Over the years of GP health decline, the profession has been asking for Occupational Health. Now that “trust” has gone, and the fear factor is overlying everything we do (including free speech) it would be better for an independent HR body to provide the Occupational health. In 2014 it might have been accepted: Time running out for doctor health service (BMA News) – A GP has warned his doctor-patients could be the victims of a ‘postcode lottery’ following the withdrawal of occupational health services funding. It is the toxic environment which leads to the loss of altruism, and the ways to protect yourself are go part time, emigrate, retire, or change career.
Just like “exit Interviews”, the culture of fear will overcome the duty of candour. Honesty about individual GPs health is important, and in a “trusting” and healthy organisation this would be appropriate. The shape of the job ensures that more and more stressed GPs will go part time. Continuity of care used to be an important element of General practice, and for dying patients especially it was much appreciated. Will the shape of the job now, continuity in palliative and terminal care, especially in ones own home, has already disappeared in cities, and is rapidly going in all but the most rural areas. The demands need to be reduced (carrot and stick) and the constraints need to be reduced whilst we increase the numbers in training to cope…. this takes time., so its going to get worse before it gets better, and that’s only if we have political honesty.
From April all GPs will be able to access the same OH services from local health boards as directly employed NHS staff, including time with an occupational health consultant and a range of wellbeing and health services. …
‘Rising patient demand, excessive bureaucracy, fewer resources, and a chronic shortage of GPs are resulting in worn-out doctors, some of whom are so fatigued that they can no longer guarantee to provide safe care to patients.
‘GPs are currently seeing too many patients a day to be safe and at the end of a long day in clinic, we will still have a mountain of paperwork to get through.
Patient safety: ‘It is fine now and again to have a “really busy day”, but general practice is currently relentless and this is a threat to our own health and our patients’ safety.
‘GPs are at breaking point and tired GPs are more likely to make mistakes – be it a paperwork error or, in the worst cases, missing a potential symptom.
I feel bad knocking the RCGP. They mean no harm. But really. First there was the campaign for 15 minute appointments. Then there was the clarion call that it’s never been a better time to be a GP. And now this: ‘A rested GP is a safer GP’ poster campaign thing…..
..So if we’re going to have a poster campaign, let’s go for gritty realism instead. Here’s my suggestion, feel free to photocopy and plaster your waiting room wall with it.
Your GP’s right to defecate should always come first!
dirty toilet 330x330px
Train drivers, pilots and lorry drivers are contractually allowed to have at least one dump a day.
Your doctor has not had time to open his/her bowels for three weeks now. This is Jeremy Hunt’s fault. If your GP shows signs of distress during the consultation, stand well back.
Remember, a toiletted doctor is a safer doctor.
Support our campaign at http://www.bogoff.com
Mind you, if anyone’s really full of crap, it isn’t us GPs…