
@@AtifKhan-ir7oe Welcome to reality-land where end-of-their-tethers GPs are already struggling to provide comprehensive continuity of care to bursting-at-seams appointment lists in 10-minute slots. Of course there will be isolated examples of good practice, but it will not be the norm!
@@BsktImp The non-egotistical and smart GPs will now sacrificing 15-30mins per session is worth the whole extra session. With the right recruitment aswell as trial periods they can ensure they get a PA that will continue to develop and need less supervision by the day.
Maria can say "you dont always need to see a GP" all she wants. She would ask for a doctor. As a doctor who understands the differences in training between the roles, so would I for any member of my family. Why should it be any different for the public? We've trained them, there should not be a reluctance to employ actual GPs? Vote this lady out
Private businesses using state paid labour to earn an absolute fortune is the problem.
It’s a tragedy !
thats exactly whats going on Privatisation.
@@Galacticmaster yes but it's not really the Tories, I'm pretty confident when I say the 150k+ a year they're earning has a huge impact to their decision making.
@@chester6343 both the Tories and labour already privatised parts of the NHS. Blair privatised the GPs or laid the legislation out in the 2000s.
@@GalacticmasterGP practices were private from the start of the NHS. Same with dentists and opticians.
I'm a healthcare student and most of my peers are looking to leave the UK after qualifying. It's not because of the patients but rather the degradation of the NHS by the govt has led to a significant loss of confidence in our futures.
Depends how long you have left to go on your education but, at the risk of dismissing other peoples current concerns, you might be okay by the time you graduate.
I live in hope for you anyway.
What is a healthcare student?
What do you study?
The cutting truth.
@@randyschwaggins don't want to specify
@@user-fd5qx9hr6q riiiiiigghhht 😂
The Tory government has increased the 'envelope' by 259 million pounds. Wasn't there supposed to be 350 million pounds PER WEEK available to spend on the NHS?
And you heard the bird in the background laughing as that point was raised. 8:12
Never existed, and OBR called the Leave campaign out on this, but Farage and Gove just brushed it aside.
Ask bojo and farage about that
No! There never was and if you believed that you;re a mug!
@@adrianbaron4994 but unfortunately some people still think Farage is the "honest" choice
It not about training more doctors
They need to start putting in measures to retain the workforce
It is also about training more doctors, especially GPs. I very recently worked on software projects for Doctors in training. GPs were retiring or leaving overseas, far far more that we were training them. In other specialities it was also similar. Pre-brexit/Covid, we could get by with "importing" doctors. Not any more.
Now GP practises want to hire more GPs. But this government has said they have to use nurses, paramedics and pharmacists and cant take on GPs. It's about cutting costs. And damn the pore public and the NHS.
In the highly unlikely event the Tories have any say in the next Gov, expect GPs to be privatised, that will fix it isn there eyes
Measures = pay more
@@randyschwaggins Or switch to cheaper options, like PAs and ANPs. That's the market's solution, when only the doctors' employers get to make choices.
@@faithlesshound5621 that's not the markets solution. Since practices don't have to money to pay they are forced to employ Pa and ANP. Gp practices are saying they don't want to hire them as they are unqualified and dangerous.
We need jobs to be funded!
At every level doctors are now being left unemployed, I have so many friends who are likely to be unemployed come August
Finally this is being talked about! Coming from a doctor who faces unemployment in 3 months myself!! Where are the jobs for doctors??
Maybe you should start your own private doctor practice.
@@caspice literally impossible to do if your not a consultant, also I can just about afford to live where would have I have the capital to start a business?
@@Runescapegirl998 Maybe start a place with other doctors.
Lots of needs for doctors in rural America. They import teachers also.
Go to the UAE, SAUDI ARABIA, BAHRAIN AND KUWAIT. you'll be working in a high tech health care. Also better money x5.
