Over worked doctors ?
 

Hi,been a while since I've been here.
Something peaked my interest reading a newspaper article today.Aparently a new health check is being introduced country wide to millions of people over the age of forty.It will be online and will check things like blood pressure,height,weight etc.
This,we are told is to ease the pressure on GP's.
Now don't get me wrong,GP's can do a wonderful job,BUT will somebody explain to me what pressure most GP's are under, when you can't get an appointment to see them, they are present at surgery's fewer and fewer hours each week,appointments are held over the phone,passed onto practice nurses etc,etc.Not to mention the exorbitant money we pay them.
Thank God,as a mere mortal with umpteen health issues, cost of living problems, gas/ electric price hikes and many,many more problems that life throws out at us, that I don't have the pressure of a GP in Britain today.
What do you all think?:help:

Re: Over worked doctors ?
 

Recently I have had more need to have medical involvement in my life.
Not for me, but for my other half.
He had open heart surgery back in November.
On discharge from hospital he was given a letter that the GP also received.
It was to book a post op check up with a GP and had been recommended to be done two weeks after discharge.
The hoops I had to leap through to get an appointment were truly epic.
I was told that he did not need a GP appointment but a telephone consultation with the pharmacist.
This pharmacist was going to talk to us about meds that had NOT been prescribed by the GP at the practice, but by the cardiology surgeon.
When he phoned it was clear that this was the wrong person to be speaking to.
The pharmacist was the person who eventually managed to get an appointment.

My other half has had multiple health problems since his surgery and each time I have needed to rely on other health professionals to assist us getting an appointment.
I could tell you more but I won’t bore you.

I worked in the NHS for thirty years…I have to say that no longer inspires me with any confidence.
Least of all in emergency situations.
What is the answer?
Well train more Doctors. That would be a start…but obviously it is going to be several years before they emerge as qualified practitioners.
Did you know that the BMA put caps on the numbers of students who could undertake medical degrees?

Re: Over worked doctors ?
 

It is good to have you back Boxermum…we need more contributors to come on here.

Re: Over worked doctors ?
 

I went to Peel House Medical Centre the other week because when I woke my eye was really swollen. I was told there no appointments and somebody said to go to the minor injury dept at Accrington Victoria.

They told me they shouldn't have sent me there as they didn't have any doctors and that I should go to Blackburn or Burnley hospitals.

Anyway after being at Blackburn Hospital for an hour they made an announcement, the upshot was that there was a 21 hour wait to see a doctor. Apparently they had rolled out a new IT infrastructure that had crashed so were having to do everything using paper. They suggested going to Airedale (Skipton), Preston or Manchester hospitals or make an appointment for later.

Another time I called in to Peel House to make an appointment I was told I needed to be outside the practice at 7:40am for when they opened at 8am. I asked about making an appointment for the following week. They told me they didn't do pre-booked appointments any more. Which is a stupid system and it's not surprising that the urgent care dept at Blackburn has such long waiting times because people can't get to see a GP so just go to the hospital.

Peel House rang me yesterday but I was out, they never left a message, I tried ringing this morning but after waiting 30 minutes listening to canned music I gave up.

Re: Over worked doctors ?
 

Ryewolf this is our practice and it is a shambles.
They do not provide a service for patients.
My other half has been close to the pearly gates three times since his heart surgery.
What did one of the doctors tell me about my concerns?
She said that I ‘should be more wife and less nurse’.

Later that day my husband was contacted to go straight to A&E as he was in danger of dying….his Hb was 49(it should be 160).
So I have no confidence in this practice.

Re: Over worked doctors ?
 

I have to agree from my own experience that GP services are currently lacking. It is nigh on impossible to get an appointment, when you do it's by telephone, and despite me speaking to 4 different GPs on 4 occasions not one of them actually examined me. I was fobbed off and ended up paying for a private MRI scan which showed multiple issues with my hip. I was so glad I payed as I was seen by a specialist on the NHS within a week. My GP had the audacity to ask why I'd gone private!! I will not repeat my response on here.....

I find it ironic that I get regular invitations for routine health checks, presumable the ones that the surgery can claim government money for. I won't go to these health checks on principle that they can offer an appointment when there's money involved for them, but I can't get an appointment when I actually need it.

The primary care system is so broken, and don't get me started on NHS dental!! :mad:

Re: Over worked doctors ?
 

Lettie, I am sorry to hear of the hoops you have had to go through to get a diagnosis and a referral.

I don’t know about you, but I find it galling to have given so much of my life to the NHS(and I know that you have too) and then find that my needs (or more accurately my husbands needs) are treated so badly.

