Ghost Ship Posted October 13, 2022 Share Posted October 13, 2022 21 minutes ago, Apple said: I think one of them is my nephew who is now a GP in Scotland. He would love to come home but.... Don't think anyone I knew ended up in Scotland. And I suspect any contemporaries of mine who became GPs would be retired by now. I think whether someone who went to the UK to train or to work wants to return to the IoM (to work or to retire) depends to a large extent whereabouts in the UK they live. If they live in a crap part of the UK, then returning may be attractive. If they live in a nice part of the UK, there may not be much on the IoM worth returning to. Quote Link to comment Share on other sites More sharing options...
wrighty Posted October 13, 2022 Share Posted October 13, 2022 9 minutes ago, The Phantom said: Based upon the fact that we have huge waiting lists for anything medical, I'd say yes. @wrighty would be the man on the ground to comment though. Like most things in health, it's complex. In some areas the number of doctors is not the limiting factor. News today that UK waiting lists are now past 7 million. At the same time there are surgeons having their operating lists cancelled sitting around twiddling their thumbs because there are no theatre staff, or no available beds. In others, number of doctors absolutely are the limiting factor - I'm not saying that without innovation and rule-changes some jobs currently done by doctors couldn't be done by non-medically qualified professionals in other disciplines, but in the short to medium term there are shortages - GPs, Radiologists, ED, Anaesthetics, Geriatrics being 5 that immediately spring to mind without having to thing too hard. 2 Quote Link to comment Share on other sites More sharing options...
Apple Posted October 13, 2022 Share Posted October 13, 2022 (edited) 7 minutes ago, Ghost Ship said: f they live in a nice part of the UK, there may not be much on the IoM worth returning to. He lives and works in the open countryside just outside St Andrews. It would need drastic changes here to attract him back, despite the offers he has already had. Edited October 13, 2022 by Apple 1 Quote Link to comment Share on other sites More sharing options...
The Phantom Posted October 13, 2022 Share Posted October 13, 2022 1 minute ago, wrighty said: - I'm not saying that without innovation and rule-changes some jobs currently done by doctors couldn't be done by non-medically qualified professionals in other disciplines, Actually chatting to a GP friend a few weeks ago, he was getting pretty aggro about something similar. Things that should be able to be done by receptionists/admin, like phoning the hospital for an update on something, fall to him and the other Partners at the practice. There were some other things like triaging patients, but this was the one that stood out. I think everyone could agree that a Doc's time is best spent with patients rather than phoning around the hospital chasing something. 1 3 Quote Link to comment Share on other sites More sharing options...
Hoops Posted October 13, 2022 Share Posted October 13, 2022 2 hours ago, Apple said: 'He....... works in the open countryside just outside St Andrews. Is this a doctor or a vet you're talking about? 1 2 Quote Link to comment Share on other sites More sharing options...
hissingsid Posted October 13, 2022 Share Posted October 13, 2022 Some doctors receptionists do a good job of triaging patients if you try and get an emergency appointment. Quote Link to comment Share on other sites More sharing options...
Gladys Posted October 13, 2022 Share Posted October 13, 2022 20 minutes ago, hissingsid said: Some doctors receptionists do a good job of triaging patients if you try and get an emergency appointment. Quite. Quote Link to comment Share on other sites More sharing options...
quilp Posted October 13, 2022 Share Posted October 13, 2022 56 minutes ago, hissingsid said: Some doctors receptionists do a good job of triaging patients if you try and get an emergency appointment. At rhe same time, an unqualified deduction cannot, should not, be relied upon in certain situations. Why can't GP surgeries and hospital clinics operate over weekends? In the case of hospital appointments, surely it would speed up the processing of patients? Fewer people would have to take time off work to visit their GP if the surgeries were open over weekends. Too costly..? 2 Quote Link to comment Share on other sites More sharing options...
WTF Posted October 14, 2022 Share Posted October 14, 2022 17 hours ago, wrighty said: but in the short to medium term there are shortages - GPs, Radiologists, ED, Anaesthetics, Geriatrics being 5 that immediately spring to mind without having to thing too hard. since when has the isle of man had a shortage of geriatrics ??? the place is teeming with them. Quote Link to comment Share on other sites More sharing options...
Roger Mexico Posted October 14, 2022 Share Posted October 14, 2022 14 hours ago, quilp said: Why can't GP surgeries and hospital clinics operate over weekends? In the case of hospital appointments, surely it would speed up the processing of patients? Fewer people would have to take time off work to visit their GP if the surgeries were open over weekends. Too costly..? Well if you can't get enough people to operate a service for five days, how do you think it will work over seven? There may be another problem as well. I've had conversations with people who offered Saturday clinics, and no shows were a much bigger problem than other days of the week. Quote Link to comment Share on other sites More sharing options...
wrighty Posted October 14, 2022 Share Posted October 14, 2022 16 hours ago, quilp said: Why can't GP surgeries and hospital clinics operate over weekends? In the case of hospital appointments, surely it would speed up the processing of patients? Fewer people would have to take time off work to visit their GP if the surgeries were open over weekends. Too costly..? When this 7-day working for the NHS was being touted as a priority by the UK government, a wise but somewhat cynical chap I vaguely know explained the issue like this: "Imagine this piece of A4 paper is the amount of work the NHS does. [Holds it portrait] This is 5 day working, with days on the horizontal axis, work intensity on the vertical. [Holds it Landscape] This is 7 day working." Unless you increase staffing to 140% of full levels (we're currently at 85%) it's a non-starter. 1 2 Quote Link to comment Share on other sites More sharing options...
Andy Onchan Posted October 14, 2022 Share Posted October 14, 2022 https://gmcuk.wordpress.com/2022/06/21/how-physician-associates-are-contributing-at-our-trust/ 1 Quote Link to comment Share on other sites More sharing options...
quilp Posted October 14, 2022 Share Posted October 14, 2022 Got to be one way forward... Quote Link to comment Share on other sites More sharing options...
Andy Onchan Posted October 14, 2022 Share Posted October 14, 2022 It would certainly allow room for those more senior nurses to move into a role that they might find more stimulating and perhaps rewarding, rather than hanging on until they have to retire because they're knackered or because their career path leads to nowhere and lose interest and just quit. Quote Link to comment Share on other sites More sharing options...
Ghost Ship Posted October 14, 2022 Share Posted October 14, 2022 On 10/13/2022 at 4:25 PM, Apple said: He lives and works in the open countryside just outside St Andrews. It would need drastic changes here to attract him back, despite the offers he has already had. OK. In that case I can understand the reluctance to return. I've lived in various places in the UK and have been at my current location for about 35 years. I can't imagine anything that could happen which would make returning to the IoM more attractive than staying where I am. But depends on where you would be leaving from to return... 1 Quote Link to comment Share on other sites More sharing options...
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