A similar thing goes on in state schools. There is a massive shortage of good STEM teachers. Yet as a UK qualified teacher I have spent the last 10 years privately tutoring A-level maths, further maths, physics and chemistry. Why? Because being older, and very experienced, I am considerably more expensive than a newly qualified teacher or on the job trainee.
The contracts from NHS England stop surgeries from hiring more GPs- the money is wasted on untrained incompetent dangerous physician associates.
False, utter nonsense.
@nbbim2012 - I think you are over simplifying things and being alarmist.
PAs mostly work in hospital. NPs, Paramedics, Pharmacists etc work predominantly in primary care.
Most primary care allied health providers have specialist training, some having passed advanced examination in Primary Care. To suggest that they are poorly trained or incompetent is grossly erroneous.
That doesn’t mean to say that doctors are not needed. It should not be either or but rather more staff to include allied health, nurses and doctors.
In Somerset my local surgery has an huge waiting room, 6 consulting rooms, up to 4 receptionists at a time and NOT ONE SINGLE DOCTOR!!! They don't do prescriptions there, (scripts have to be done by some electronic means called "on line" (meaningless to me) or by telephone, (you are seventeenth in the queue! your wait will be approximately 43 minutes!!!) Who can call this a governed country????
Physician associates are well-trained competent generalists and can also specialise in their specific area of medicine - they are not replacements for doctors. This is a problem of the useless Tory governments over the last 14 years mismanaging NHS England and not investing enough funds into primary care in general. Also, GP practices want to hire salaried GPs and partners, overreliance on locum GPs is not sustainable in the long-term and we are now seeing the consequences.
Like many other jobs people learn part of it, GP's look at the symptoms and the blood results then often refer the patient to a specialist in that field. So a PA may well know a lot more than a GP about the field they deal with. You no longer need to see a GP for an injection you can even get them done in a supermarket with a pharmacy. The real problem is as you can see junior doctors driven by the union into over rating their worth with a demand of 35% pay increase when the market already has more trained doctors than it needs. Just like any other job supply and demand dictates the wage.
Who do you blame for the destruction of the NHS? The Tories? No. Blame the people who enabled them, who time after time put them in power for the last 14 years, and that's the British public. You get the government you deserve, you get the NHS you deserve.
You comment is unfair because not everyone voted Tory. I’ve never voted for them in my life, your lack of empathy is the real problem here.
I also detest Tory voters, but fewer people voted for the tories than voted for other parties, so you can't blame the whole of the UK.
yea but theyll just blame brown people comming over on boats because they wont blame themselves so it must be (add minority here). because tory voters are to smart to be wrong.
@@MetalRocksMe.the majority did
@@MH-fq4vy
No they didn’t. The tories got around 40-45% of the vote last time. First past the post is wonderful thing for these charlatans.
Gp in uk, 10years experience after 10 years of training.. unemployed and no work going, living off savings whilst I apply to Australia.
It's because the people are hoarding the positions. And many doctors are from Europe too. Apply to do red cross if you could til you find a position later on back here. Or join NATO as medics. Or the army ?...
come to Canada..
This is unbelievable! I tried to get an appointment for ONE WEEK. No one answered the phone. Eventually I rang 111 and they got me an appointment immediately - it turned out I had had a stroke! Why is the money not filtered down to pay for doctors? Is it all been taken for administrators? A relative was receiving end of life care at home, a bed was delivered, table also. After the passing the company took 3 weeks to collect the bed. The table they did not take, saying ‘that was on prescription, so it’s yours’. WHAT? The person had masses of medical supplies pushed by the 3rd party company. Nappies, saline solution, supplement drinks, wipes, RUBBISH BAGS, and masses more - all unused. NONEof it was accepted by the local medical facilities - WHY, all the items offered were sealed, unused. But the district nurses advised they are NOT ALLOWED to take these and use them - even if there is a shortage. If you break a leg and want to return the crutches YOU CANNOT. Why are the NHS throwing away all these items????? No wonder there is no money for medical staff….
