Adrian sez
<<I repeat the rule I wish was generally accepted: do not be persuaded
to do stupid things for small amounts of money.>>
And I say Amen Brother.
NHS GPs have been turned into some obscene cross breed between a small shopkeeper and a bureaucrat. This is not the way any of us want to work, is it? We want to spend our working hours with our patients and we want to be able to decide, or at least have significant input into the decision, what sort of activities are going to do the most good for our patients. We also want to look after our own health.
Working in Canada has been a breath of fresh air to me, not least as typified by my wife's recent experience where presentation with a trigger finger required A/E attendance (she works in a hospital and that particular A/E doc seems to regard staff care as part of his calling--decent guy), physio, GP attendance, referral to orthopaedics (took about six months, not all of it their fault--there was one appt she simply could not get to but her call to ask them to rebook got lost and her name was consigned to the DNA file for a while) and finally she got a steroid injection. Last time I saw one of those in Canada we checked out the technique in a book and my mate injected it himself.
But I digress. In Canadian office practice, or at least the four or five bits of it I have worked in so far, GPs still do what a GP's gotta do. Without the dead hand of NHS bureaucracy on them.
Happy Xmas, y'all!!
Declan
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