GPs warn face-to-face appointments plan could lead to exodus of doctors | GPs | The Guardian


British Medical Association says blueprint could exacerbate GP shortage and see many leave the profession

 

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This may be correct to some extent, but is it the Government or the GPs who are out of touch, as I feel patients will largely welcome face to face, rather than the impersonal telephone appointments or video if you are lucky. In fact you are extremely lucky to get any form of appointment currently.

Currently my own health is not good so I am contacting my GP more often than I would normally have done and when I have managed to get through, after, more often than not, having been in a queue for going on 30 mins and sometimes a hour, only to be told all appointments have gone and never even offered any face to face, for those gone are only telephone appointments . My practice does not extend to video and telephone is the only form of communication as they have not joined the email age.

So are my practice offering face to face, who knows for the Receptionists are not forthcoming.

In the past, well before COVID, I have said that some face to face are not required, especially  if it is just to get results of tests, but then you were never offered telephone appointments, only face to face.

So it has gone from one extreme to another, when it should be a suitable mix.

I sometimes get the opinion that patients are just getting in the way and that no one in the practice cares anything for patients, this is, to some extent, also the way with hospital appointments, but not as grave as with GPs.

It is also one of the reasons why A&E visits are more in demand than previously, as people know when you get there you will be seen, even though the wait will be very lengthy. But not so with GPs for you are not allowed to enter a surgery unless you have a face to face appointment, when you can get one.

GPs could well be voting with their feet and yes they are under great pressure and well over worked, but so are very many of us.

But by not seeing patients many diagnosis are going unknown, for much of a diagnosis process is by observing patients, which can’t be done over a telephone and also not in some instances by video, if you can get them.

This is leading to many conditions not being diagnosed until it is too late, as many with, say, Cancer have found to their cost.

There is a shortage of GPs and if some are leaving this will make a serious situation very much worse, but there are shortages in many areas and in some of these health is also at stake, such as lack of social care, but the Government is virtually doing nothing on this.

All parties need to be listened to, being GPs, Government and patients and a suitable package worked out for all concerned.

I feel it is going to get much worse before there are any signs of any improvements.

Source: GPs warn face-to-face appointments plan could lead to exodus of doctors | GPs | The Guardian

Austerity in England linked to more than 50,000 extra deaths in five years | Public sector cuts | The Guardian


Researchers looked at 2010-2015 when Cameron cuts to NHS and social care were starting to bite

 

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This was inevitable, as the austerity cuts made Local Authorities and Health Authorities to make savings due to the cuts where savings could not realistically be made, so essential services were being run on a ‘shoe string’ and then the next and next and next, etc, meant that the shoe string was getting shorter and shorter.

If you had money then the cuts really did not touch you greatly, but for the masses who don’t have money, many only having an income which is just sufficient and with some not even sufficient, it touched them greatly.

So for those you could least afford it suffered the worst and are still doing so. The Prim e Minister Boris Johnson talks about leveling up, but he keeps saying this but has no idea what it means. For to level up the resources which have been taken away since 2010 need to be returned and then more. For even in 2010 the levels were not correct, and many were below the levels. To put right money needs to be invested in all areas which are insufficient and it will not be cheap.

A start would be to fund Social Care and then health so that all you need care can reasonably get it without having to think where the money is coming from. For Social Care needs to be funded just as the NHS is thereby making it free on the point of delivery, which it should always have been.

This was a major mistake in 1948 for then Social Care and health should have been looked at as one and be managed together, with public health included.

As it was health was looked after, but not social care, even though they were inter-related.

So, the paltry amounts that the Prime Minister announced some weeks ago fell way short of what is actually required and social care will by doing so will always be the poor relation as care services go.

So due to insufficient funding deaths will continue to soar due to the severe lack of care services.

 

Source: Austerity in England linked to more than 50,000 extra deaths in five years | Public sector cuts | The Guardian

Austerity hit police’s ability to tackle violence against women, say ex-officers | Police | The Guardian


A man walks past a closed police station in Hackney, east London, in 2018, which has since been redeveloped into a free school. Photograph: Chris J Ratcliffe/Getty Images

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Well it is apparent that something needs to be done and done urgently, but whatever it is it has to be through for there is no time for a second chance and at some times very little time for a first chance. As a first chance should have been done many years ago in all forces.

