Am I the only GP to think that the performance management elements for General Practice are becoming so complex that the patient as a human being is being replaced by a collection of targets?
If taken to extremes by the boffins demanding better value for money in the NHS, there will be no room left for the 'mystery of general practice'.
My first impression is that the rules for making the most of the opportunities before us are so complex that there is little chance for many of us to get 100%. We get paid less (Government is happy) while our enemies deride us for having the opportunity to earn so much.
I know we cannot roll the clock back, but if arguably intelligent professionals are struggling to understand this, most patients will remain ignorant of the revolution in healthcare going on around them. All it takes for evil to succeed is for the good to do nothing; and many of our patients are good people!!
Time after time my colleagues and I complain about QoF and the dehumanising of medical care. Yet, LMC and our leaders seem unable to make little if any headway in halting the erosion of the core values of primary health care.
This is a shame and our professional descendants will reap a healthcare system which I hate to imagine.
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