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[albitz]

Doctors recieve payment from the State for each patient registered at their practice.Apparently there are currently more people registered with doctors in England than there are people living in England !
Said to be costing hundreds of millions per year.Who says the NHS doesnt need reform ? 
http://www.metro.co.uk/news/891128-doctors-are-paid-162m-to-treat-95-000-ghost-patients
http://www.dailymail.co.uk/news/article-2035714/Phantom-patients-net-GPs-millions-How-dishonest-doctors-claim-NHS-cash-dead-patients-non-existent-treatments.html

[tigers_gonads]

A well known ploy in the GP circles 

My cousin has her own pratice in a village near me.
Her attitude is ............. the more people on my list, the more money for the prattice.

She works sooo hard you know.
3 1/2 days a week if its a bad one.

Asked her about all this at a family do last year.
Her attitude is ............ i've done my time on the wards so i'll milk the system for all I can 

[Rods2]

Labour stupidity and criminally bad negotiating skills meant when they re-negotiated GP's contracts their salaries doubled from an average of £100k for a large busy practice to £200k. This latest scandal, obviously means they are feeling the pinch on only £200k of tax payers money per year. 

Another reason, we are being taxed to death. These days an average wage earner spends 50% of what they earn of tax. In 1991 tax was about 32% of GDP, under Labour it peaked at 52% including the budget deficit and is currently around 50%. 

When you see tax freedom day which is currently around 1st June remember this is an average and does't include those that prefer not to work, being subsidized by those that do work paying nearer 50% than 40%.

Look at what you earn and divide by 2 and tell me you couldn't spend, some of what you lose better and have a happier life.

Current tax levels in this country are a national scandal and an absolute disgrace. 

[Kevin Wood]

Of course, when a patient registers with a practice I'm sure there's a nice central IT system that deregisters them with the previous practice, ensuring that only one of them gets paid.

.... ah! no, that was all too difficult, wasn't it? Sill, that was only £11bn down the pan.

[Ken T]

What gets me is there is a 3 min window from 8:00am to about 8:03am to get an appointment for that day. If you phone later you have to say its an emergency or something to get seen. So if ill, I would have to take a day off with no guarantee of being seen. 

And they still screw up sending back test results. Oh and the hospital sent me home after a minor op without the aftercare medicine, I had to go back in to pick it up.

Ken

[paul.lovejoy]

just yet another story about fiddling the system not many english doctors out there in my surgery not one english person and they keep changing the only constant thing is they dont listen to you....despite high blood pressure that they have been unable to treat succesfully in the last 4 years i have given up now

[Rods2]

Of course, when a patient registers with a practice I'm sure there's a nice central IT system that deregisters them with the previous practice, ensuring that only one of them gets paid.

.... ah! no, that was all too difficult, wasn't it? Sill, that was only £11bn down the pan.

The procurement system is designed to be vetted by pen-pushers, who don't know what they buying and their guidelines tell them to accept the lowest bid. Companies therefore compete to put in the lowest possible plausible bid to get the contract. To keep hardware costs down they will specify inadequate hardware and too small a budget to develop the software and support systems. Hey Ho that doesn't matter they have got the contract, they have suckered the Government into their system. 

The contract goes ahead and the system is inadequate but that doesn't matter as they then go back to the Government, we have under estimated the hardware requirements, infrastructure costs, development complexity and costs blah, blah blah. Don't worry we have a solution (out comes proper plan what they know was really what was needed but would not be the cheapest to win the contact  ) and they then tell the Government are you going to write off £11bn, or spend the further £4bn which they knew was required in the first place. 

That is how the Government IT procurement system works, which is why virtually all public IT systems are not up to the job or fail. It is an absolute scandal. 

The MOD has never been great at procurement, but it has got an order or two worse on the wasting of money since they privatized the MOD Procurement Executive as Quintiq as they no longer have in-house experts to vet proposals. 

[Vamps]

Of course, when a patient registers with a practice I'm sure there's a nice central IT system that deregisters them with the previous practice, ensuring that only one of them gets paid.