While the Met is under current scrutiny and has been for some years, there is much evidence that all is not right in virtually every police force.

But we come to the Met and especially, Dame Cressida Rose Dick DBE QPM who has been at the centre of some controversy in her career at the Met, fatal shooting of Jean Charles de Menezes being one, but there have been others, but even though investigated never been officially criticised. But her continued tenure of being Met Commissioner is very much in question. There is a very fine dividing line between supporting your officers and taking appropriate actions. It can be said that maybe she defends her officers too much at the expense of required justice.

By keeping Dick there this is leading to much lack of public support for the Met.

 

Source: Austerity hit police’s ability to tackle violence against women, say ex-officers | Police | The Guardian

The scams most likely to trick midlifers


How to keep yourself safe from the most common frauds targeting 50-somethings

 

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Any scam does cause distress and certainly one re romance and dating as the person being scammed is more than likely at a low ebb to start with, so extremely very vulnerable. These scammers are in deed the very depths dealing with the most vulnerable in Society.

Now, it is evident that these scammers have no morals and have absolutely no concerns about those who they scam and dealing with many emotive issues. For it is not just the lost money, but the mixed emotions that are caused and in many instances these mixed emotions could lead to much further tragedies.

More should be done to safeguard those who are being scammed, but even more so the dating/romance sites should be held more responsible, for it is not sufficient for the sites to state that the profiles on the sites are all fake and only there for virtual communications, as many who join these sites are wishing for much more than messaging.

Surely, in this day and age, these sites should be more able to ensure that all the profiles are from genuine people who are really looking for what they state they are.

Even if you do not get scammed for money being sent to the scammers, but the sites illicit money either by subscriptions or for purchasing means to message.

||From mu=y own experience it is very evident that many who respond to persons looking for relationships are just there to ensure messaging is continued and there will be no likelihood of any eventual meetings. So it is therefore the romance/dating sites themselves who are scamming the people looking for relationships.

Means need to be found to ensure these sites are more transparent in their dealings and that all profiles are of genuine people.

Source: The scams most likely to trick midlifers

Raising taxes will be a disaster for Britain – and here’s the proof


The last Labour government hiked the top tax rate to 50pc, and it was a policy disaster

 

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This is so true, but one that Labour fail to realise as they are so engrossed in trying to take from the assumed rich, that they fail to see that the very rich have the means to legally reduce their tax burden or even more leave the UK completely. Then you don’t even get the tax they were willing to pay before. It is a fine dividing line between what one is willing to pay and one is not. While those who are not rich have no option but to pay the tax they are requested to do.

So rather than increase tax rates considerably, why not just increase by 1% or 2% rather than 10% to bring in a top rate of 50%.

But, Conservatives are so determined not to increase tax for the rich, so they try to get more from the poor and not so rich. by increasing lower tax rates and also not increasing the initial tax free element.

By increasing the tax free element to line with the National Living Wage and increase rates slightly this would enable people to spend more and thereby get money from VAT and also increase slightly Capital Gains Tax and Inheritance Tax.

Also reverse all austerity cuts, thus allowing Local Authorities to create more job opportunities, rather than cut employment to save money. Also allowing more money to be made available for Social Care so the abysmal rates of pay could be eliminated and allow starting pay at £14 or even £15 per hour so encouraging more to enter the profession.

Alter Immigration requirements so all persons willing to work in the UK could do so and thereby enable more non-UK persons to enter the UK to work, while removing any non-UK persons who are not willing to work.

 

Source: Raising taxes will be a disaster for Britain – and here’s the proof

Sarah Everard: Women Police Officers Are ‘Vilified’ For Reporting Misconduct Of Male Colleagues, Ex-Senior Cop Says | HuffPost UK


Former Met chief superintendent condemns “sexist” service that sees men “close ranks” and potentially abandon women while on duty.

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Yes, the Met commissioner Cressida Dick should go and should have gone long ago for there have been many incidents occurring under her tenure one being, Jean  Charles De Menezes, https://www.theguardian.com/uk-news/2019/feb/10/cressida-dick-de-menezes-shooting-met-police-desert-island-discs-radio-4, they say ‘lessons will be learnt’ but are they ever. In many instances the answer is no as for lessons to be learnt there as to be a concerted effort and in the Met is that concerted effort there, I fear not under Cressida Dick.