The provider of those items are companies run by some politicians and they can't make monies if items are being taken back, Get the picture!
Do the MPs see paramedics and pharmacists when they and their families are unwell or do they see doctors in private sector?
stop whining about GP long wait.
you have no idea how it feels not to have a sky tv membership
😂Poor Rishi, such a traumatic childhood
😂😂😂
You're more bothered about a Sky TV membership? 🤨
@sarahlund-nt3kw It's a joke in reference to a comment made by Rishi Sunak
@@Cottagecore-101 There is tragedy behind the smiles 😅
Sad truth: I was on holiday in Albania and can assure you that health and dental treatments are quickly and cheaply available there... Even the private sector is affordable. Something's not clear about the situation we're in the UK. Privatisation ahead?
Honestly in my opinion working in this. A lot of it is the fact people are living longer and thus have more issues.
The other issue is people just overusing the services.
I kid you not it is common for me to see people with minor issues booking in often.
Cold, sickness for a few days, loose stools and Dr's tend to air on the side of caution for fear of missing something.
Chesty cough you get an Xray, Ecg Bloods, Cannula.
Turns out you have a minor chest infection a cold or I dunno hay-fever! But you have just used all these resources.
While someone else dies, on the floor at home because we are all used up attending to the person with a cold.
People also know you can come to A & E and get anything wrong sorted faster.
Bad Hip? Long standing?
Just claim you fell over ring an Ambulance get taken in get Xray get seen get treatment, get further appointments for the issue sorted and maybe even have an Operation.
@@JWSoul bullshit. 8-10 weeks to see a GP, forget about my cold, I might get dementia until then and forget about my date!
Unfortunately it is not just happening at GPs. Pharmacies are also underfunded, approximately 10 pharmacies are closing every week, and funding for pharmacies have been cut by 40% according to the National Pharmacy Association (NPA).
Induction of physician associates and nurse practitioner is false economy! 6 GP friends of mine left for qatar 8 yrs ago and are not coming back! Likewise one more gp from bolton, uk is leaving for canada. He knows another 20 who has left for canada from north west!
This is despite long waiting periods of getting gp appointments.
It is dangerous!
Good choice. The UK is officially a joke now. They can't compete with other third world countries.
6th richest country in the world 😂😂😂😂
Funding crisis...poverty...in the 6th richest country in the world. Complete joke
Don't fall ill
Don't invest
Don't grow old
In the UK
@@Rajesh-q6l4t Being a rich country does NOT mean having good health care. The USA, one of the richest, spends the most on health, but its outcomes are poor. The US has lower life expectancy and higher infant and maternal mortality than West European countries do.
Come to Sunny Australia. We need you and appreciate British trained Doctors. Some rural Towns are offering incredibly good packages for GPs. Brad.
Your solution won’t help the British public. NHS needs a radical overhaul
Australia can pick and choose and will select highly educated, properly trained, competent doctors which excludes the vast majority of British medics.
pharmacist the same there are 10 chemists closed per week ,recently have been closed 1400 stores in the UK .Wages are going down and pharmacists are trying to avoid jobs due to problems and every pharmacy becoming more busy .
Welcome to the UK 🇬🇧
Failed state.
A Locum GP costs about twice as much as an employed one, if there's plenty of work for Locum's they'll never become employed. You don't get continuation of care with a locum because you can't have follow up appointment's with them. What you really want is lots of employed GP's and relatively few Locum GP's - better care and half the price. What you've had is lots of locum GP's and no employed GP's, now we've got lots of locum GP's who are considering becoming employed because they can't get work- this sounds like a step in the right direction.
There aren't any salaried jobs about either though.
Finding it very difficult to get an appointment in my Practice now. Why are Nurse Practitioners replacing GP'S in my Practice when holding surgery? GP'S study for 7 years minimum, which is really demeaning, what is their role now, in the NHS? and I am not surprised they are looking elsewhere.
