Dr Custodes is a GP medical director who has decided to tell the inside story on life at his crumbling PCT as staff come to terms with their impending doom.

The new boss of NHS England

Custodes has never heard The Who live, mind you I don’t think many of The Who can hear The Who live these days. However, thanks to the producer of the CSI franchise having an obsession with their music, loads of people are vaguely familiar with their oeuvre.

Read more on The new boss of NHS England…

The magic of care.data

I love a good magic show. Derren Brown – he’s good. I wouldn’t want to be his GP – would he know which antibiotic I’d chosen before I did?

That Dynamo guy, he’s another good one, I’ve seen him walking on water, but I’m clueless as to how he did it.

Read more on The magic of care.data…

Doing the right thing on GP access for the right reason is the wrong thing to do

Custodes was in London recently and just happened to find a memo from number 10 flying about in the breeze. Turns out to be from Call Me Dave to young What’s His Name.

Read more on Doing the right thing on GP access for the right reason is the wrong thing to do…

How GPs can enjoy a pay rise when there is no new money

Custodes has always been a seeker after wisdom. It turns up in all sorts of odd places.

This last week I flicked through a book by the creator of Dilbert cartoons. In one cartoon Dilbert is not successful in obtaining a pay rise, so he decide to extract a rise by doing less work for the same money – voila! A Dilbert pay rise.

Read more on How GPs can enjoy a pay rise when there is no new money…

Why CQC inspections are like pig weighing

Custodes has been scathing about the CQC in the past, comparing its inspections to pig weighing.

Read more on Why CQC inspections are like pig weighing…

Make a new year’s resolution to radically reshape every NHS service

It’s a new year, we’re all making resolutions and looking to change for the better, heck we’re even going to tell our patients that they should make small changes, little steps to bring about big changes. My resolution is to stop worrying about what I can do to make me better.

Read more on Make a new year’s resolution to radically reshape every NHS service…

Dr Scrooge prepared to close early on Christmas Eve

Scrooge prepared to close early on Christmas Eve, the clock on the tower chimed 10, the staff had gone, his money counted, the customers may still want him open, but the price of keeping the building open, heat, light, staff was exorbitant, and ‘they’ didn’t have to meet the bills did they?

Read more on Dr Scrooge prepared to close early on Christmas Eve…

Abandon those who prefer A&E, offer new ways to interact or learn to make skinny mochas

Custodes is not impressed with the idea that GPs are solely to blame for people choosing to go to A&E.

Read more on Abandon those who prefer A&E, offer new ways to interact or learn to make skinny mochas…

Read more on Abandon those who prefer A&E, offer new ways to interact or learn to make skinny mochas…

Why the 2014/15 new GP contract is a parson’s nose

The dust is settling on the new, new contract, minds immeasurably superior to ours have studied the details and it’s looking like a bit of a parson’ s nose – good in parts but with some questions about how the detail will play out in the real world.

Read more on Why the 2014/15 new GP contract is a parson’s nose…

Monitor has got its sums wrong on primary care access

I admit that Custodes is a simple soul. I don’t always catch the news and I rarely listen to Radio 4, but even so – when did Monitor take over the NHS? Read more on Monitor has got its sums wrong on primary care access…

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