Honeymoon over

A long month in politics.
So our coalition Health Minister wanabees have sat down and decided they need to do something different.
So, first scrap plans for revalidation. Something that has been needed for ages and the proposed system sorta made sense..well obviously not to them, or the BMA either it would seem, (who couldn't sort out their own breakfast.)
They still think they can manage to save money without cutting services, which demonstrates that they haven't understood anything at all about the massive waste involved in delivering unnecessary super shiny 24/7 access.
GP contracts will be changed to ensure that they have to undertake 95% of the current commissioning work done by PCT's. This will be made to happen by cutting the money in the current contract and only paying it back if the commissioning is done.
Exactly during what time in our 7:30am to 6:30pm, already full, working day do they think we'll be doing all this managing ?
They have at least realised that Darzi's solution to GP access, world poverty, sorting out nuclear fusion and discovering free energy was a total load of misinformed cost ineffective bollocks..
a description that pretty effectively covers 70% of DOH policy for the past ten years.
As usual we can expect them to totally avoid any dialogue with those of us who over 20 years have developed an understanding of what works and what doesn't.
Choose and Book will be great when it allows choice !!
A central patient record will be a good idea if we had any confidence it was secure or would actually work 95% of the time...and if someone could deliver it for the quoted cost, not eighty times the quoted cost.
Can we give everybody cancer drugs for everything..no we obviously can't.
Why are we concentrating on pouring ever increasing billions into expensive treatments for diabetes, vascular and respiraory disease, when we should be spending similar massive amounts in stopping the diseases developing in the first place, by doing Public Health properly.
Prediction.
If this direction of travel continues, within 5-10 years, primary care will be like a supermarket, staffed by salaried Drs with no incentive to improve or develop patient care, continuity will have disappeared, quality will be no better and it will certainly cost a whole lot more.
My generation will have retired, or like the Elves of Midle Earth, we'll have caught the last few boats to the USA/Australia whilst they still need to import experienced cost effective Primary Care Physicians
I'll be back...for the time being.