.... ah! no, that was all too difficult, wasn't it? Sill, that was only £11bn down the pan.

The procurement system is designed to be vetted by pen-pushers, who don't know what they buying and their guidelines tell them to accept the lowest bid. Companies therefore compete to put in the lowest possible plausible bid to get the contract. To keep hardware costs down they will specify inadequate hardware and too small a budget to develop the software and support systems. Hey Ho that doesn't matter they have got the contract, they have suckered the Government into their system. 

The contract goes ahead and the system is inadequate but that doesn't matter as they then go back to the Government, we have under estimated the hardware requirements, infrastructure costs, development complexity and costs blah, blah blah. Don't worry we have a solution (out comes proper plan what they know was really what was needed but would not be the cheapest to win the contact  ) and they then tell the Government are you going to write off £11bn, or spend the further £4bn which they knew was required in the first place. 

That is how the Government IT procurement system works, which is why virtually all public IT systems are not up to the job or fail. It is an absolute scandal. 

The MOD has never been great at procurement, but it has got an order or two worse on the wasting of money since they privatized the MOD Procurement Executive as Quintiq as they no longer have in-house experts to vet proposals. 

It is not just the NHS/PCT or MOD but ICS systems in LA's are equally inefficient and have to be re done after the original contract is up and running..........terrible waste of time for the Workers and the LA overall............

[Kevin Wood]

That is how the Government IT procurement system works, which is why virtually all public IT systems are not up to the job or fail. It is an absolute scandal. 

Not sure I'd agree with you there...

I have to say, the NHS practice I attend couldn't offer a better service. Always easy to get hold of on the phone, online appointment booking, etc. if you prefer. The staff are excellent. If there's any doubt about anything you're straight in for blood tests, etc. I'm aware that that's purely due to decent local management, though, and not the system as a whole.

[Shimmy]

A well known ploy in the GP circles 

My cousin has her own pratice in a village near me.
Her attitude is ............. the more people on my list, the more money for the prattice.

She works sooo hard you know.
3 1/2 days a week if its a bad one.

Asked her about all this at a family do last year.
Her attitude is ............ i've done my time on the wards so i'll milk the system for all I can 

I wouldn't tar them all with the same brush.

My dad's a GP and has been for the last 10 years, before that he spent 15 years in A&E and plastic surgery.

Even now he averages 70-80 hours per week, working at least 6 days a week.

Having said that, he's getting fed up with working here and planning on moving to Australia soon. 

I've worked at my dad's practice, so if people have any queries as to how and why things work at a GP surgery I can help out. 

[D]

A well known ploy in the GP circles 

My cousin has her own pratice in a village near me.
Her attitude is ............. the more people on my list, the more money for the prattice.

She works sooo hard you know.
3 1/2 days a week if its a bad one.

Asked her about all this at a family do last year.
Her attitude is ............ i've done my time on the wards so i'll milk the system for all I can 

Surprisingly not an uncommon attitude amongst GP trainees I have had the pleasure of meeting. I particularly remember this one woman who's main reason for becoming a GP in her own words were "I hate patients and working in a hospital, so can't wait to get to become a GP where I can make loads of money and have a relaxed lifestyle".

But saying that there are a number of very hard working and conscientious GPs. The shame is that in my experience its about 65:35 the wrong way around. That doesn't seem too bad till you realise that the whole NHS expects GPs to be the first link to people receiving a good level of care.

[pscocoa]

My (little) experience of GPs is that they are totally bloody useless weak individuals who prescribe to text book scenarios and you might as well go to hospital and cut out the middle man. They seek to prescribe anything for a quick fix - I avoid them like the plague - a bunch of overpaid leeches on NHS funds.

As regards my mother now that I am questioning their past failure to diagnose a hip problem they have gone quiet and do not answer questions nor do they even check on how my parents are in their 80s and 90s.

They are available at the drop of a hat for all the spongers in our society who know how to play the system, work the sick note etc. Decent people are ignored and just swell their stats.

He who shouts loudest - old school are confined to the easy money/ignore category