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Thread: Financial rewards for Doctors who don't do their job properly

  1. #21
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by Acidburn View Post
    The fact that anyone continues to read the Daily Mail says something for their ability to critically appraise a story presented to them


    Actually, I didn't read about this subject in the Daily Mail (I read viz & Heat in between episodes of Jeremy Kyle) and I just wanted to add a link to this thread and the Daily Mail one was the first one I came across. I knew I should have found a different one because I knew at least one (as it turns out several) would see it as a chink in the debate. Thanks to DB for adding another non-daily mail link. Now you can't be patronising about where the story came from.

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    Re: Financial rewards for Doctors who don't do their job properly

    Clair S and Acidburn,, please do not take my comment personally. I do not know what your like in your capacity as gp's or specialists.. i only comment on my personal experiences so far with NHS and my GP.

    He is too old for his game in my opinion and very much budget driven. My parents also suffer greatly with cheap medicines given to them on each visit with various side effects but i also know Scarface's parents get looked after well by their clinic but as you said yourself. You endeavour to look after your patients and i stand by my current view. All gp's that i have ever come accross have been unhelpful and have caused me great heartache and problems over the years. I used the word wanker before... i retract that as yes it is insulting.
    Not intended at all.

  3. #23
    Registered User frodo's Avatar
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by Double Trouble View Post
    ...My GP is a bit of an old quack and I've had lots of negative experiences, but I don't tar you all with the same brush at all.
    Perhaps the problem is a lack of testing on continued fitness to practice, after initial qualification.

    Possible one issue is the BMA (British Medical Association), both a doctors professional assocation, and effectively a trade union, effectively resisting the raising of standards, because it is not in the doctor's interests.

  4. #24
    Registered User frodo's Avatar
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by Double Trouble View Post
    ...My GP is a bit of an old quack and I've had lots of negative experiences, but I don't tar you all with the same brush at all.
    Perhaps the problem is a lack of sufficient testing/monitoring on continued fitness to practice, after initial qualification.

    Possible one issue is the BMA (British Medical Association), both a doctors professional assocation, and a trade union (might be better called Doctors Union), effectively resisting the raising of standards, because it is not in the doctor's interests.

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    Re: Financial rewards for Doctors who don't do their job properly

    If you don't get the service you want from a shop, you go elsewhere. If you don't get the service you want from your GP, go find one you like.
    Let your mind go and your body will follow. – Steve Martin, LA Story

  6. #26
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by ducasi View Post
    If you don't get the service you want from a shop, you go elsewhere. If you don't get the service you want from your GP, go find one you like.
    That's fine in theory, but if you trust your GP to do the right thing by you, then it can be a long time before you learn, the hard way, that you should have gone somewhere else.

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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by ducasi View Post
    If you don't get the service you want from a shop, you go elsewhere. If you don't get the service you want from your GP, go find one you like.
    That's fine if you have options to choose from, not everyone does.

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    Re: Financial rewards for Doctors who don't do their job properly

    OK, before I get lynched I know that the majority of healthcare professionals do the job to the best of their abilities and resources. However this attitude to things did incense me

    Quote Originally Posted by Acidburn View Post
    Doctors aren't daft, we know when a GP has been pressured into making the referral by a dissatisfied patient who is being managed appropriately (usually because the GP writes as much in their letter). Think about the time you waste when someone else with a genuine need to see a specialist could have been sorted out
    This concerns not me but my grandfather who passed away last year. He had been going to his GP and been diagnosed with all manner of exotic illnesses to explain the weight loss and pain he was getting in his stomach, for well over a year. It was only at the insistence of my Auntie that further tests were carried out which did reveal what the problem was, a tumour the size of a grapefruit in his stomach. The specialist estimated that he had had the tumour for two years. Despite some successful chemotherapy the cancer had spread to his brain, and he deteriorated and died eventually.

    If it hadn't been at the insistence of my Auntie that he was referred then he would have probably died a lot sooner. However we got to spend more time with him and as painful as it was to watch someone fade away and see someone so strong and active become reduced to a husk of their former selves and unable to even communicate properly at least we got to say goodbye and had more time together that we probably would not have had.

    Perhaps his GP believed he was being managed appropriately but please do not be so arrogant to assume that disgruntled patients are always wrong and wasting your time.

  9. #29
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by pmjd View Post
    That's fine if you have options to choose from, not everyone does.
    There appears to be at least 4 to choose from in Waltham Abbey.
    Let your mind go and your body will follow. – Steve Martin, LA Story

  10. #30
    Registered User Lynn's Avatar
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by pmjd View Post
    That's fine if you have options to choose from, not everyone does.
    And they vary so much.

    The one near my parents is busy and hectic. They will only give out appointments a week in advance and often there is none available. You phone up, the phone rings for several mins before its answered, then there is no appointment available in the next week so they tell you to phone again that afternoon... when you do go you have to queue up at the busy reception desk then you usually have to wait a good while to be seen.

    The one near me - you phone up and the call is answered in a few rings, you can often get an appointment the next day and if you phone in the morning can collect a script that afternoon. When you go in there is quiet music playing and a reception desk with one of those hotel bells to ring if there is no-one about, and you are seen more or less on time.

    I have no idea why there is such difference except that there must be simply more people registered with the first one?

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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by ducasi View Post
    That's lucky for pmjd, what with St Andrews being so close to Waltham Abbey.

    Anyway, it's swings & roundabouts innit? My Dr used to be the only one in Waltham Abbey. Now the others have opened my GP has lost about 80% of his clients. This means I can practically walk in whenever I feel like it and get seen right away (for a referral). The other popular GP's are booked weeks in advance, which is about as useful as a cat flap in an elephant house.
    Last edited by Double Trouble; 21st-October-2008 at 11:10 AM.

  12. #32
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    Re: Financial rewards for Doctors who don't do their job properly

    Interesting debate. I suspect that part of the problem with this "incentivising" is the application of market economics to a state-funded service. The logic behind it is presumably to encourage GPs to manage conditions within the practice, which is cheaper for the NHS, and stop unescessary referrals, thus saving money, and speeding the service up for those who do need the referral by cutting waiting lists. However, this will only work if all GPs are able to provide a certain standard of care - since the skills of GPs vary as they are indeed "only human", and some will be greedier than others, it will inevitably have an uneven application. I don't know what sort of continuing professional development GPs are required to undertake - anyone know? It's all very well changing the goalposts, but the GPs need to also be given the skills to cope.

    Also, this development is only one tiny aspect of NHS policy, and we are discussing it in isolation. This morning I heard on the radio a plan for people to be able self-refer to certain specialists, particularly physios. See here for more information. So what the NHS takes away with one hand, it gives with the other

  13. #33
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    Re: Financial rewards for Doctors who don't do their job properly

    Quote Originally Posted by Double Trouble View Post
    That's lucky for pmjd, what with St Andrews being so close to Waltham Abbey.

    Anyway, it's swings & roundabouts innit? My Dr used to be the only one in Waltham Abbey. Now the others have opened my GP has lost about 80% of his clients. This means I can practically walk in whenever I feel like it and get seen right away (for a referral). The other popular GP's are booked weeks in advance, which is about as useful as a cat flap in an elephant house.
    So what you're saying is that you have an unpopular GP who has lost 4 out of 5 of his patients. And you stick with him because you can see him quickly and then see a different doctor

    It's a bit like saying you use an unpopular restaurant because you can always get a table - and then sending out for pizza once you're there

    My advice is to ask around about local GPs. Also, look at this website. it doesn't tell you how good a practice is. Not exactly. However it does tell you how a practice is performing on many measures. If a practice is underperforming you might ask yourself why.

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