My husband collapsed at home with a bilateral pulmonary embolism(large enough to have killed him) he spent 21 hours on a trolley in A&E. Triage meant nothing….or he would have been on a ward quickly and being anti-coagulated.
He was given none of his essential heart meds during this time….so was at risk of s stroke or a further heart attack.
Now if I had no medical background then I would not have recognised the dangers in this.
Maybe I would have worried less.
This all happened in November. He was told he would be seen by a cardiologist and a respiratory consultant.
Here we are in July…no appointments with either of these specialists.

I do not go to any of these invitations that make the GP’s business healthier…being a GP is about making money, not looking after patients

Re: Over worked doctors ?
 

Well said Margaret,all GP'S care about these days is making more money.
They are already paid extremely well for the effort they do/don't put in.
When I was younger,if you called the doctor out of hours ie 2am, your own GP came out to you,knowing you and your family medical history,thereby knowing how to treat you,these days locum doctors give medication without knowledge of what you are already taking leading to possible bad/dangerous consequences (personal experience)The hypocratic oath out the window,money money, money the song of today's GP'S.

Re: Over worked doctors ?
 

You've triggered a memory of my ringing the doctor late one evening when my wife was in the later stages of pregnancy with our first child. Our GP turned up in a long evening dress, having clearly come straight from some function or other, and was more than happy to treat her. Can't see it happening now.

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When you phoned a GP and your own Doctor turned up…a person who knew you as a person and knew your family.
Those were the days.
I remember Dr Chesney being called to one of my brothers who was very sick with meningitis…he came on his horse and tied it to a lamppost.
(This was in the 1950’s)

Re: Over worked doctors ?
 

Are you sure you didn't ring the vet Marg

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No ferret man, Dr Willian Chesney was well known for turning up either with a horse and trap or just his horse.
We lived up on Riley’s Hill so there was plenty of grass for the horse to eat while Dr Chesney did his job..
The surgery was in Garbett Street and his wife was also a GP at that practice…she was Dr Grace Chesney.

Re: Over worked doctors ?
 

Ah Margaret,remember the doctors Chesney well.I lived almost opposite the Garbett St surgery on Higher Antley St.The practice was later taken on by Dr Fenton.I was a school girl friend of their daughter Anne.:)
That's when doctors WERE doctors and did all the work themselves. No bank of 'practice nurses' , or army of 'receptionists'.Dr Fenton once came to see my dad at 3am,he was in his pyjamas (Dr Fenton that is).
Doctors today are too pampered and mollicoddled.

Re: Over worked doctors ?
 

Yes I remember Dr Fenton too.
They were very good doctors and devoted to their profession.

Re: Over worked doctors ?
 

This problem with not being able to see your GP seems pretty common these days, someone I know tried to make an appointment to see his doctor (on Blackburn Road Accrington) and was told the same thing, ie no pre-book appointments, they get paid by how many patients are on their books, not by how many they see so they've no reason or incentive to see patients because they are still getting paid regardless.

Re: Over worked doctors ?
 

Ryewolf that is spot on.
They also get paid for doing illness prevention issues. Hence the reason why women get called for smears, the invite certain sectors of their patients for MOT’s….certain sectors are called for heart checks, blood pressure checks, respiratory checks, diabetic clinic.
The list goes on and on.
The practice you and I are at also has doctors who are not at work because they are lecturing at Manchester Universities…now they do not do that from the goodness of their hearts.
Looking after the people wha are I’ll and need them falls low on the list of economic opportunity.
The set up is all wrong, but the GP’s are not employed by the NHS….they are working for the NHS but as a sub contractor.

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The other thing that cripples the NHS is the fact that we think there is a pill for everything.
We are not encouraged to take responsibility for our own health.We are not encouraged to think

We have been encouraged to accept the nannification(not sure if that is a word or if I have made it up) of the state.
Being that the state will tell us what to do.
I rarely visit the doctor…not just because I cannot get an appointment, I prefer not to have my old age medicalised. I do not want to be taking pills that are supposed to,protect me against something that only MIGHT happen.
I do not want to put money into the pockets of big Pharma because I do not trust their ethos.
Again it is all about money…ALL of it.

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I'm totally with you on this Margaret. I refuse to take pills for something that I might not develop eg. Statins. I am more than happy to be vaccinated and have had many over my career, none of which caused me any issues. However, I do not want to go down the road of 'a pill for everything'.

I was asked by our practice nurse, during my smear, how I was coping with menopause and if I needed owt to help. My answer was it's normal, I eat well and exercise to the best of my ability and try to keep my weight down (I do bulk up for winter though). I feel generally okay and couldn't give a stuff about medicalising my menopause.. Now if they offered me a solution for my bulging discs, arthritic spine and bone marrow oedema of my hip I'd snatch their hands off :D

Re: Over worked doctors ?
 

