Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺

Surrey GP, Husband, Father, Tech lover, Amateur cyclist, Professional Woke-man, Croydon Boy. Opinions my own, RT is not endorsement

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

Why has it become the new normal to verbally abuse #nhs staff? My thoughts on the matter

A 🧵
@Parody_RCGP @DrSimonHodes @danielgoyal @DrYvetteDocGP @DrSelvarajah @DrShanHussain

[Dr Steve Taylor @DrSteveTaylor]

Pretty much sums up the current situation for GPs

Seen on Facebook 😂😂

[Shaun Lintern @ShaunLintern]

Celebrities, rich people and ex-prime ministers should not make health policy. Prostate cancer screening is just not as simple as some are making out. There are real harms caused when people are treated unnecessarily.

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

Just heard on the ten o clock news waiting lists are falling.
In totally unrelated news - on a daily basis we receive another query from a patient who has been removed from a waiting list without their consent.
Don’t let the door hit you on the way out Wes
#NHS

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

@Parody_RCGP @dave_dlt @Leedsviv @DrSteveTaylor “Dear Dr Important,
This patient tells me your secretary has advised them to contact me, to request an earlier appointment so they are seen sooner. I hope you will therefore accept this request, and have copied in the patient so that they can follow up with you directly. Regards”

[Doc Em🕷🇪🇺 @DocEmUK]

The sheer volume of work we get means that I have to log on most evenings & weekends. Not that uncommon in the professional world I guess, except that most people don’t have the public chastising them for being lazy part-timers.
I’m physically in practice two days a week. I work at least five.
Just logged off today and I’m utterly exasperated by the dumps on me by other organisations who seem to think everything is my job because it’s easier or they don’t know what to do. Requests for specialist referrals for a patient that has been with them for a couple of weeks with minimal information on why. The team they want referral to is in the same hospital. Asks for us to do capacity assessments on patients & let the specialist know that the patient declining the treatment they recommend is making an ‘unwise decision’ rather than a capacity issue. Arrange a MASH for a patient I know nothing about. Urgently prescribe medication for a patient a NP has literally just consulted with in clinic.
Does secondary care think that we’re sitting around waiting for work? Holding spare capacity to do their job? Believe that all things administrative are the role of the GP?

This is what will drive me out of general practice. Not the govt (close second). Not the media. Not the patients. It’s the incessant dumping on us. The total lack of respect for our time. The complete ignorance as to what we do. The treating of us as if we are community juniors. The unreasonable expectations they set for patients from us.
Once upon a time we were on the same team. Now, they seem hell-bent on breaking us. The consultants are least responsible for this. It’s the lower-skilled, narrow-trained, don’t-know-what-else-to-do doctor subs that are the worst. I am sending all the tasks back, because that’s the only way to educate & change practice, but it’s exhausting. It’s not good for patients either, but they should never have done it & it needs to change for the benefit of population health.

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

@Parody_RCGP Imagine if one day we generated itemised bills for all the patient related activity that took place in a practice?

It would make a laughing stock of the global sum

[Snowleopardess 💚 @snowleopardess]

Waiting lists are falling because they are being manipulated.
1 in 4 GP referrals to specialists are to be rejected.
How do you have the gall to stand there crowing about the state of the NHS @AlexBallingerMP?

[Dr Dave Triska @dave_dlt]

Objectively and subjectively, my speciality (GP) has a foot on its throat and in the direst state since I’ve been a doctor. It got worse since the election. A lot.

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

@dave_dlt Wonder if one of his targets was the destruction of general practice by 2026…he’ll miss us when we’re gone.

[Doc Em🕷🇪🇺 @DocEmUK]

A message for @wesstreeting
We know you’re busy with residents, and probably consultants soon, but could you spare a few hours to have GP chats please?
Basically, we need you to say ‘get on with it’. We know what we’re doing and we know how to do it. By all means chuck in a few useful parameters such as personal lists and continuity, which have a decent evidence base, but access requirements will only detract from GP-delivered care.
You need to trust us. I don’t know what you think our motivation is, but I can assure you it’s patient wellbeing.

[Dr Dave Triska @dave_dlt]

🧵A "quiet" Friday morning in general practice. Real numbers from one small rural GP surgery in Surrey. Post-Easter, skeleton crew, nothing dramatic. This is what quiet looks like. @doctor_katie @Parody_RCGP @medicalmodelbri @DrSteveTaylor

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

@dave_dlt @Parody_RCGP @DrSteveTaylor @wesstreeting @DHSCgovuk It shouldn’t have been this way - and it is going to take me a long time to overcome the guilt of leaving the remaining partnership to cover my workload. But I have the utmost respect for partners continuing to work in this current dysfunctional system

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

This month- sadly - I step down from my GP partner role. Have been going through a lot on a personal level, I need to be a better husband and dad, and hopefully rediscover my love for General Practice. But fuck me Wes, you are not making it easy to find things to enjoy…🧵

[Dr Shivam Sharma @DocShivSharma]

The government has wasted £3bn on the cost of the doctor strikes.

They could have used that money to resolve the dispute and still have billions left over.

Even the £300m cost of this current strike could have been put into a deal and there would be no strikes.

Mismanagement.

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

As ever, shout out to @Parody_RCGP @DrSteveTaylor @dave_dlt and many, many others for continuing to highlight how bad things are in GP-land.
As for @wesstreeting and @DHSCgovuk…just be a bit less shjt please.

The good news is it should take you minimal effort to achieve this!

[Sitso Amankwah #TeamGP 💙 😷 🇬🇧 🇬🇭 🇪🇺 @Dr_Sitz]

It’s often said that the definition of insanity is doing the same thing over and over, and expecting different results. TOP DOWN REORGANISATIONS DO NOT WORK (if you hadn’t guessed, I don’t really like top down reorganisation 😆)