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Messages - Applesisapples

#1
Bohemian Rhapsody
Dreamers Ball
Death on Two Legs
#2
I didn't see the Derry/Donegal match, but I am seriously impressed by any team allegedly out played who's best players were stymied but still managed 17 points. Goals win games but can be prevented. it was 15 scores to 17.
#3
Quote from: tonto1888 on April 24, 2024, 01:36:47 PM
Quote from: Applesisapples on April 24, 2024, 12:24:47 PM
Quote from: tonto1888 on April 24, 2024, 11:42:10 AM
Quote from: RedHand88 on April 24, 2024, 11:16:35 AM
Quote from: Tones on April 24, 2024, 10:46:06 AMFirstly it would be valuable to put a phone queue system in place to say you have reached such and such surgery you are now 15 in the queue, it would help a lot of folk especially older folk and give you some semblance of getting somewhere instead of redialling 100 times only to be told there is no appointment.  I would save some appointments each morning for very vulnerable people who ring in after the 8.30 deadline so they can be seen the next morning, it would be great if a doctor rang back instead of a receptionist to say go to A&E instead they are so protected it's impossible to get speaking to them.

Alot of surgeries have this already, but it depends on the number of phone lines coming in to the building. Digital lines are able to cover as many as you want pretty much and will be the norm in 5 years or so.

It also doesn't improve your chances of getting an appointment. There will still be the same amount of people dealt with in a day.

at my doctors if you dont get an appointment in the morning you can ring back and get it recorded that you tried. If this happens 3 days in a row you get a call from the doctor on day 4. I think its a fair system
Same with mine

is yours in Lurgan by any chance haha

;)
#4
General discussion / Re: The DUP thread
Today at 09:06:21 AM
Quote from: Milltown Row2 on Today at 07:27:31 AM
Quote from: armaghniac on April 24, 2024, 11:25:51 PM
Quote from: David McKeown on April 24, 2024, 10:33:49 PM
Quote from: tbrick18 on April 24, 2024, 10:29:15 PM
Quote from: armaghniac on April 24, 2024, 08:34:36 PM
Quote from: tbrick18 on April 24, 2024, 08:25:27 PMOnly thing for sure is that there are no winners, but hopefully justice is service.

As I said before, it is hard to see how you can prove something 20 years ago beyond reasonable doubt, I doubt there were witnesses other than his wife.

Hearing other cases the PPS didn't prosecute due unlikelihood of conviction even when there is evidence, they must feel there's a high chance of conviction based on what ever evidence they have. No?

I've no idea myself - I'm doing a lot of reading between the lines and may well be getting it wrong.

Today was the 1st appearance. I'd be shocked if the PPS even have the full file yet let alone have made a decision. It would be unusual for them to have the full file yet particularly if the allegations only surfaced in March.

However, at present this case seems different from teachers, coaches etc where there are multiple people to come forward. But you never know.

Are there not two people involved in this?
yes
#5
Quote from: tonto1888 on April 24, 2024, 11:42:10 AM
Quote from: RedHand88 on April 24, 2024, 11:16:35 AM
Quote from: Tones on April 24, 2024, 10:46:06 AMFirstly it would be valuable to put a phone queue system in place to say you have reached such and such surgery you are now 15 in the queue, it would help a lot of folk especially older folk and give you some semblance of getting somewhere instead of redialling 100 times only to be told there is no appointment.  I would save some appointments each morning for very vulnerable people who ring in after the 8.30 deadline so they can be seen the next morning, it would be great if a doctor rang back instead of a receptionist to say go to A&E instead they are so protected it's impossible to get speaking to them.

Alot of surgeries have this already, but it depends on the number of phone lines coming in to the building. Digital lines are able to cover as many as you want pretty much and will be the norm in 5 years or so.

