snowbear Posted December 20, 2015 Share Posted December 20, 2015 Like everything else in life, GPs are a bit of a lottery. GP training consists of a minimum three years post-registration experience in a variety of hospital specialities, usually 6 month rotations in each. Good GPs often do more than the minimum in order to gain experience in other fields before they join a practise, but there's no requirement to do one of their rotations in psychiatry and considerable financial disincentives to do more than the minimum legal requirement. Most practices demand their new partners have qualifications in obstetrics, paediatrics, family planning and minor surgery, alongside a proficiency in cardiac and respiratory medicine, diabetes, epilepsy and more. Each of these brings money into the practise as part of how GPs are paid. There are currently no financial reimbursements for GPs involved in psychiatry and this is why practises don't require new partners to have training or experience in it. However, considering 10-20% of GP workload is psychiatry related, not doing extra study in that area has always seemed to me to be a mistake. Especially for a doctor working in a single-handed practise. These days the trend is for big practises with 6-10 GPs, so I agree there's no excuse for not having at least 1 GP among the group who has extra psychiatry training, or at the very least a special interest in the field. But until the government treats mental health in parallel to physical health in terms of how they pay GPs, I doubt anything will change. Link to comment
biscuitcat Posted December 21, 2015 Share Posted December 21, 2015 I read a great post by the Labour Party, which was saying how each individuals well-being is a complex mix of physical, mental and social care, and how our healthcare needs to be treated accordingly. http://www.labour.org.uk/issues/detail/whole-person-care Its not too in depth, but I think it focuses on how mental and social care need to be treated with the same severity as physical health. Link to comment
Hal Posted December 22, 2015 Share Posted December 22, 2015 There are currently no financial reimbursements for GPs involved in psychiatry and this is why practises don't require new partners to have training or experience in it. I never knew that, very interesting and explains a lot Link to comment
Guest twonk the destroyer Posted February 27, 2016 Share Posted February 27, 2016 The point is, there should be no bad experiences within the NHS. Mistakes, alas, might occur occasionally, we are all human (at present they happen all too frequently because of the lack of dedicated staff) but when it comes down to neglect, and bad treatment, it should never occur. Sadly, almost everyone I know has personal experience where they or a loved one has been treated badly. I'm not a satisfied customer of the NHS but I have to say, bad experiences can happen without mistreatment having occurred. A patient can sometimes feel that their experience was negative, simply because the treatment pathway didn't work for them. I've been waiting a year for a referral to go through and there's nothing I or my consultant can do about it. The section leader of where I've been referred has taken it upon herself, to decide, never having met me, that I need to wait for the effects of another talking therapy which has now finished, to "have their effect". I've been warned that I have at least another 6 months to wait, that's right, 18 months for a referral while I sit rotting on ESA with daily suicidal ideation. But hey, you get what you pay for right? Link to comment
frankie Posted May 4, 2016 Share Posted May 4, 2016 I'm not a satisfied customer of the NHS but I have to say, bad experiences can happen without mistreatment having occurred. A patient can sometimes feel that their experience was negative, simply because the treatment pathway didn't work for them. I've been waiting a year for a referral to go through and there's nothing I or my consultant can do about it. The section leader of where I've been referred has taken it upon herself, to decide, never having met me, that I need to wait for the effects of another talking therapy which has now finished, to "have their effect". I've been warned that I have at least another 6 months to wait, that's right, 18 months for a referral while I sit rotting on ESA with daily suicidal ideation. But hey, you get what you pay for right? Shocking , send a message to Ashley for his advice Link to comment
Guest Werwulf Posted October 9, 2016 Share Posted October 9, 2016 I have access to half an hour of CBT once every 3 weeks or so on the NHS. It may as well not even be there. Pointless. Link to comment
