Hi Mike, thanks for the video. I'm a Paramedic Practitioner (PP) working in general practice in the UK- all the book on day stuff in a.m & p.m. clinics + min 10 home visits, Dementia lead, Frailty lead, EOL care lead. I'd worked at 4 surgeries doing this over 10 years, before I started my own Ltd. company and worked as a locum. This worked for a while but the same problems arose; immense pressures, increased workload, "the PP can sort that out". Two of my PP friends have become partners in practice and they're both walking cardiac time bombs. If you're thinking about going into general practice in the UK as a GP, PP or Advanced Nurse Practitioner - make sure you don't work anywhere with 10 min slots, not admin time, high turnover rate etc. full clinics + unrealistic home visits - look for the red flags. Namaste x
Thank you so much for that. I completely agree with everything you are saying. My practice is a 15mins per patient practice with paid admin time - that makes things much more sustainable.
I'm glad I came across this video. I'm a student that has loved his surgical placements, but GP seemed like the sensible option in terms of work-life balance. But you've made me reflect on whether that is such a sensible option after all.
Burnout can happen in any specialty. As long as we talk about it and you know what to look out for, you can prevent it and also successfully treat it and enjoy a great, fulfilling career!
I have literally waited 40 videos for someone to ask me this! :) I use a SONY A6600 and the sigma 16mm F/1.4 lens. But the secret is actually in the lighting :) Maybe I should make a video about my setting. Would you like that?
Re leaving on time. My hospital job (I did 8yesrs before GP), typical of my generation I worked 60-123 hours a week. 0-40hrs a week. Salary. 40-72hrs a week: half pay. 72+ not paid. Free.
Same here (qualified in 1994). The pace is much faster now in hospital (from what I am told) but the sheer quantity of hours we worked was brutal. Not saying it was harder than nowadays as there are more and different pressures for today’s junior doctors but I would not want to go back to those days again.
@@bnoble12 There was a place I worked at as a nurse, and if the night staff didn't turn up - I would be staying over to start or do the night medication after 12 hour shift, then drive home 20+ miles. Crazy. You can't leave as there is no one to hand over to and manager won't come in to take keys and do the drugs. Stuck out in the sticks, there was difficulty getting the staff at short notice.
I am a graduate of 2017. I have to say that just being in hospital having the possibility of being called at any time for 120 hours a week is not enviable. The workload today however is very grueling, brakes are non-existent, contractual hours are a cruel joke because many times you don't finish on time. If you do finish on time on rare occasion it is a cause for celebration and others see you as slacker. As an F1 when I talked about workload to my senior they would shut me down by saying that they had to work longer hours. This generational thing of, my days were harder than yours only helps those at the top to divide us, whilst junior doctors' salary has been decimated in real terms. The junior doctors have my total support should they strike which seems that they will very soon. Granted many doctors complain but don't or can't take action for various reasons but having finished training, as a GP now I am putting my money where my mouth is and am in the process of migrating and leaving NHS.
LOL - 🤣🤣 "everything out there is s**t" oh... I am seriously saying no to all these recruitment agencies that phone to offer jobs in places I have worked at as an agency nurse and know better. But now even mildly considering places further afield. I need to control mybrain and get my side hustles up an running super fast! So apart from TH-cam, what is your side hustle Mike?
Burnout is a very serious, important topic and, as you say, anyone experiencing it needs to seek help. GPs are independent businesses, heavily funded by the NHS. IMO, Agency doctors (locums) are not the solution, and this is the case with Agency Nurses as well. The agency gets money, the agency worker gets a higher rate of pay and because they are unfamiliar with the practice, they do less work in terms of admin. This creates a greater burden for regular staff and gives a disjointed level of care to the patients. I remember when I was growing up and I didn't like a certain food, my mum would remind me to think of those less fortunate. So......I'm going to humbly suggest, that when GPs feel like 'throwing their computers across the room' they just think about the hardworking reception and admin staff they employ. Many of them don't finish on time, some of them hate everyone, and most of them are paid less £9 per hour : )
It is right to acknowledge those on poorer salaries and to always think of others, however, how does that change our situation? I got my first pay packet aged 25 due to all the studying whilst everyone else my age was off partying, travelling the world and getting paid. They weren't thinking of us then 🤷🏻♂️
Great points here. Having been a locum for 2 years and then becoming a salaried, I think salaried is way better. And interestingly enough, I have met quite a few GPs who actually don't ask for the DDRB increase for that exact sentiment that you highlighted here - the GP in question said she couldn't justify asking for an increase when she knew how much her practice's cleaner was making. But politics is the last thing on my agenda, so I think everyone has the right to their own opinions and feelings about how they want to live their lives. :)
Hi Mike, thanks for the video.
I'm a Paramedic Practitioner (PP) working in general practice in the UK- all the book on day stuff in a.m & p.m. clinics + min 10 home visits, Dementia lead, Frailty lead, EOL care lead. I'd worked at 4 surgeries doing this over 10 years, before I started my own Ltd. company and worked as a locum. This worked for a while but the same problems arose; immense pressures, increased workload, "the PP can sort that out". Two of my PP friends have become partners in practice and they're both walking cardiac time bombs.