It also doesn't improve your chances of getting an appointment. There will still be the same amount of people dealt with in a day.

at my doctors if you dont get an appointment in the morning you can ring back and get it recorded that you tried. If this happens 3 days in a row you get a call from the doctor on day 4. I think its a fair system
Same with mine
#6
Quote from: RedHand88 on April 24, 2024, 10:21:05 AM
Quote from: Tony Baloney on April 23, 2024, 07:00:57 PM
Quote from: Applesisapples on April 23, 2024, 04:55:14 PM
Quote from: bennydorano on April 23, 2024, 04:32:40 PM
Quote from: Applesisapples on April 23, 2024, 04:15:36 PM
Quote from: Tones on April 23, 2024, 02:38:10 PMMy friends aunt was up from the South, needed to see a doctor, paid £75 quid to see one in a private clinic in Armagh ran by an ex Tyrones missus, the doctor she saw is the doctor I would see if I ever got an appointment!
That Doctor is in all likelihood taking those shifts because his or her practice can not give them any more shifts. Not the fault of the GP but the system.
I dont think so. Went part time (or just left) NHS to go into the private sector.
GP Practices have a limited number of sessions, even if they decided to go part time it would not impact on the number of appointments available at your practice. Most Doctors who leave HSC GP work do so because they can no longer put up with the insane work load.
Insane workload? 9-6 with a few hrs off for paperwork and calls in my local surgery. As you have said the GPs have limited availability which hasn't changed despite the massive uptick in need so how is their workload insane? The biggest complaint the seem to have is that they were being taxed too highly on their pension fund.

It isn't 9-6 though is it. Its 8-6, with a few hours of remote access to do coding, redact notes and to process hospital letters in the evening after the children are in bed. If the life of a GP is so easy, why can they not get anyone to do it? That is the real question.
Also don't understand why time to process letters from secondary care and to do calls is considered "time off" in your eyes.
You are not going to win with Tones, he is either deliberately winding or has some sort of axe to grind.
#7
Quote from: Tones on April 24, 2024, 07:37:05 AM
Quote from: RedHand88 on April 24, 2024, 07:21:47 AM
Quote from: Tones on April 23, 2024, 03:59:33 PMI had similar issue about a year later and made up symptoms to see a GP as if I had of mentioned chest pain they wouldn't have seen me, how ridiculous is that.

Not really. They are following national guidelines. Sudden onset chest pain needs urgent assessment to rule out cardiac cause. Only thing a GP surgery can do is an ECG which will result in you going to hospital anyway for bloods to confirm a MI or whatever it may be. Can't do those in a GP surgery, so going there is a waste of everyone's time including yours (which you may not have.)

My issue included chest pain which was present for over 6 weeks, this I explained to the receptionist who rang me  back and said go to A&E, I didn't get to speak to a doctor and spent the whole day in A&E apologising to various medical professionals for taking up their time as they were all flat to the mat - if only I had her mobile number!
Are you for real, MR @ has already told you why A&E is the best place. My wife had chest pain recently and we went straight to A&E, took 36 hours, but that's another story.
#8
Quote from: Tones on April 23, 2024, 10:20:35 PMNo university course is free now, are you a doctor after a medical course or do you need advice, training and guidance via a paid private sector company or is that provided by say the NHS in the occupied 6?
Insurance, training and exams to be a GP are funded in the UK by the NHS, in NI the Dr pays for it themselves. The Final GP exam alone costs £2000 which the Dr pays.
#9
Quote from: Milltown Row2 on April 23, 2024, 10:10:06 PM
Quote from: Tones on April 23, 2024, 10:00:49 PM
Quote from: Puckoon on April 23, 2024, 06:42:24 PM
Quote from: Tones on April 23, 2024, 06:20:15 PMYeah f**k you jack I am OK.

You're putting the blame at the GPs door for taking on a legal practice activity? What moral obligation do they have to get f**ked by a broken system?

Successive Prime Ministers, Health Ministers drove the place into the ground. Some moral obligation to be the last violinist on the Titanic.

Did they pay privately to be trained?

Is the course to be a doctor free?
Absolutely not, it costs about £15K pa to do medicine with only a small student loan.
#10
Quote from: JoG2 on April 23, 2024, 09:59:06 PM
Quote from: bennydorano on April 23, 2024, 04:32:40 PM
Quote from: Applesisapples on April 23, 2024, 04:15:36 PM
Quote from: Tones on April 23, 2024, 02:38:10 PMMy friends aunt was up from the South, needed to see a doctor, paid £75 quid to see one in a private clinic in Armagh ran by an ex Tyrones missus, the doctor she saw is the doctor I would see if I ever got an appointment!
That Doctor is in all likelihood taking those shifts because his or her practice can not give them any more shifts. Not the fault of the GP but the system.
I dont think so. Went part time (or just left) NHS to go into the private sector.

