tag:blogger.com,1999:blog-25200961.post5307469489802577844..comments2024-03-26T07:19:50.901+00:00Comments on Dr Grumble: Off with their headsDr Grumblehttp://www.blogger.com/profile/04417731064007601504noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-25200961.post-1427689400465686052010-12-17T19:47:32.233+00:002010-12-17T19:47:32.233+00:00I think it is a downward spiral. Disillusionment h...I think it is a downward spiral. Disillusionment has lead to increased sickness and missed work days among juniors - hospitals won't cover their hours with locums and the existing juniors have to cross-cover and work harder longer hours. Which leads to disillusionment.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-12437715340853411132010-12-17T14:43:29.130+00:002010-12-17T14:43:29.130+00:00Its the same in GP land -nose to the grindstone, c...Its the same in GP land -nose to the grindstone, constant pressure and little joy.<br />At least though we can choose whether to work bank holidays (for now)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-23140046231858766832010-12-17T10:30:20.523+00:002010-12-17T10:30:20.523+00:00Dear Dr Grumble
Our editorial team loves your eng...Dear Dr Grumble<br /><br />Our editorial team loves your engaging and informative blog on the status of the NHS, and have decided to nominate it for the Best British Health Blog 2010 Award.<br /><br />We have been on the hunt for great blogs that make for intelligent and unique reading in the healthcare space, and we thought Dr Grumble was up there with the very best.<br /><br />Feel free to check out the 9 other contenders in your category -<br />http://www.cliniccompare.co.uk/vote-best-health-blog<br /><br />We run a health care comparison website called cliniccompare.co.uk, dedicated to providing users with the best service for their healthcare needs.<br /><br />We will be offering the blog with the most votes on the 1st February 2011 the coveted award and a crate of Virgin wine. Bang goes the New Year’s resolutions!<br /><br />Best regards and Good luck<br /><br />The Clinic Compare Editorial Team<br />Ps. If you want a widget to encourage your readership to vote, then shout and we can send you the code.matthew.nunnhttps://www.blogger.com/profile/06559093720544703860noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-71413671984591123062010-12-17T10:27:48.815+00:002010-12-17T10:27:48.815+00:00This comment has been removed by the author.matthew.nunnhttps://www.blogger.com/profile/06559093720544703860noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-78655407547898572392010-12-15T11:52:12.292+00:002010-12-15T11:52:12.292+00:00Hey...
Hope you don't mind but I've post...Hey... <br /><br />Hope you don't mind but I've posted your blog onto our FB site britishmedicaljobs.com :Dbritishmedicaljobshttps://www.blogger.com/profile/06129308858542964101noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-7540843098009497872010-12-14T18:28:37.191+00:002010-12-14T18:28:37.191+00:00From my own point of view, I welcomed the extra ho...From my own point of view, I welcomed the extra holday. As a new single handed GP in 2005 I never received the MPIG bung other GPs had so can seldom afford to pay £450 a day for a locums. I had a full week off in 2009 for the first time in 5 years (didn;t manage this year).<br />The wedding has meant I can get 11 consecutive days off for just the cost of 3 locum days.<br />Last time I did that I had broken both my arms! Going to be weird having 11 days without doing any medicine.Single Female Dochttps://www.blogger.com/profile/08219334304756606257noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-9942459434002791452010-12-12T17:55:34.278+00:002010-12-12T17:55:34.278+00:00"Our juniors have been told to go home at 5 o..."Our juniors have been told to go home at 5 on the dot and to work for money according to a contract."<br /><br />I know loads of juniors and all speak the same, they do way above the hours they are contracted for without the pay to follow. And they do have a very strong sense of duty to their patients regardless too. Indeed, they are passionate about what they do and love doing it too! Only they rightly feel they are not being treated fairly pay wise, and I agree. Because if you compare your earnings when you were, say, 30 years old and what you could get for your money then to a 30 year old doc of nowadays and what s/he can get for their money, you will see that you probably were earning double what they get now in real terms. Of course, compassionate as you may be, you still need to eat and have a roof over your head and maybe have or are thinking of starting your own family too, and how many 30 year old doctors can do that unaided by parents nowadaysj? Or evust en get your own 1 bed flat, on a mortgage, somewhere around central London just to have your own space? We're talking a minimum of 400k here, and that's not in the best parts of London either! Your wage multiples if you are a 30 year old doc now won't get you half this flat, while you could easily do it when you were 30, and so can the nowadays lawyers, accountants, media presenters ... etc, etc, let alone the bankers, because it is Kensington SW7 for them!