If you're thinking about going into general practice in the UK as a GP, PP or Advanced Nurse Practitioner - make sure you don't work anywhere with 10 min slots, not admin time, high turnover rate etc. full clinics + unrealistic home visits - look for the red flags. Namaste x
Thank you so much for that. I completely agree with everything you are saying. My practice is a 15mins per patient practice with paid admin time - that makes things much more sustainable.
Great video!
Thanks man! You have lots of great videos! Well done on your journey :)
Very interesting video! As you know I've also spoken about GPs quitting general practice! Important topic to discuss.
Absolutely! And your videos are really great too!
@@GPONTHEMOVE thank you!
I'm glad I came across this video. I'm a student that has loved his surgical placements, but GP seemed like the sensible option in terms of work-life balance. But you've made me reflect on whether that is such a sensible option after all.
Burnout can happen in any specialty. As long as we talk about it and you know what to look out for, you can prevent it and also successfully treat it and enjoy a great, fulfilling career!
Wow your video is so crisp, what gear are you using and lenses?
I have literally waited 40 videos for someone to ask me this! :) I use a SONY A6600 and the sigma 16mm F/1.4 lens. But the secret is actually in the lighting :) Maybe I should make a video about my setting. Would you like that?
@@GPONTHEMOVE Would be amazing if you did one on the lighting setup, gear, setting, sound etc.
Very well observation, especially I hate everyone sign and the worst case i guess everyone and anyone :(
this can be really scary I agree!
Re leaving on time. My hospital job (I did 8yesrs before GP), typical of my generation I worked 60-123 hours a week.
0-40hrs a week. Salary.
40-72hrs a week: half pay.
72+ not paid. Free.
In retrospect, do you feel you were working safely during all those additional hours and not impacted by fatigue and low morale?
To be honest, that sounds really awful, when would you have time to be with family or rest even?
Same here (qualified in 1994). The pace is much faster now in hospital (from what I am told) but the sheer quantity of hours we worked was brutal. Not saying it was harder than nowadays as there are more and different pressures for today’s junior doctors but I would not want to go back to those days again.
@@bnoble12 There was a place I worked at as a nurse, and if the night staff didn't turn up - I would be staying over to start or do the night medication after 12 hour shift, then drive home 20+ miles. Crazy. You can't leave as there is no one to hand over to and manager won't come in to take keys and do the drugs. Stuck out in the sticks, there was difficulty getting the staff at short notice.
I am a graduate of 2017. I have to say that just being in hospital having the possibility of being called at any time for 120 hours a week is not enviable. The workload today however is very grueling, brakes are non-existent, contractual hours are a cruel joke because many times you don't finish on time. If you do finish on time on rare occasion it is a cause for celebration and others see you as slacker. As an F1 when I talked about workload to my senior they would shut me down by saying that they had to work longer hours. This generational thing of, my days were harder than yours only helps those at the top to divide us, whilst junior doctors' salary has been decimated in real terms. The junior doctors have my total support should they strike which seems that they will very soon. Granted many doctors complain but don't or can't take action for various reasons but having finished training, as a GP now I am putting my money where my mouth is and am in the process of migrating and leaving NHS.
LOL - 🤣🤣 "everything out there is s**t" oh... I am seriously saying no to all these recruitment agencies that phone to offer jobs in places I have worked at as an agency nurse and know better. But now even mildly considering places further afield. I need to control mybrain and get my side hustles up an running super fast! So apart from TH-cam, what is your side hustle Mike?
To be honest, I started doing videos professionally off of TH-cam and that's been working out quite nicely for me.
yeah it would be nice to talk more about salaries
Hey, I'm actually doing a webinar this Saturday about salaries! :) facebook.com/gponthemove/posts/262420895934827
Mike you are right here. Can I share this video on my Facebook page?
Yeah ha! Of course :)
Burnout is a very serious, important topic and, as you say, anyone experiencing it needs to seek help. GPs are independent businesses, heavily funded by the NHS. IMO, Agency doctors (locums) are not the solution, and this is the case with Agency Nurses as well. The agency gets money, the agency worker gets a higher rate of pay and because they are unfamiliar with the practice, they do less work in terms of admin. This creates a greater burden for regular staff and gives a disjointed level of care to the patients. I remember when I was growing up and I didn't like a certain food, my mum would remind me to think of those less fortunate. So......I'm going to humbly suggest, that when GPs feel like 'throwing their computers across the room' they just think about the hardworking reception and admin staff they employ. Many of them don't finish on time, some of them hate everyone, and most of them are paid less £9 per hour : )
It is right to acknowledge those on poorer salaries and to always think of others, however, how does that change our situation? I got my first pay packet aged 25 due to all the studying whilst everyone else my age was off partying, travelling the world and getting paid. They weren't thinking of us then 🤷🏻♂️
Great points here. Having been a locum for 2 years and then becoming a salaried, I think salaried is way better. And interestingly enough, I have met quite a few GPs who actually don't ask for the DDRB increase for that exact sentiment that you highlighted here - the GP in question said she couldn't justify asking for an increase when she knew how much her practice's cleaner was making. But politics is the last thing on my agenda, so I think everyone has the right to their own opinions and feelings about how they want to live their lives. :)
Ah good old whataboutism, the quickest way to strangle meaningful discourse