Couple of health centres in Derry are starting to offer the private consultations at £75 a pop. These appointments will only be outside the core hours, ie after 6pm as far as I know.

* huge amount of last minute cancellations / no shows
* staff members getting serious abuse. A woman working in one of the larger health centres in the town told me 4 admin staff left within a week of each other. They didn't have other jobs to go to at the time, just couldn't listen to any more dung
* dozens of prescriptions like 'brufen and paracetamol which cost a quid in the supermarket costing £40+ when got through a health centre
* repeat patients, and I'm talking of a lot of folk calling each and every day with different ailments
* queues for sick lines
* general levels of entitlement and abuse of the system

The above and many more issues aren't helping things
100%
#11
Quote from: Tones on April 23, 2024, 11:34:22 PMIf you can afford it you sound like the I'm OK f**k you, more can't afford than can, and as I alluded before I have yet to see anyone in a waiting room whilst collecting prescriptions, maybe we all need a mate on reception.
That is because appointments are now strictly controlled and walkins are no longer allowed. GP's have no space  for further appointments.
#12
Quote from: Tony Baloney on April 23, 2024, 07:00:57 PM
Quote from: Applesisapples on April 23, 2024, 04:55:14 PM
Quote from: bennydorano on April 23, 2024, 04:32:40 PM
Quote from: Applesisapples on April 23, 2024, 04:15:36 PM
Quote from: Tones on April 23, 2024, 02:38:10 PMMy friends aunt was up from the South, needed to see a doctor, paid £75 quid to see one in a private clinic in Armagh ran by an ex Tyrones missus, the doctor she saw is the doctor I would see if I ever got an appointment!
That Doctor is in all likelihood taking those shifts because his or her practice can not give them any more shifts. Not the fault of the GP but the system.
I dont think so. Went part time (or just left) NHS to go into the private sector.
GP Practices have a limited number of sessions, even if they decided to go part time it would not impact on the number of appointments available at your practice. Most Doctors who leave HSC GP work do so because they can no longer put up with the insane work load.
Insane workload? 9-6 with a few hrs off for paperwork and calls in my local surgery. As you have said the GPs have limited availability which hasn't changed despite the massive uptick in need so how is their workload insane? The biggest complaint the seem to have is that they were being taxed too highly on their pension fund.
The pension situation applies to a small number of older GP's. GP's have 8 minutes for a consultation, 2 minutes to write up notes, need to fit in call backs to patients, do house calls, triage patients and run what is effectively a stand alone business, they do not even have time for lunch and have been funding cost increases out of their own pockets, after 10 years of training. That is why we cannot attract or retain GP's. Your assessment is based on a lack of understanding of how the system functions or doesn't in this case.
#13
Quote from: Tones on April 23, 2024, 06:20:15 PMYeah f**k you jack I am OK.
This is an outstanding summation based on your total ignorance of the system and how it works.
#14
Quote from: bennydorano on April 23, 2024, 04:32:40 PM
Quote from: Applesisapples on April 23, 2024, 04:15:36 PM
Quote from: Tones on April 23, 2024, 02:38:10 PMMy friends aunt was up from the South, needed to see a doctor, paid £75 quid to see one in a private clinic in Armagh ran by an ex Tyrones missus, the doctor she saw is the doctor I would see if I ever got an appointment!
That Doctor is in all likelihood taking those shifts because his or her practice can not give them any more shifts. Not the fault of the GP but the system.
I dont think so. Went part time (or just left) NHS to go into the private sector.
[/quote
GP Practices have a limited number of sessions, even if they decided to go part time it would not impact on the number of appointments available at your practice. Most Doctors who leave HSC GP work do so because they can no longer put up with the insane work load.
#15
Quote from: Tones on April 23, 2024, 02:38:10 PMMy friends aunt was up from the South, needed to see a doctor, paid £75 quid to see one in a private clinic in Armagh ran by an ex Tyrones missus, the doctor she saw is the doctor I would see if I ever got an appointment!
That Doctor is in all likelihood taking those shifts because his or her practice can not give them any more shifts. Not the fault of the GP but the system.