Ah the NHS is struggling
and it is not the fault of under investment, under manpower it is the
increasing demands of an aging population who are now the frail elderly. What a
complete load of crap spread by the appeaseniks of the BMA, RCGP et al most of whose
august members are not on the front line for more than a session a week.
When we started many decades
ago in Northernshire if you went to a busy Friday once a week branch surgery
you might get between 3-7 patients. Now they are always full. Most people came
in then with just one acute illness problem and if they had 3 separate problems
that was commented upon then.
Yet people are now
healthier, live longer and yet consult more up 24% more between 1998 and 2014
an increase of 1.5% per annum offset by a decrease in NHS funding for primary
care from 11% some 5 years ago to less than 8% now. Ignore the GP Forward View funding
that does not even restore the status quo
5 years ago.
The increased demand in
the NHS is similar to the if you build more roads to relieve congestion people
drive more just think Darzhole centres and NHS Dumb, Dumb, Dumb.
Roads are free and so is
the health service and so are extended hours, 7 day working all of which result
in the same increased demand for want but rarely if ever true medical need.
Take a typical
“emergency” appointment which have become more and more common over the last
2-3 years:
1) I think I have a
chest infection for I have been coughing for 15 minutes. No you don’t you have
a minor viral upper respiratory tract infection that will get better in 3 weeks
just like all those other family members that you told us about who had the
same symptoms and got better after they consulted their GP, had no treatment so
what is different about you other than this is a freebie? (3 minutes).
2) Oh, clear
disappointment here at not having blagged an antibiotic, so then comes the while
I am here can I collect my blood tests I had done because I was worried I was
ill 6 months ago? (Actually 2 years ago
but thanks for the disinformation and wasting our time searching for them).
Until now when I didn’t
get what I wanted. All normal. I thought so because no one had bothered to
contact me (no patient responsibility
or self care agenda here). (3 minutes).
3) Clearly disappointed
so on to the next old chestnut end of consultation favourite my partner/seventh
cousin twice removed/employer said I ought to get this completely unchanging
skin lesions of 20 years duration checked. And why did they suggest you do this
because they had noticed a change? No because they told me to.
If you want a “check”
for non-illness see your bank manager but those who do others bidding without
thinking won’t get that. (3 minutes).
4) I think I might be
stressed, I have a busy job, I work 24/7 and never stop can I have a sick note
for I hate my job?
If you have time to
think you are stressed then you are not. I am a doctor the fact that you hate
your job is not my problem it is your life style choice and as such yours to
fix.
Hating your job is not
an illness in the same way that you don’t like your spouse, mother in law,
house you live in etc. But please feel free to waste your doctor’s time discussing
something we can do absolutely nothing about other than give you a sick note
which you are not going to get because you are actually medically fit to work. (7
minutes).
5) While I am here can I
collect my repeat prescription and also my children’s, and their children’s
prescriptions it will save me so much time (but
waste the most expensive part of general practices’ time but your time is
precious see 4) above (3 minutes but an additional 45 seconds for each
prescription to print using advanced NHS IT).
6) When I got up this
morning I had a twinge in my knee when I put it to the floor. It was really
painful for a fraction of a second and has not bothered me since and I went for
my usual 3 mile fell run without any problems this morning. Can you tell me
what that was it was so painful? No. (2 minutes).
7) I am planning a trip
in a few months’ time what immunizations do I need? Am I at risk of the Zika
virus in the Antarctic? (Ah the emergency
I am going on a holiday which I have paid for appointment but this is a freebie).
(2 minutes).
Well thank you for
squeezing me in as an emergency. I don’t come here very often so I thought I
would save them all up to save you busy doctors’ time (usual idiot NHS freeloader’s grin here) and a typical Friday
afternoon something for the weekend crap emergency appointment. You can’t be
too careful at 18:10 on a Friday when demanding an emergency appointment for
all of the above as there are after all no doctors whatsoever for a whole
weekend in the whole of the UK until late on Monday morning.
Repeat such retarded
crap across a nation and then wonder why you as a patient cannot get to see a
GP and patients usually spend the first 2 minutes of their appointment whining
about this fact. It is not the frail elderly it is the retarded well whose only
port of call when they have acute case of non copitis and are feeling pathetic and
no-one wants to listen to them is to see their GP. True illness is conspicuous
by its absence.
Praise be to the Party
for ensuring that via socialized medicine no one with anything wrong with them
will be denied access to a GP unless they are actually ill. GPs did once used
to see illness now most of their workload is social and educational inadequacy
that they cannot fix.
The NHS is increasingly the
convenience store for those who don’t want to pay for coping and all Party’s
sponsor this message but don’t fund it.
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