Lettie I think we might be a branch off the same tree.
You are taking responsibility for your health so that you need fewer interventions.
I hope you get sorted out for the problems you are having.

Isn’t it bad when you have given your all to the NHS and then when you need help…it isn’t there?

For me it was my other half who needed the help…I have only found the Blackpool heart team to hold their end up.
The care (or lack of care) from the hospital that I gave my working life to, was appalling and I lost confidence and faith in their ability to keep him safe…let alone help him to recover.

Re: Over worked doctors ?
 

Maybe the answer to a lot of the problems would be to make it so that Doctors only got paid if they had seen a patient.
Maybe then Doctors would vie for the chance to see patients…diagnose illness, organise referrals.
Currently they get paid for every patient on their list….so I am cheap to keep because I do not go to the GP unless I am dying..or feeling like I am close to it.
GP practices are a business…there to make money, not look after sick people.

Re: Over worked doctors ?
 

[QUOTE=Margaret Pilkington

Isn’t it bad when you have given your all to the NHS and then when you need help…it isn’t there?

Last week an ambulance turned up for a lady who lives opposite, she is in her 80s, wheel chair bound, she even has to sleep in it, she has carers and her relatives coming every day; me and Hazel also keep an eye on her.
When she had not returned home after a couple of days Hazel rang her daughter to see if her mum was alright, the answer was, Quote "my mother was left on a trolley in the hospital corridor for 48hours". The said daughter stayed with her until a bed was finally found.

N.H.S. Should read N.R.H.S. No Rush Health Service, I could put it stronger than that but I don't like profaning the English language.

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Taddy that is how it is. I have had two very recent experiences of this kind of treatment.
It does not instil any kind of confidence in the service.
Ans it is not the fault of the staff(well, not in the main) it is the fault in the system.
It is overwhelmed. Often by people who should not be there.

These people who should not be there are there because the GP service is not fit for purpose.

Tell this lady's Daughter to contact Martin Hodgson. He is the chief exec of ELHT.
Tell her to tell him of her experience and ask him if he would want his family to be treated in such a cavalier way.

Re: Over worked doctors ?
 

He needn’t worry about such things, Margaret; if he doesn’t have it as part of his (over) generous executive salary package he can probably easily afford private cover.

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Yes, I know.
And can you imagine the stir in A&E if they said ‘Martin Hodgson’s mother is coming in by ambulance’.

When my other half was left on a trolley for 21 hrs ten days after discharge from Blackpool after having heart by pass surgery(essential heart medications omitted during that time, so his safety compromised),

I sent Martin Hodgson an email that documented his experience and outlined my concerns.
I told him that their logo lied….the care was not safe, it was not effective and it was not personal…that my husband had neither his confidentiality or his dignity preserved or respected.
Within two hours I had one of his senior team members on the phone to me.
Yes there were apologies, but apologies mean nothing when someone you care about had their life put in danger by poor care.

Re: Over worked doctors ?
 

If anyone requires the E-mail address of the Chief Exec of ELHT here it is:-
[email protected]

If you or someone you know has had poor treatment, then I would suggest you let this man know.

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I have just been listening to the news about the Bibby Stockholm.
The barge that is due to become home to 500 single male migrants.
Now I hear you saying ‘what has that got to do with overworked Doctors?

Well this barge will have the services of a doctor on the barge five days per week.
So there will be no difficulty for these incomers, who have contributed nothing to the NHS.
They will not have any kind of wait…oh yes there will be a dentist at their beck and call too.

I am not being racist or xenophobic in making this comment.
I am just reflecting on how unfair this is to those who live in the Portland area who cannot get a GP appointment or see a dentist when they have paid into the system all their lives.

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I think its typical of what the N.H.S. has become NOW.these junior docs,seemto me NOT TO CARE WHO DIES. whilst they are after 35 per cent, thats my take on it.

Re: Over worked doctors ?
 

[QUOTE=Margaret Pilkington;1273072]I have just been listening to the news about the Bibby Stockholm.
The barge that is due to become home to 500 single male migrants.
Now I hear you saying ‘what has that got to do with overworked Doctors?

Well this barge will have the services of a doctor on the barge five days per week.
So there will be no difficulty for these incomers, who have contributed nothing to the NHS.
They will not have any kind of wait…oh yes there will be a dentist at their beck and call too.

I am not being racist or xenophobic in making this comment.
I am just reflecting on how unfair this is to those who live in the Portland area who cannot get a GP appointment or see a dentist when they have paid into the system all their lives.

Marge, you are so absolutely correct in what you are saying that I wish that I had thought of it myself, (honestly).

