Doc Em🕷🇪🇺
@DocEmUK
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Family first. Care about what I do. Views entirely own.
United Kingdom
Joined May 2011
This is a proper happy post. 😀
He may be celebrating his 70th but he’s got the energy of a 30 yr old!! Happy 70th to my wonderful & utterly brilliant friend Timmy. What an inspiration with his cycling, his painting, his curiosity, his endless energy. What a legend &what fun we had last night💛🥳💛🥳
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The ‘Sunday night’ feeling has started quite early today. The patient bit is great, it’s hypertension-inducing contents of my inbox/tasks/docs that’s not floating my boat.
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Isn’t it lovely when people who don’t currently work in general practice criticise general practice, assuming that they know what it is to be a GP in today’s environment? The superiority complex doesn’t help anyone, least of all patients.
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this is becoming increasingly ludicrous. If UK National Screening committee recommended screening and Gov rejected it - sure, have a 'fight'. But if evidence, independently/expertly assessed, finds screening does more harm than good - you don't need 'fights' but better tests.
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She’s purring/snoring in my lap. How can I possibly get up & go to bed?
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Winter is coming. Online consultations are open longer with resultant increased contact. We’re asked to provide more same-day capacity without any overall resource increase to protect hospitals. We’re squeezing every little bit out of every inch of the practice and staff.
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This isn’t true C2C referrals allowed for: 1. Any 2ww 2. Same symptom belonging to different speciality eg knee pain rheum ➡️ortho or SOB cardio ➡️resp 3. 2ndry to tertiary care (& visa versa) Always best to apply granny test to such cases & let bean counters figure out finances
@RobLaurensonD4P not news -been like this to my knowledge over 7+ years. Cons to cons referrals are not allowed by hospital - Its the money. Hospital needs a new primary referral to ker -ching the money for a new appt with new cons. A consultant to cons generates no money for hospital.
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why can't I get an appointment with my GP? one reason: we are doing too many low value tests - because some charities are giving poor/misleading information to men. the NHS is a cake. We all have a responsibility to use fairly https://t.co/3RM4or3Ce2
bmj.com
Objective To characterise the use of the prostate specific antigen (PSA) test in primary care in England. Design Population based open cohort study. Setting England. Participants 10 235 805 male...
PSA screening media coverage is currently very poor. Various charities are not helping but instead adding to the confusion and hype. The Times today carries another high profile individual story of how they were "absolutely" saved by screening with PSA testing.
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Rishi is pushing prostate screening. That’s fine but it is going to be interpreted by many as ‘get a PSA test’. The issues of false positives and negatives and the implications are significant. Reporting on this story MUST take this is into account. There’s a reason why PSA
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If job coaches are to be installed in GP surgeries surely tax inspectors should be installed in corporate finance offices? I'm pretty sure one will bring more into the funding of the country than the other & fair is fair.
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“I’m an immigrant. I was born in India.” Joanna Lumley says people are not “not thinking straight” by trying to build walls to “block people out” and instead we should strive to make the world safe to live in again.
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I think there are more than 3 traitors in the ‘transformation’ of healthcare. As for celebrity - they may well appear in the jungle one day. (What are they on??)
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I have spoken to too many GPs who are at the point of resigning @wesstreeting @SKinnock @NHSEngland @DHSCgovuk are deaf to their concerns There won’t be GPs to care for patients in the #NHS This is not luddites, museum pieces, hairdressers or Amazon Prime This is GPs who care
Dear @SKinnock @wesstreeting @DHSCgovuk @NHSEngland - @BMA_GP warned about this but it was like talking to a brick wall. Patient access is worsening & our staff now getting abuse from patients. We desperately need flexibilities
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This makes my point perfectly. This is the sort of stuff that shouldn’t happen but has to because we’re being given inappropriate tasks from elsewhere. Not just secondary care, but employers, schools, sports teams, airlines, and anyone else that fancies taking a liability dump.
Just called the doctor for one of my kids looking for an appointment. Send pictures she said, it is “difficult to diagnose without seeing”! That’s why I’m asking for an appointment I reply. “Oh it would be at least THREE WEEKS before you could get an appointment! What a country
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Utterly sick of GPs being the fall guy. Other services’ failings do not mean that GPs are duty-bound to plug the gaps, however loud you shout. Bring on working to rule, TBH, because I simply don’t know how anyone can possibly do everything that people expect of us without giving
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Happens so often. This is NOT the GP’s responsibility. Complaining about the GP is unfair. Patients should not be stuck in the middle, but services need to fulfil their responsibilities and do what they’re contracted & paid to do. Laziness/ignorance from this particular
I travelled 26 miles into London today to see a private GP in person - just under three weeks after breast cancer surgery. It cost me £50 (via my health insurance) at a time I’m not able to work much (I’m self-employed). But I felt I had no other option. Now I’m back in bed
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I travelled 26 miles into London today to see a private GP in person - just under three weeks after breast cancer surgery. It cost me £50 (via my health insurance) at a time I’m not able to work much (I’m self-employed). But I felt I had no other option. Now I’m back in bed
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Each time I drive to work, my heart sinks. I know that I have to try to fix the unfixable. I have to try to secure the unresourced. I have to meet unachievable demand. The mismatch of expectation vs reality, entitlement vs empowerment and doing something with nothing is
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Dr. Jane Goodall filmed an interview in March 2025 with the understanding it would only be released after her death. This is her final message from it.
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