She is always too quick to come to the defense of the Met, as many in the Met are also. But it is not just Cressida who needs to go for many in the Met need to go also for the supporting officers under Cressida have not been supporting in good quality policing, only in supporting fellow officers, of which they were excellent.

But Police need to be there firstly for the public and if they are not should they be there.

It is not just how women are thought of both in and outwith the Police forces, but there are also serious concerns regarding Racism, membership of secret Societies and many more.

But is it just the Met, I fear not and this is an opportunity to have an in-depth investigation of not just the Met but every police force, but who would do it for are we trusting that the police can really police themselves. It needs to be done by a cross section of the public and also in the open.

There was a time when virtually everyone respected the Police, but now and for many years that is not so for that respect as changed to fear and mistrust.

Source: Sarah Everard: Women Police Officers Are ‘Vilified’ For Reporting Misconduct Of Male Colleagues, Ex-Senior Cop Says | HuffPost UK

Judge Issues Protest Warning As Paralympian Jailed For Plane Stunt


Yes, there is a right to protest and a right to freedom of Speech, but the protest and actions of James Brown far exceeded these rights and seriously affected rights of others, who all could bring civil actions against , as well as time.James Brown as they have all experienced a monetary loss, as well as time.

Protestors need to be accountable as should those who they protest against, but innocent bystanders should not have to suffer.

What this has to do with being a Paralympian is anyone’s guess.

Same Difference

A British Paralympic gold medallist has been jailed for a year for glueing himself to the roof of a passenger jet in an Extinction Rebellion protest – the first custodial sentence for any action linked to the group.

XR said it was “shocked and devastated” by the sentence handed to James Brown, 56, at Southwark crown court in London on Friday afternoon, by a judge who warned that protesters who disrupt people’s lives “will face serious consequences”.

Judge Gregory Perrins said Brown, from Exeter, who has been registered blind since birth, “cynically used” his disability and put his own life at risk when he staged his protest at London City airport on 10 October 2019, at at the height of XR’s second extended campaign of protests in London.

James Brown denied one count of causing a public nuisance, claiming he had ‘to do something spectacular’ to draw attention to the…

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Petrol queues: Doctors and emergency medics must be given priority access at petrol stations, says leading GP


Professor Dame Clare Gerada, former president of the Royal College of GPs, said: ‘If it’s going to go on for any length of time, then we’ve got to make sure that essential services take priority’

 

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Yes, this sounds good, but Doctors, nurses and emergency medics are not the only ones, for all those employed in health are essential, domestics, support workers, administration workers, then there  are  the police and fire services, care workers, in Residential/nursing homes, home carers, and other care workers, then the are workers in food supply organisations, utility workers and many others.

For these days no one organisation is an island, for we are all interdependent.

Professor Dame Clare Gerada is not thinking it through.

The whole employment structure in the UK needs to be looked at for in many ways we are all interdependent. The UK can’t, well certainly in the short term be solely dependent on the UK workforce and in many areas we do need persons from outside the UK, so the UK immigration policy needs to be flexible enough to accommodative all aspects of #employment.

 

Source: Petrol queues: Doctors and emergency medics must be given priority access at petrol stations, says leading GP

Ministers to crack down on overprescription of medicines on the NHS | The Independent


Government-commissioned review finds 10 per cent of drugs prescribed by primary care doctors are not wanted or needed

 

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This may or may not be true, for we can only know if we see how this conclusion was reached.

For medications are given to individuals and like all individuals we could all experience problems in many different ways.

Unfortunately the NHS does not treat people as individuals, especially in these times of non-face to face consultations. and then the problems in getting repeat consultations when needed. This is the same for both GP and hospital consultations.

They all treat the condition in a ‘one fits all’ approach, instead of a ‘person centred ‘ approach. Also and especially hospitals treat conditions in isolation, but many have multiple conditions and with GPs and some extent hospitals appointments are time time related., otherwise the appointment system get out of line and appointment times are then not met if appointment times are exceeded.