7:19 the trained g.ps are unemployed, what is the point of increasing number of medical students??
Exactly. You should also look at the competition ratios for junior doctors applying to specialist training programmes.
"...what I'm hearing on the doorstep..." is people can't get doctor's appointments, they have an impossible waiting time for NHS treatment, skipping meals, using food banks and the cost of living crisis.
but but but boat ppl and brown migrants are to blame says every tory voter.
So pay more tax to fund it.
Oh....you've gone quiet...
@@randyschwaggins tax the richest for a change
@@carrieellis8847why tax the richest?THEY work so HARD why should they be taxed more?Everyone has 24 hours.But we understand most need extra cash and help,for various reasons.
@@newwineskin5494 to poorest paid us out of the last 5 recessions i think its about time the richest paid ror the current crisis instead of making millions of the backs of the lowest paid for once in like forever
Salting the ground for Labour🤔
They want to train an extra 2000 GPs? There are 6,300 GP surgeries… that’s 0.3 extra doctors per surgery.
Not all surgeries need more GP's, there are many factors that any business needs to look at when deciding the training requirements each year. One major one is CHURN (how many will leave the industry by choice, retirement or Mal-practice) Next year the number may be higher or lower depending on the forecast and then if the funding is available
Yes they don't address the real issue that is; the population on our tiny island has ballooned over capacity because of people being brought in to the country through various methods. A few extra GP's will do absolutely nothing for the larger problem and it's only set to get worse.
@@HelloRando You clearly don't understand the issues about the NHS.
Same in Scotland. I can’t get an appt when I phone. And frustratingly, I have phoned for an appointment only to receive a message telling me the queue is full, and then I get cut off! Honestly the NHS is forcing people to go private. They are creating a 2 tier system of haves and have nots.
6:30 "the GP might not be the best person to see you..." I am sorry what? In that multidisciplinary team a GP is the only person with broad knowledge of medicine in it's entirety, who is qualified and regulated to highest standards. This is unbelievable.
British GPs are poorly educated, badly trained and incompetent.
Someone i know was seen by a GP and was trying to convince her that it was nothing, she had to insist on having tests and was diagnosed with gallstones. and had been waiting for approximately 10 months to have gallbladder removed and finally getting it early next month. She has experienced extreme pain, extreme weight loss and great inconvenience to her life. This is just so unacceptable..
In the USA this doctor will be investigated.
a family friend was repeatedly told over many months that she had gastroenteritis. it wasn't until she was rushed to hospital that she was diagnosed with bowel cancer and given 2 weeks to live.
@@jonnoMoto How very sad.
Unbelievable level of incompetence - the Government initiated the additional roles scheme without first benchmarking the the number of existing GPs. PCNs have just replaced GPs with other healthcare staff - no new capacity created
On the plus side, they could work in any other country and they’d have a better standard of living immediately. I expect a massive brain drain in the next few years for Turd Island.
Already happening
My friends daughter in London is about to qualify and plans to move to Qld.
@@markbowers4241 Qid?
@@kirishima638QLD....Queensland
@@kirishima638 yep. Likes the look of Brisban and the weather there.
9:05 how.can you expect a pharmacist to do the work of a doctor? How many ppl suffer from 7 common illnesses ??? The question was about ppl that await g.p appointment.
Let’s not forget the many serious illnesses that can masquerade as those 7 common illnesses, but aren’t.
You don’t see what you don’t know.
Those seven common illnesses are more common then you think. And they are illnesses that can be dealt with by pharmacists with OTC meds and eventually Abx and antivirals. With each of these illnesses, pharmacists are aware and able to recognise the red flags which may require onward referrals either to a GP or even ED. So yes pharmacist 1st is great as a point of access as well as freeing GP time. But I get about GP waiting times and not enough GPs.