<br /><br />Is a doctor considered less of a professional than these now? Hence, deserve a basic pay way well below the national average as is the case?Samhttps://www.blogger.com/profile/09558370387772079822noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-50906315807592582922010-12-12T11:58:21.530+00:002010-12-12T11:58:21.530+00:00I agree. There has been a generational change. But...I agree. There has been a generational change. But it is the fault of modern management and not the individuals. We were brought up with a sense of duty to our patients, our colleagues and the service. Our juniors have been told to go home at 5 on the dot and to work for money according to a contract.<br /><br />Interestingly the system is getting less for more from these changes. For example, the new consultant contract led to better pay for, on paper, less work. The new GP contract was the same. They thought doctors only worked for money. And now, sadly, it seems they do.<br /><br />This political and managerial interference has destroyed our once great profession.Dr Grumblehttps://www.blogger.com/profile/04417731064007601504noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-8451504368522292312010-12-12T11:24:31.563+00:002010-12-12T11:24:31.563+00:00At our place, our Trust has agreed to pay anyone w...At our place, our Trust has agreed to pay anyone who will work extra hours over the bank holidays for Christmas and New Year, to help patient safety. All 6 consultants have volunteered to keep do their usual ward rounds (which will extend past the time we will be paid for. Out of almost 20 juniors, 2 have volunteered. A generational change?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-5288654892861583782010-12-12T00:34:50.783+00:002010-12-12T00:34:50.783+00:00Wards at christmas are quite grim these days I agr...Wards at christmas are quite grim these days I agree, though when I was off over xmas last year from placement I went back and from what I hear they had a jolly good time. I think the more "McDonaldization" occurs the more damaging it has been in the NHS over the years. Where are all the managers that pull the puppet strings, particually at a Nursing level on xmas day? All at home and the wards are left to fend for themselves without all the services they need; physio, rabid lab results, pharmacy, radiology. Some years I think wards hope and pray it goes smoothly and that nobody becomes more acute than they are and some years I suppose it goes all about tits up for some wards and it becomes a miserable and dangerous experience for everyone involved. The people who then get the iron rod for that are the frontline staff, nurses and doctors. <br /><br />Though I have to admit, I worked christmas day in 2008, the evening shift at my local A&E and I had a wicked time. More fun than I did at home, though some would argue my idea of fun. Lots of cooking injuries and kids running around all hyper and I'd say about 99% of all the patients have had at least one drink so they were generally quite pleasent and amusing. All the staff brought something in for a mini buffet in the sisters office (she was off!) It was fun and I think we were more productive because our spirits were up, it was busy but it was good.Ehttps://www.blogger.com/profile/10810538308795285525noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-47103214959984243512010-12-11T12:31:30.259+00:002010-12-11T12:31:30.259+00:00When Dr Grumble was a youngster Sundays were sacre...When Dr Grumble was a youngster Sundays were sacred. You couldn't buy a damned thing. Hospitals were one of the few places that were open day and night. <br /><br />As we have moved more towards a 24/7 society what you can do for patients has increased along with the range of expertise you require. Providing all this around the clock is a challenge.<br /><br />Most emergencies occur outside business hours so we do need to address this problem. It is not going to go away and the data will continue to show that holidays kill people.Dr Grumblehttps://www.blogger.com/profile/04417731064007601504noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-72797546149226328482010-12-11T12:13:09.566+00:002010-12-11T12:13:09.566+00:00It is sad that the sense of camaraderie is dissapp...It is sad that the sense of camaraderie is dissappearing in hospital settings; tight staffing numbers, nose to the grindstone and a lack of appreciatation leads to low staff moral.<br /><br />I cannot understand the rationale behind the lack of staffing in some hopital department outside the nine to five, Monday to Friday ideal working times - for disease does not confine itself to work friendly hours.<br /><br />I can understand your concern re the clutter of public holidays around 'the wedding' - there is a lot!<br /><br />I am pleased that your patient recovered and that your hunch proved correct.hyperCRYPTICalhttps://www.blogger.com/profile/11967085628384237933noreply@blogger.com