Roger Scott
@ImTheDoctor
Followers
561
Following
734
Media
233
Statuses
3K
Father, husband, Christian, GP Partner. all views my own. Regrettably not infallible. NHS advocate
England
Joined February 2009
Standard govt tactics. Announce 2.8%. "Concede" 4%. Claim "inflation busting" payrise via sympathetic media. CPIH to April 25 is 4.1%, RPI is 4.5%. Pay restoration getting further away, not closer. GPs even worse. "Pay portion" of GMS doing some heavy lifting in the announcement.
A 4% pay uplift, less than current inflation, is an insult to doctors in England. This Government has shown it simply doesn’t value doctors. “The DDRB has failed doctors. If this is the best they can do, government needs to think again.” says @DrPhilBanfield. This ‘award’
0
0
6
RT @BMA_GP: GPC England has agreed to the 2025/26 contract changes after securing a written commitment from the Government to fully renegot….
0
27
0
RT @BMA_GP: We’ve written to @wesstreeting about the 2025-26 GP contract, and future contract reform. Read the letter here 👇 https://t.co….
0
16
0
RT @RebuildGP: 🚨 The @BMA_GP Committee has agreed in principle to the proposed changes to the 2025/26 GP contract. A funding uplift of £88….
0
4
0
Zero deficit. 20% increase in activity since 2022. Last year 370 MILLION! appointments in General practice. Real terms reduction in practice resource over 15 years. Frankly miraculous we are achieving what we are with what we are given. 7% of NHS budget.
Big NHS interview on @BBCr4today with @amolrajan and @AmandaPritchard - and it was all hospitals, hospitals, hospitals. Only mention of GP was how hard it was to get an appt. Come on R4 you can do better. Gen practice is the only part of the NHS with year on year zero deficits….
0
0
3
Still haven't received your pension statement like me? Vital thread about what to do and what compensation you will be due.
1/ NEW & V IMPORTANT update from @nhs_pensions on pension savings statements for 23/24. •@nhs_pensions have self reported to the regulator. •what do YOU need to do for Self Assessment (31/1). •What compensation might be due. •Next steps. Summary 🧵please read & share/RT
0
5
7
RT @euanstrachanorr: 🤝 Fantastic day today representing @RebuildGP at @UKParliament. 💬 Great to meet with MPs, GPs and colleagues from acro….
0
21
0
RT @anish_k_patel: It’s hard to describe what it feels like to be a GP. Sitting in a room alone, with patients rotating in and out, tacklin….
0
110
0
Dependent practitioners do not get to dictate to their supervisor what their scope should be. It never ceases to amaze me the entitlement of PAs who feel they should be telling doctors their scope.
@puccarts Oh look, Ramey making up statements from organisations he doesn't represent again. It never ceases to amaze me the entitlement doctors feel to hold conversations about associates without including them and their thoughts in the dialogue. A starting scope is the curriculum.
0
1
6
RT @medicstupot: Do you have confidence in the GMC as a regulator of doctors and impending PAs/AAs? @Dr_Done_ @medicalmodelbri @Doc_IonaCol….
0
46
0
"Lazy fat-cat GPs". .
It’s not being done to meet any targets - there aren’t any targets that GPs have to meet . Yet last month another record number of appointments were delivered in GP practices . GPs are trying very hard to make it work as well as they can .
0
1
3
Pay non-dependent clinicians who are able to complete an episode of care independently to do them. You know, professionals who can prescribe independently, legally order imaging including the use of ionising radiation. Doctors. Nurses.
0
0
7
RT @AuschwitzMuseum: With great sadness, we received the news about the passing of Auschwitz Survivor Denise Holstein. Denise Holstein (6….
0
2K
0
The call for a purely salaried GP workforce gets trotted out semi regularly. Given the cost effectiveness of the partnership model it would be a spectacular own goal. Putting the only part of the health service that has never run a deficit in employment to bodies that do is dumb.
0
6
53
In what crazy world does a dependent practitioner tell their supervising clinician, who carries ALL the medicolegal risk, what safe practice looks like? The hubris is breathtaking. If my practice gets a copy of this it will be getting shredded and used as hamster bedding.
Hot fresh of the press from @UMAPsUK, apparently going to be distributed tomorrow to practices. Awful lot in here which goes against @rcgp scope. Are UMAPs advocating for practices to ignore the scope set by their royal college? .
10
115
474
Paying a salary at the level of a senior nurse, to allow someone to effectively cosplay as a healthcare professional, seems like a poor use of limited GP funds.
0
2
14
Nothing is more important than patient safety. Safe supervision means reviewing every patient, history AND examination. Zero benefit to practice if safely supervised. A "simple" consultation is only identified in retrospect. I will not, ever, employ a PA in my practice.
1
5
28
This old tweet of mine has gained some traction this week. To be clear, my position hasn't changed. PAs can either be cheap or safe. The 2 are mutually exclusive. If you safely supervise a PA you are paying them v v well to cosplay being a healthcare professional.
@rcgp @FPARCP @NHS_HealthEdEng Simple. They have no role in my practice because I refuse to be complicit in the dumbing down of my profession by employing half baked non-GPs to do half a job while I ultimately retain all medicolegal risk.
11
94
409
Great. Another report by not GPs suggesting funding anything but GP practices to provide care. Membership of NHS fed = acute, mh, ambulance, community trusts, ICSs, networks. The only bit of the system that doesn't run a deficit being told how to function by everyone who does!.
GP contracts must change to enable ‘neighbourhood’ working, argues report #Darzi #Fuller #GPcontracts.
0
1
6