We have heaps that have moved to Australia, I feel made to the UK as it is great for Australia. As arrive on our shores with great training from the UK which is similar to Australia and have very similar values and not to mention great banter.
you are welcome to come to Canada..
The new breed of dumbed down British doctors have to undertake bridging courses to bring them up to Australian standards.
The lady at the end is spot on about losing fitness levels. I’ve had an arthritic hip for 9 years and on a waiting list for 16 months. I’d gone from being superfit to barely walking. My weight has ballooned and GPs are constantly taking blood expecting me to hit diabetic and heart health markers for statins. However, I was lucky enough to get an NHS hip replacement 4 weeks ago. The transformation is remarkable. I’m able to walk and do physio without pain and am confident I can get my fitness levels back quickly without drugs. Lots of people are not so lucky. The surgeons are frustrated and waiting to do the work.
Also, my daughter, a NICU nurse of 23 years, is currently training for ANP status. I can assure you, the training is rigorous and they deserve a little more respect than they are getting in these comments.
I change my GP when they told me to use E-Consult to request 4 more weeks off work after I’d been off for 7 as they couldn’t see me to support a return to work for a month. Changed surgery and I was seen within 4 days and back at work a week later. I told my colleagues what happened and they then pointed out where my old surgery had failed me badly for several years
I hope all those GPs come to new zealand, better quality of life in a country that will appreciate you
Captured by WEF/Big pharma/corporate oligarchs forcing clot shots on its populace. So great.
Be careful what you wish for.
One of the biggest problems is post code boundaries, you end up with 1 surgery that has a very low patient to GP radio, then another one that is swamped with a super high patient to GP ratio.
In reality what should be done, if say there are 10 surgeries in a large area, remove the catchments and merge them all into one super surgery, then they can split the workload between them all.
Plus lots of other things that can help as well, but they'll never be implemented.
But GP surgeries are competing businesses now. Some make a profit, others "go to the wall" and have their patients taken away and re-allocated.
That’s why stoooed living in big cities. The small towns and virtues have much better surgery and appointments
@@faithlesshound5621competing business...shocking
Coming from Australia and having worked in the NHS over the past 12 months, there is no doubt the british govt want less GPs working, and replace their workload with pharmacists, ambos, nurses and others to take over when there training doesn't allow them to be competent or confident to treat complex medical issues, some might be competent, but this is very poor policy, it sounds like more and more austerity when the country needs to protect and assist its own citizens, I can't want to get back to Australia at the end of the year
@vishola5174 Were you forced to take the covid vax by the Australian government?
@@barbarastevenson6900I'm 5 doses in, and I'm still alive 😂
As someone with multiple chronic illnesses watching the nhs fall apart at the hands of the government is terrifying.
What about the use of locums and the impact it has on the quality of patients care? The overuse of temporary doctors has eaten into budgets. They are expensive! But have they discussed their hourly rate v a salaried GP?
Exactly! Just pure greed on the side of locums
Before the tories nhs was absolutely brilliant. You cant even call a GP anymore they tell you to go online and make a request for a phone call, what if you cant? Even then takes atleast two months for a ruitine procedure.
My friend who is a GP told me about this 6 months ago and I was aghast as it's so hard for patients to get an emergency appointment ( or any type of appointment). Also - why does the government cap the number of training places for medicine courses at university and make nurses pay their own degree tuition fees now?
There are too many training places for medicine courses at whatever passes for “university” in dumbed down Britain.
she lives in coco land, you cut down GP contract and you ask surgeries to pay their admin staff more than they receive. you give them 2% and you ask them to pay 6% to staff pay rises, ofc they will stop hiring GPs to be able to barely pay for their admin staff and keep the surgery running. guess what drs are highly skilled people and are in demand in every other country. they will ofc leave uk and move to another country. you are deskilling the country by using a person with 2 year of basic sceince (AKA PA) To do a doctors job. This will have ramifications for the future when diagnosis are missed and people are getting late diagnosis of cancers cause PA could not pick the red flags for thousands of disease as you can not compare them with a doctor with 10 year of pure medical expertise and knowledge.
pharmacy first cause big pharma is lobbying crazy for it in the government.
