No Problem – we will “log out”…

The politicians do not seem to realise that many of the 80-90% female doctors in England are happy to stop work. Most of them are at a stage in their career when it would be natural to have a child. Most of them are from the good schools in the suburbs, and by the very nature of the selection process they are from well heeled families. (Not all I grant you, and those that are not will almost certainly be working now). Their (admittedly large if no help from bank of Mum & Dad) debt seems irrelevant to the lifestyle choice they have before them, and they have been well trained to be a parent.. Logging off/out seems a natural choice..

The natural result of our selection processes is to create a group who have a perverse incentive to stop running on the hamsters wheel of the English Health Service and have a rest.  If they felt they had to work, there are plenty of places in the other UK regions (notably Wales) but there have been no more applications for speciality training or GP training places outside of England – yet and its summer.. Yes Private Health Insurance will seem attractive. GP could be like Dentistry and Physiotherapy soon, and already psychologists are going private… Covert rationing by commissioners and trusts is responsible. Patients now know that emergencies are not covered in England… so move to Wales?

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Matthew Weaver reports in the Guardian 25th April: Junior doctor quits live on TV as BMA considers permanent strike – Leaks show how crisis could escalate if government fails to respond to this week’s 48-hour walkout

and Dennis Campbell reports: Junior doctors: ‘over half could quit NHS England over Hunt’s contract’ – Survey finds negative impact on childcare and relationships are key reasons that could drive trainee medics away

Rowena Mason tries to add a political twisted knife: Corbyn accuses Tories of undermining NHS so more patients go private – Labour leader questions whether National Health Service funds have been slashed in effort to promote private healthcare

Alex Matthews-King in Pulse April fools day reports: Third of GP trainee positions remain unfilled across the UK following first round of recruitment whilst GPjobs announces you can “Browse 426 live GP and Practice staff jobs”

The government is keen to recruit unethically from other countries and particularly those without English language and UK Cultural tradition knowledge. The standards have to fall if their target of 600 immediately and 6000 over 10 years is to be met. (UK GP recruitment)

Last year (2015) speciality training was difficult and the competition was very variable. Most competition was for inner city hospitals by suburban family students.

March 2014: Medical Student debt – time for government to change policy on doctor recruitment

Women (& medical students) “.. from poor homes storm the best universities and Medical Schools

Safety fears over doctors who trained outside EU – open up more medical student and GP training posts urgently

Plaid Cymru plan would wipe junior doctors’ debts in Wales

Gender bias. The one sex change on the NHS that nobody has been talking about

Only 52% of doctors completing foundation training chose to enter specialty training

He took out private health insurance!




This entry was posted in A Personal View, Commissioning, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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