Dr Richard Fieldhouse MRCGP

The GP job crisis continues! Thank you to Dr @richardfieldhouse.bsky.social for sharing with me some of what @nasgp.bsky.social GP members have told him.

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"I can understand that in an organisation as big as the NHS, a few dozen staff may well have incomplete pension records, and that this would be something that would be rectified urgently. But more than 50%?" says @richardfieldhouse.bsky.social

He then goes on to say, don’t ever gather disciples, they will have you on a cross have you on a cross in no time.

Particularly dangerous are men who don’t think the world is coming to an end. John Steinbeck, Sweet Thursday.

General practice needs the strong clinical leadership of GP partners, it needs these clinical leaders to take responsibility for providing joined-up services, and it needs the stability and continuity that comes with the partnership model.

NASGP chair Dr Richard Fieldhouse will host a virtual workshop from 7.30pm to 8.30pm on Wednesday 5 February. Find out more: www.nasgp.org.uk/gp-locum-wor...

@richardfieldhouse.bsky.social

Podcast: How valuing locum GPs can maximise their benefit to the NHS Talking General Practice speaks to Dr Richard Fieldhouse, chair of the National Association of Sessional GPs, about how the current jobs market is affecting locum GPs and what the NHS could do to make...

On this week's podcast @nasgp.bsky.social chair @richardfieldhouse.bsky.social speaks to @emmabower.bsky.social about all things related to locum GPs - including the GP jobs crisis and how the NHS can make the most of locums. Listen here or wherever you get your pods www.gponline.com/podcast-valu...

Thanks so much to @richardfieldhouse.bsky.social for talking to me this week. It's always great to talk to him. If you're a GP locum there is loads of good advice in this podcast for you - and also some really good tips for practices on how to get the best from their locums.

Listen to speaking with @emmabower.bsky.social on all things related to locum GPs - including the GP jobs crisis and how the NHS can make the most of locums.

Cracking GP locum conference Gloucestershire ICB, this is what 60 GP locums looks like. Here talking about LocumDeck @nasgp.bsky.social

Leading GPs @drkatie.bsky.social @victoriatb.bsky.social from the @rcgp.bsky.social, @the-bma.bsky.social and GPC will lead a virtual rally in February on the problem of sessional GP unemployment.

www.nasgp.org.uk/gp-locum-wor...

Cracking GP locum conference Gloucestershire ICB, this is what 60 GP locums looks like. Here talking about LocumDeck @nasgp.bsky.social

Thank you @richardfieldhouse.bsky.social, chair of @nasgp.bsky.social, for speaking with me about this topic.

"The physician associate role is a gift to general practice that has somehow made GPs feel they’ve been robbed..." @richardfieldhouse.bsky.social #GPsky

...rather than platforms like LocumDeck, where practices can choose-and-book dozens of locums, all in a click of a mouse.

So, it's either an oversupply of locums, and/or

...a failure of 'jobs board' apps/platforms, including WhatsApp, where practices in other areas post a 'shift' and have to spend hours fending off desperate applicants +

...the number of ad-hoc locum sessions these GPs could have worked, but weren't booked for, has doubled.

...there are 3,000 more GP locums now than there were pre-covid +

...the spend on GP locums reached a peak two years ago, and has plateaued at that level since then; it has not fallen.

...the monthly number of sessions worked by GP locums has not changed for two years.

If PAs or funding were the issue, we'd see a drop. +

GP locums are short of work, but it's not due to PAs, and it's not due to reduced practice funding. In the six ICBs that fully fund LocumDeck for all their practices and GPs, we find that +

My advice to every GP Locum is to book your holiday outside of normal school holiday terms if at all possible, and set up your profile on platforms like LocumDeck so that you get booked as far ahead as September 2025.

My advice to every GP Locum is to book your holiday outside of normal school holiday terms if at all possible, and set up your profile on platforms like LocumDeck so that you get booked as far ahead as September 2025.

The action being taken – if that’s what we can call it – is simply GPs doing the job they’re already contracted to do, with any consequences simply exposing shortfalls in any existing contracts.

What word do the Germans use to describe that feeling of loss when the barman takes away your glass but you stall had a good 4.7ml left at the bottom?

Screen grab sent to me today from a GP locum in Sheffield; this is the demeaning reality of many GP locus, constantly scrapping for tidbits.

Variation in the use of primary care-led investigations prior to a cancer diagnosis: analysis of the National Cancer Diagnosis Audit Introduction Use of investigations can help support the diagnostic process of patients with cancer in primary care, but the size of variation between patient group and between practices is unclear. M...

Really interesting analysis of practice-level variation in investigation use in patients with possible cancer. A lot of variation, no simple explanations. It's complicated. qualitysafety.bmj.com/content/earl...

Yeah I thought that. Perhaps at first it was a mistake. I love its whimsy, a young Bristol georgian girl exerting her creativity. Look at me. I’m different.

Gratitude attitude circa 1831. The Georgian House, Bristol.