When i had a lung infection I felt like I couldn't breathe so I had to call ask 111 to call me because I would have to wait 2 weeks for a phone triage with a doctor before even seeing me face to face. I had to go to an out of hour GP at A&E late at night by bus. It was unsafe I know but I had no choice but to call my family member who lived in another city and have them on the phone with me as I traveled to and from the appointment.
Many practices don't want to employ locum GPs. They cost a lot of money. Consequently, many practices simply employ an Advanced Nurse Practitioners/Nurse Prescribers who see their patients under close supervision. It works out to be a better deal for them.
How this former nurse dares to show her face🙄
not incompetence, curruption. there running the system down so they can privatise it and cash in
Incompetent but cheap physician associates are the main reason.
The push for PA’s is the symptom of austerity and lack of funding, not the cause
Not every PA is incompetent, it depends on how serious they take the role and how knowledgeable they really are.
Incompetent but expensive GPs are the main reason.
@@ae7277 Most GPs are incompetent.
These doctors priced themselves out of a job and now its someone elses fault?
If you can, leave the UK. It’s not going to get better no matter who’s in charge.
The UK is a failed state.
Sheep voting Labor in huge numbers.
More punishment coming for the Sheep.
Migrant workers should not even think about the UK.
Pure hellish state.
Left 32 years ago. Never looked back.
@@markbowers4241 What country?
@@tyshchenkoyevhen Australia.
@@markbowers4241 Australia can pick and choose.
I have friends who are GPs and they've both moved to Australia because they couldn't find work in the UK 5 and 7 years ago, despite their being a "shortage". I feel like someone is trying to bring the NHS to it's knee's, someone with financial backing for the US medical industry, who have been trying to privatise the NHS for decades.
Explain to me why GPs are paid per patient. Base salary plus performance element based on predetermined criteria sounds fairer. No surprise they try to rush your out of the room as soon as you walk in
They aren't just paid per patient. That is a baseline and just one small part of the funding. They are also paid on performance such as targets related to things such as blood pressure, asthma, diabetes as well as other services such as immunisations and smears
I'm a newly qualified GP in a few weeks and I can't find a job, the public needs to know that there is enough GPs but the government won't provide the funding to employ them.
If gp's can't find work there's no hope for us
I'm a locum GP, it's not as simple as more locums means more appointments, practices that have high locum GP usage have poor continuity of care, equally as frustrating for patients and more wasteful. There is a delicate balance to be struck and probably it was too far in the direction of too many locums. They need to focus on creating conditions where Dr's are happy to stay and offer some form of flexibility leading to better retention and in turn better care for patients.
Thank you for becoming a doctor. I appreciate all you do for us. Hopefully this will all get better with the new government :)
That health minister was utterly pointless to interview: lies, misdirection and ineptitude.
I don't think the full picture on locum GPs is being presented. I've heard from practice managers that locums want to charge very high rates and then get picky about what they will and will not do. Some don't want to even do the basics. It's no wonder practices don't want to hire them because they drain finances and don't give good service.
The govt want to replace GPs with much cheaper and less qualified physios and physician associates. (Unkindly referred to as “Noctors”).
The reason you would want a highly trained person at the front line of health care is because a wart may be benign or cancerous and it’s not always easy to tell which.
What offends me is that a govt minister would expect to see a qualified doctor when they go to their private clinic but are happy for you and I to see whoever is cheapest.
I'm a fresh graduate of biomedical I have experience working in A&E while studying. I have been trying to join just as a trainee even though their requirements are just GCSE biology and chemistry. I have applied and rejected at least more than 50+ TIMES didn't even go to the interview at all. This is absolutely mental. As a foreign student I guess have to leave this country after my home country offered me a permanent role.