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Taddy, it just seems so wrong that the residents of Portland will have 500 single men dumped on their doorstep….that these will have all their health needs met while the population of Portland can go whistle for a GP appointment or dental care.
Something ar$3 uppards about all this.

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I have given up wanting to see a doctor, I'm in pain because of a back injury but in the past 2+ years not 1 medical person has actually touched my back to see where the problem is.
They just make assumptions over the phone and give me tablets to hide the pain.
Attempts to get an MRI have failed twice thanks to their useless booking system.

I think I'll turn to weed for some pain killer, never had it but I hear it's good for taking pain away.
At least I can get that quickly and easily :)

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Rainbow six…I feel for you.
Not that this helps you in any way.
I do not know which Gp you are with, but I would suggest you find out who the practice manager is and that you E- mail them with a timeline of your difficulties.
Tell them that a copy of your letter is going to your MP and the Secretary of State for health.
I am not saying that this will bear results, but I think it will make the practice sit up and take notice.(and hopefully galvanise them into action)
Let them know that this is a COMPLAINT.
They have to respond to this in a specific time and they have to tell you what they are going to do about it to resolve the issues.
I hope you take my advice because for too long we have been in an unsupported situation with regards to health care.
Good luck.

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[QUOTE=RainbowSix;1273081]I have given up wanting to see a doctor, I'm in pain because of a back injury but in the past 2+ years not 1 medical person has actually touched my back to see where the problem is.
They just make assumptions over the phone and give me tablets to hide the pain.
Attempts to get an MRI have failed twice thanks to their useless booking system.

I think I'll turn to weed for some pain killer, never had it but I hear it's good for taking pain away.

Yes it may do but it will also take you brain away, (so I am led to believe).

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well it didnt take mine.

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[QUOTE=cashman;1273090]well it didnt take mine.

Cashy, beware of people in blue serge suits ;);)

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Taddy, these days they are in polo shirts and baseball caps and don't turn up for anything much less than a murder...so I reckon Cashy is pretty safe.

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well over the last couple of years .. ive had numerous hospital appointments with consultants for my eye and the shoulder, physio (till they found out that physio was making it worse .. and then found out there was another injury) and the latest was to see a cardiologist the other week ... which has he said it was nearly a year since i was referred ... and as i hadnt had any more episodes he'll put me thro just to make sure somekind of check where they get my heart to race and check the results ... i digress tho ... in all of this time .. i have not had an appointment with my gp ...when i tried to make an appointment the next one available was the middle of june i was asking at the end of april ....they told me to ring at 8am and i'l get a phone call .. and the doc will decide if i had to come in .. i said thats the urgent appointments not just a regular one ... and she said well thats all we have now. I didnt book it and i still aint seen my gp .. but in this time ive seen a cardiologist, an orthopedic surgeon (3 times), and had phone calls from the orthopedic surgeon 4 times ... had a phone call from the neurologist as well ...

but this one ... last december i got a phone call from blackburn royal as they were trying to get the waiting list down ... and they'd cocked up with me .. they asked if i would be willing to go to beardwood ... to have it done ... i said yes .. i got an appointment and had it done in february .. it felt just like being done on a production line .. same consultant id seen at blackburn did the procedure at beardwood (a private hospital in blackburn for those that dont know) !!! ive had follow up phone calls from the consultant ... had another one of these at the end of june (on a monday night)... he said i'll put you thro for another one .. on the saturday i had 2 letters one a letter about the phone call from the consultant .. the other an appointment for the procedure at beardwood again .. just over a week ago!!!! same consultant again ... did the procedure ... and i was back home by 11.30am .. i now have another follow up call booked with the consultant in a couple of weeks ...

all this is being done by beardwood .. a private hospital .. the nhs is paying them .. i thought the first one was a one off .. it now seems that im under beardwood for this and theyre doing all the followups .. wouldnt it be cheaper to do it at burnley or blackburn or even get my own gp to do it .. rather than paying private hospital rates ...

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Yes, GP's now get paid for how many patients they have on their books, not by how many they see. As for the consultant you saw he probably gets paid twice as much at Beardwood than doing the same job on the NHS and the NHS (ie you and me) are paying the consultant and they are then paying twice as much again.

The government and system don't want you living too long, you become a drain on the system, the want you to work until you are 67, pay minimum state pension, you then go into care and they take all your money and property until you die. That's the reality folks... Sadly

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I am not sure if it is still the same, but when I worked in the NHS, these services were contracted out to the private hospitals and from my recollections the consultants did not get paid the private rate.
I have a friend who was a gynae consultant and this information was from her

The situation of using private hospitals like Beardwood and Gisburn park was because they had facilities lying idle and if my memory serves me right the facilities were loaned to NHS so that the hospitals were getting a guaranteed income.
Well, that is how it used to work anyway.