Ashley Posted October 9, 2016 Share Posted October 9, 2016 2 hours ago, Werwulf said: I have access to half an hour of CBT once every 3 weeks or so on the NHS. It may as well not even be there. Pointless. I agree Werwulf! Where are you in the UK? I am happy to advise on treatment options if I can. Ashley. Link to comment
Guest Werwulf Posted October 9, 2016 Share Posted October 9, 2016 9 minutes ago, Ashley said: I agree Werwulf! Where are you in the UK? I am happy to advise on treatment options if I can. Ashley. Hi Ashley, I'm in north Devon. I've emailed all the accredited CBT therapists in my area and am currently awaiting replies. Link to comment
Ashley Posted October 9, 2016 Share Posted October 9, 2016 Is it NHS therapy through IAPT you're getting that 30 minutes every 3 weeks? If so we can and should challenge that. Link to comment
taurean Posted October 10, 2016 Share Posted October 10, 2016 (edited) The NHS is underfunded, poorly run, and - from one local rag I was reading today - hives off profitable bits to outside providers.And Mental health is an exceedingly poor relation in the service. Locally here in Waltham Forest they are looking at reducing the number of GPS - WHAT? there are loads more people in the borough now due to loads of new housing - that is just unacceptable. Edited October 10, 2016 by taurean correction Link to comment
taurean Posted January 19, 2017 Share Posted January 19, 2017 Our local NHS hospital Whipps Cross is unfortunately really struggling right now. And it doesn't help that it is seemingly impossible to park there - the parks are always full. And there is no bus journey possible to the nearest local railway station. For a fit person, its a 12 minute walk.Otherwise, for us you need to use a taxi or two buses. And this option involves switching to the other side of a very busy main road. I was spoiled when i was working, as the firm had private medical insurance, and I could get seen almost immediately at a lovely local private hospital where I could park. There are legion reasons why the NHS is in a poor state financially and resource-wise, and no government has really ever cracked it in recent times. Health tourism is just one of these. Maybe Brexit will tackle some of these issues, who knows. Getting to see a local GP. Well, I am better on that. I can usually be seen the same day without a fight. Link to comment
gingerbreadgirl Posted February 6, 2017 Share Posted February 6, 2017 I personally think the NHS does a fantastic job, for the most part, and is and should be the envy of the world. It has its flaws, of course, and desperately needs more funding and better management, but I think it's something we can all be extremely proud of here in the UK. Just my twopenny worth. Link to comment
whitebeam Posted February 7, 2017 Share Posted February 7, 2017 I hadn't realised just how close to capacity so many hospitals are - it sounds dire. Tackling and providing social care so that elderly or vulnerable people can be safely discharged would help inordinately....but this should have been looked at years ago.....quite how the NHS will go from now is hard to tell. It really sounds as if it is in crisis. My own experiences of the NHS have been excellent.......but how long will the overstretched staff be able to keep going? Link to comment
taurean Posted February 9, 2017 Share Posted February 9, 2017 What would one do if running the NHS? I would make realistic appointment times. Last appt I had at Whipps Cross I was met with a sign saying the consultant was s already an hour behind. Overbooking appts just creates pressure. I would write off some of the debt and bolster up essential services. I would insist on ID evidence before treatment unless referred by a GP. Anyone not eligible for free treatment must be insured or pay - same as in many countries, and private hospitals. I would increase national insurance charges. I would simplify the management structure and look at eliminating unnecessary duplications. That would make a start. Link to comment
Caramoole Posted March 3, 2017 Share Posted March 3, 2017 On 09/02/2017 at 09:15, taurean said: I would simplify the management structure and look at eliminating unnecessary duplications. This is the area that needs most sorting out. Also, I would put a cap on salaries and pension packages for these senior executives. None of them should be earning well in excess of the Prime Minister. Until this is sorted, neither will the problem be Link to comment
taurean Posted March 3, 2017 Share Posted March 3, 2017 26 minutes ago, Caramoole said: This is the area that needs most sorting out. Also, I would put a cap on salaries and pension packages for these senior executives. None of them should be earning well in excess of the Prime Minister. Until this is sorted, neither will the problem be Brilliant assessment Caramoole Link to comment
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