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.

Why general practice must change to survive

By , Monday, 14 May 2012, Be the first to comment
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Allow me a brief moment of serious comment. GP needs to change. Not the august journal for which I blog, but the actual General Practice we all know and love. How do I know this fact? Read more »

All quiet at the coal face of primary care

By , Wednesday, 9 May 2012, Be the first to comment
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Alright there have been plenty of patients, loads of prescriptions but since all the “managers” are busy trying to manage themselves into new jobs my desk has been a diktat free zone for ages. Read more »

What CCG will have me as a member?

By , Monday, 30 April 2012, Be the first to comment
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What’s the best club you’ve ever been in? I don’t mean pulsating music, sweaty bodies and smell of stale beer club, I mean ‘I say old chap do you mind moving the car, that’s the head badger’s space’ type of club. Read more »

Trusts are cowering as GPs take on commissioning powers

By , Monday, 23 April 2012, Be the first to comment
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One of our local GPs has ended up with a lead position on our clinical commissioning group. He’s a wily character, been a GP a long time and usually cuts through mist to the truth pretty easily.

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More puppeteers to pull CCG strings

By , Monday, 16 April 2012, Be the first to comment
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So last week I told you the NHS was safe, the next day CCGs were told that they would be given some staff without choice, then on Friday we find out that the number crunching and back office function is “Good Old SBS” although nobody calls them that obviously. Read more »

The NHS is safe – in the same old hands

By , Tuesday, 10 April 2012, 1 Comment
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I hope you’ve been following the news this last week. If you have you will have picked up the fact that the NHS is safe. Read more »

My patients tell me I’m striking

By , Monday, 2 April 2012, Be the first to comment
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I’ve been told I’m striking.

I suppose by many peoples standards I’m quite good looking. Ok perhaps that’s a bit much, but I’m definitely not ugly, but all this week my patients have been telling me I’m striking. Read more »

It’s grim oop north

By , Monday, 26 March 2012, 1 Comment
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I have a friend from ‘oop north’, and aside from a taste for flat caps, real ale and unspeakable rugby league, he’s alright. Read more »

Saying no to the Health Bill

By , Monday, 19 March 2012, 2 Comments
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Are you totally hacked off?

I don’t just mean the usual Friday ‘it’s been a long week ‘ feeling, but a total growing disinterest in the media debate about how bad the bill is, how the RCGP is playing Hokey Cokey, how we’re only upset because of our pensions, the list goes on and on. Read more »

What if the Health Bill falls at the final hurdle

By , Monday, 5 March 2012, Be the first to comment
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Close your eyes and breathe deeply. Concentrate on the breath entering your body and as it flows out imagine the Health Bill being voted out of Parliament. What would you do? Have a party? Celebrate by seeing some patients? Read more »

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