But, if you have more than one issue when seeing a GP and want to relate to your list, the GP could well say, just give me the top of your list and we will discuss the rest on your next appointment, and that is a major problem for when will that next appointment be, certainly not the next day or even the next week could be weeks or months. Even getting through to a GP surgery is a major exercise for it could take time to get even in a queue and then wait to be connected to the receptionists, to be then told all that days appointment haver been taken, no offer for any face to face for the appointments referred to are telephone appointments. It was said sometime ago that going on 80% of a GP consultation was from the patient and not any GP checks, but with a telephone appointment the only vehicle of communication is voice, no understanding of tone, body language and any other observations, so again the appointment is somewhat not sufficient.

As I said, even with a face to face you are usually restricted to around 10 mins, which gives no time for many patient to mention all they wish too and a patient is not an expert of medical issues only on their body and how they are feeling, much of which can’t be expressed over the phone.

Yes, GPs are over worked and there are too few of then, but don’t we all have stressed lives and who is to say how much effort it took a patient to try and get an appointment in the first place, is there any wonder why A&Es are so busy these days, as patients will mainly take going to A&E and suffer the long waits there for they know they will be seen, but again by an overworked, mainly junior doctor, not saying they are not fully trained, but long hours can lead to mistakes being made and they are made and one mistake is one too many.

The NHS has been underfunded for many years, but then so as Social Care which is another story, but as equally important, if not more so.

Money is not everything, for there has been much Government interventions into the NHS and mainly not for the better. Care of any nature is more than likely to be long term and costly.

Don’t get me wrong for we in the UK are extremely lucky to have the NHS, and I bless the Labour Government in the 40s for all their work and will to create the NHS in 1948. But in those days Doctors and Dentists and the BMA were not fully in favour of the NHS, as I am lead to believe they did not wish to lose their access to their private practices, so a compromise was reached. This was on the lines that if they agreed to be brought into the NHS not as employees, but as self employed they could retain their private practices and still work for the NHS. So even tough they are contracted to be in the NHS it is the practice and not the individual doctors. So they can withdraw from the NHS if they wish and still work on  private patients, which many |Dentists have done, so creating many problems for |NHS Dentistry, in that there is a very serious lack of capacity in NHS Dentistry, as so many people are experiencing in not being able to find an NHS dentist, and then afford it, for Dentistry was removed for ‘free at the point of delivery’ many years ago, although the NHS payment is subsidised through the NHS.

|Both the N HS and also Social Care need to be fully funded, but that takes money and one of then should not be left short to fund the other. This is not the fault solely of this Government, but of many previous Governments who have left the NHS somewhat underfunded and even more so, Social Care,  latter even true today, in fact very true and the question is will both be able to survive, especially social care, for the current lack of social care is already having an effect on the over use of the |N HS and if it were to get worse,which it is every day, or even disappear, the NHS would not be able to cope and that would mean disastrous consequences for all who need these services and have no ability to pay.

So urgent action is still required and the announcement a few weeks ago was way to little and way too late.

So medication is but one problem in many others. But I would not just say there is over prescription, which in some instances there will be, especially in some instances of antibiotics and in some anti depression. But please before any thing is done view the patient and not just the assumed overt prescribing.

 

 

Source: Ministers to crack down on overprescription of medicines on the NHS | The Independent

Almost one fifth of non-profit workers earn below the real living wage 


The National Living Wage is a disgrace as it is insufficient to live on.

Yes, the Government says there are various credits to claim, but the claiming process is very arduous and very time consuming and the barriers you have to overcome are very off-putting.

With some benefits it is as though you are deemed as claiming a benefit to which you are not entitled and in many instances the assessment process, especially face to face is very demeaning and in some instances insulting.

The Queen used to pay some of her staff below the Real Living Wage and was, I believe reported as saying ‘they can claim benefits’

How some are now paid.

Many Charities have restricted income which is not guaranteed and as they rely on donations and grants which have to be bid for, these grants are time limited may be for one year or could be up to 3 years, so Charities are continually having to submit bids for grants which may or may not be granted. The grants always come with attached conditions and to even bid you have to fit the expressed criteria, which can be very detailed.

With grants the organisations providing grants also only have a limited amount of money available to provide so all eligible bids will not be granted if the total amount of bids exceeds the amount available for when this as been reach there is no more available.

Source: Almost one fifth of non-profit workers earn below the real living wage