@BertDalziel Mine were not EBF at 6 months only because they’d had bits of food by then - I thought that was the reason for the huge drop-off at 5-6 months?
@DrAsifQasim@DrNeenaJha@NHS A tool for getting rid of / disempowering undesirables? Almost all doctors will (and should) do this on occasion. Who will be disciplined and who won’t be?
@maxtempers Sessions are taking longer than they used to - many more GPs are ‘full time’ if counted as 37+ hours / week. Also some of GPs underemployed, fewer jobs around (plenty can’t relocate the family for work due to spouses job - a consequence of feminisation?)
https://t.co/YuBtHHrDqI
@rheumipainmask This is how a lot of us expected to practice when we applied to medical school - in my case 18 years ago it felt a realistic prospect. Such a loss to patients and to doctors.
@DrGoblin3 Consider the systems that force that choice - salaried GP or resident doc about to be late for nursery pick up (again) not trusting that the partners (or managers / consultants) have your back if a complaint comes in.
Damaging mind-set, contributes to moral injury no doubt.
@lukas_ohl 5 years on maybe not - however would be interesting to check medics at 15 or 20 years once postgrad training is complete and careers are established
@TomPMarshall@IanStockport@TomHCalver 5 years post qualification they will all be junior doctors hence no CEA or PP. Those qualifying now may have differential progression due to ST1 bottleneck - but less so the study cohort. I wonder if more Oxbridge grads took a year out to study a masters hence slightly lower pay.
@adityam2000@KatPaton13 I know a few instances of people turning down higher specialty training based on location and taking non-training jobs instead - all mothers of small children with partners who can’t move. My entire cohort moved for core training but no one had kids then!
@SteveBennettMhP It’s £3,000 per practice (and only if prescribed to all eligible patients) not per patient!
Have you seen how tight the criteria are to be eligible on the NHS currently? Holistic care is great but there is no lifestyle program with a good evidence base for this group afaik
@partywcrypto@CoastingGP How did you come to the conclusion GPs think that model is fit for purpose? I don’t know a single GP who would say it is. However neither are community teams, primary care capacity or social services. What would you have us do?
@valhumphreys51@Parody_RCGP Not at all - a surprising proportion of patients don’t want analgesia, or are worried about side effects / interactions, or have tried it but no effect, or are taking too much! Very valid question if framed well, answer often surprising.
@zaynhasn@DeanEggitt GP workforce seems less geographically flexible than hospital consultants. Many part time, circumstances don’t justify uprooting partner - especially if female, lower earner, kids and other caring commitments. ARRS are fixed term too.
C.f neurosurgery - different expectations!
@StevePowers_@OliDugmore Throw in NHS pension contributions and possible AA charge and it’s a no brainer to go part time. Rubbish for NHS waiting lists but good to spend more time with the kids.
@DerekMcLellan2@TheSnoozeDoctor Who fires who- GP partners firing receptionists and salaried? The rest of the public sector including the rest of the health service are paid extra for weekends. Even if you pay staff the same rate it’s less efficient so fewer appointments, reducing access, increasing waits.
@DerekMcLellan2@TheSnoozeDoctor Yes - antisocial for doctors and receptionists - who will require higher pay or other incentives to work weekends. Also antisocial for patients which is why they don’t turn up at weekends. Overall much less efficient for most practices - fine if you have taxpayer £££ to burn.