Paul Bromley wrote:
> Post Shipman, I tried to get out of signing this part of the form and
> amongst others took this up with the LMC. I had no support and it was
> implied to me that I would be rocking the boat for not doing it.
GPs are very difficult. They are self-employed independent contractors
with considerable opportunities to occupy themselves in useful work, and
yet ask to be told what to (not) do, and behave as though they all have
to do everything.
Is there any reason why this boat should sink on an even keel rather
than be rocked?
> Additionally Adrian, when you are in the situation where you want
> someone to complete a form for you, how do yoiu manage if you will not
> reciprocate?
I may not have made myself clear. Once I decided that it was hazardous
to colleagues, I ceased to wish them to complete forms.
They have never been asked to complete forms for me, the contract if it
is entered into is with someone else, likely the person who signs the
cheque.
Currently in Exeter there are more than one doctor whose appreciation of
the risk/benefit ratio leads them to seek this work, therefore there is
not a problem.
If at some future date this changes, and no doctor in Exeter believes
the risk/benefit ratio is suitable forthem to undertake this work, I am
unsure on what basis this should lead to any of us seeking to change
their mind (other than by reducing the risk, or for the very very
cynical whom I deprecate, by increasing the benefit.)
>I am amazed that the issues with Crem forms have not yet
> been sorted out so long after Shipman. I assume that the general
> public are mainly unaware that LITTLE has changed.
Actually they have not been sorted out since 1934.
They have been reviewed several times.
The original 1904 intentions were not implemented.
They were not silly ideas, actually, and some of them are likely to be
included in the next spasm.
A useful aphorism is "never accept modest amounts of money to do stupid
things".
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A
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