So you go an make an appointment with your pharmacist, and then discuss your medical problem with them in front of other customers.
and they are not qualified to give advice on most healthcare issues,,they are educated about drugs.
@@LanaTodd-pn1yg Community Pharmacists especially, if they are a PCN or ACP like myself, then we are most specialised with diagnosis and prescribing but community pharmacists are better with medications themselves.
$165 pounds per patient per year regardless of no. appointments? What? Is there no such thing as private practice?
come to Canada please!! New Brunswick is our province and is desperate for GPs!
yes come to Canada,,we need you guys..
I am a doctor in the southwest and can't find work for a year now. Luckily, my husband is working, so we are barely managing
Get real! The UK Government is bankrupt and the population is aging. Why don't the politicians be honest and get a proper discussion into encouraging richer people to use private medical care and try to focus the resources more to those who need most?
because the rich will have to lose those and actualy use the momey the family has horded over the generations and they cant do that god forbid they might have to spend a penny into the tax system thats for the peasants
Exactly. Australian government did this year's ago premepting the wave of old people eventually overloading the system.
The UK is bankrupt because of 14 years of Tori Corruption. What we need is a revolution.
Private healthcare won't cover long-term conditions.
@@conconmcI do wonder if they charge rich people for a service they're not allowed to use
Locum = Part time job with full time salary
Its that simple, NHS wants salaried staff to control costs, you cant just train in something and decide you want £135 an hour and work 16 hours a week, basically doing what you want . You can earn more in private practice so go there, I dont blame government for changing the job description, its greed 101 .
They are recruiting cheap staff like physician associate who are not doctors.
I am serious heart condition, the best appointment I can get is with chemist. Obviously cheaper than locum dr.
Locum staff generally cost much more to employ with the local public having no repot and consistency with the clinician as they can be temporary. Why not go full time?
Precisely because there are no salaried or partnership jobs either. So the only work GPs are getting are these random one off short term gigs, like a supply teacher...
GPs earn 6 figure salaries, locums ear over £150K per year. For a non specialist doctor, that's a gross amount of money. Stop asking for so much money and they'll get work.
I think ultimate plan is to privatise NHS.
They did this in Tech. Over trained, told everyone they needed to learn how to code. Then many graduates today have no chance of getting a job because there's 400 applicants per job.
I can’t see my normal GP.
Tough!!
In France All doctors appointments are made online! A clear planning is offered by a GP. You can use a PC or an APP. Extremely effective and appointment times are reliable. You pay for your visit with a healthcare card issued by authorities. Most GPs charge more than standard rate and this is paid for by our mutual.
Since the pandemic my doctors surgery has 2 drs instead of 5 and an empty waiting room that used to be packed. Doctors jumped on the bandwagon since lockdown and shrunk their services in favour of telephone appointments, online systems, 111 non emergency and eConsults. Lack of initial treatment is only going to create worsening pressure on hospitals down the line as diagnoses are missed, symptoms worsen and complications arise.
Surely the reason they have fewer services for you now is that they have only 2 Doctors not 5?! Not that they 'jumped on the bandwagon'
Use of online systems and econsult was mandated and imposed on GP surgeries, not their choice.
If 80% of locums are struggling to find work get together and make your own surgery in any town in the country theyll be complaining theyve got to much work then
Chaos by design 😢
❤
i'm a gp, therefore i have moved another country for this, i wish the best for my patients with PA's with their mistakes.
Locum gp= temporary worker
Not always. Sometimes it's someone who doesn't pay into a GP practice but works in that practice or multiple practices.
They get paid so much more than the NHS contracted staff for much less accountability. The overuse of locums is the single biggest issue in the NHS.
@@niamh18 okay but still doesn’t account for why the government thinks the answer is training more gps 🙄😳
@@niamh18not exactly. It’s the continuous cuts to funding over more than a decade that has led to this. Hence FPR protests
@@Eudamonic I would say more mismanagement than funding.
In France All doctors appointments are made online! A clear planning is offered by a GP. You can use a PC or an APP. Extremely effective and appointment times are reliable.
what about the elderly who dont own a computer..
Too much greediness from all sides. NHS is rot at the core, too many people earning hundreds of thousands, some even millions pounds a year and they show absolutely no work. Corruption is condoned and reinforced, nurses complaining of understaffing and they spend most of their shift gossiping in the kitchen or smoking… if they show up to their shift. Doctors are overworked but still power mad, so much elitism around a profession like any other, the requirements to apply for medicine doesn’t even make sense. And then in the end, they import these doctors with questionable qualifications that eventually, after some years and many unnecessary deaths, are found to be fake. So much incompetence at every level and the damage is so far gone that I don’t see another future for NHS but terminating it altogether.
It’s purely government corruption, transforming a public service into a profit driven privately owned entity. It’s all money and greed. It’s a rich man’s world.
The entry requirements for medicine have been dumbed down beyond recognition in recent decades.
I work in a GP surgery. It's simply a case of not having the money to be able to pay for appropriate staffing levels. Every tory government talked about producing more GP's, but not one paid for them.
Am I right in suggesting that lots of GP's decided to become locums because it would be better pay for less work? Understandable with the stupid load. When the practices want permanent staff? Also understandable. Any chance of fulfilling both needs somewhere in the middle?
Locums cosy and absolute fortune. There are incredible numbers of substantive post they could fill.
In which case, they will move abroad as the same workload gets significantly better pay than anywhere in the UK. It's the UKs loss as a lot of the GPs are trained up here only for them to go abroad for a better lifestyle and workload.
A few years ago weren’t the press going on about how locum GPs ripping off the practices by charging 3-5x the rates of regular GPs? This is a good thing.
Load OF BS>> im in CANADA> and my relatives in the BRITISH commonwealth Countries, call this BS. MOST have moved to USA cause the pay is in the 200 - 300k $ per annum..
id move to USA also...
USA can pick and choose.
Hmmm, well my GP / Health story is quite different . Firstly,I do accept that I have a primary responsibility to look after my own health - I exercise regularly, enjoy my food - but eat sensibly / proportionately ; I do not smoke , but do enjoy a glass of wine with supper now and again . My GP is awfully attentive - always notifying me that I am due for a regular health review , etc , and regularly reviews the generic medication I regularity take to control my blood pressure . The point I am trying to make is that, to make the NHS “ work “ - one needs to FIRSTLY have an attitude of ( self) responsibility towards one’s health : to STAY height/ weight proportionate, to eat/ drink in moderation , to not smoke, to EXERCISE regularly . And yet Brits ( the second fattest/ unhealthiest people in Europe ) moan on about how the NHS is “ broke “ and needs to be “fixed” - when it is Brits themselves who need to rise up to the challenge of “ fixing” the NHS by firstly looking after themselves : regularly exercising, and adopting a healthy attitude towards their own eating and lifestyle choices ( e.g, avoiding/ limiting smoking or drinking ;eating in moderation and avoiding an unhealthy diet of fatty/salty foods, etc, etc )….
Patient can’t get access to GP. And the doctors can’t find jobs ??? So where is the problem
GPs are being replaced as part of the Government’s plan to create a 2-tiered health system in the UK
Poor - Forced to see anyone else other than a GP ( a professional who’s trained for 10 years to help you) and gaslighted to feel that this is the only & best option for them - because its free on the NHS
Rich - See a GP and Specialist same day privately
l know eh,,that is to crazy,,obviously a big problem in that mishmash of healthcare.
You can't hold a PA responsible for malpractice, the poor GP will always be on the line if he/she is unfortunate to be on duty. It takes a lifetime to train any doctor, to think a PA with 2 years of training can replace a GP is a joke.
The new breed of British GPs are poorly educated and badly trained.