Andy Pow @medicaccountant Twitter profile

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Andy Pow

@medicaccountant

3 years

Things I learnt from helping out at my wife’s GP practice Covid clinic yesterday 1. How enthusiastuc the staff were even though they are knackered 2. How every patient was known to them 3. How respectful the patients were and thankful for the team working extra to deliver this.

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Andy Pow

@medicaccountant

5 months

Me: do you think I should go and see someone about my medical issue ? GP wife: silence Me: well ? GP wife: do you want the truth … you are getting old & what you have described goes with that Brutal triage 😂

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Andy Pow

@medicaccountant

2 years

⁦ @timfarron ⁩ I suspect you have been called many things over the years but this is a new one on me 😂

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Andy Pow

@medicaccountant

2 years

Admire my GP spouse for answering the latest CCG feedback questionairre final question “how else can we help you?” with the simple response “believe us”. Says it all really.

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Andy Pow

@medicaccountant

1 year

GP wife’s first day as a locum yesterday after close to 30 years as a partner. Missed not knowing patients but the lack of running around making things work was a positive. Made her reflect outside of the bubble how much work partners do in General Practice.

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Andy Pow

@medicaccountant

3 years

Thanks to the GP practice in Merseyside I was due to visit today for switching to an online appointment from face to face as I have insufficient fuel to get there and back.

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Andy Pow

@medicaccountant

2 years

Babylon GP at Hand to quit Birmingham, affecting 5k patients - Just shows really how unfunded General Practice is that private providers pull out because they can’t make a profit …. London next ?

Babylon GP at Hand to quit Birmingham, affecting 5k patients

Babylon's NHS arm GP at Hand will pull out of Birmingham at the end of next month, with 5,000 patients told they need to register elsewhere.

www.pulsetoday.co.uk

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Andy Pow

@medicaccountant

1 year

So this is a thread about GP finance and why funding issues lead to a crisis. The final wrap up payment to Central Lakes included a £12k deduction for overpayments. A quick twitter check & it seems that all local practices had deductions recently - the highest response was £26k

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Andy Pow

@medicaccountant

3 years

Just updating bookkeeping for wife’s GP practice . Queried why the oxygen bill was so high ... they need more supplies as ambulance delays mean they need it in surgery as a back up (and use it). No one is funding this though but the GP partners ... that can’t be right

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Andy Pow

@medicaccountant

1 year

⁦ @Keir_Starmer ⁩ . My wife’s former practice was a GP partnership. It provided a good service. They gave up their contract solely because of funding cuts. The new salaried service is unlikely to provide the continuity patients desire. (1)

GP partnership model at 'end of its life', says Labour leader

The Labour Party leader has said the GP partnership model is ‘coming to an end of its life’, ahead of a major NHS policy speech.

www.pulsetoday.co.uk

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Andy Pow

@medicaccountant

2 years

27 years of advising GP practices - yesterday was a low point. I simply don’t get how you can run a health service which is based on short term funding which commissioners can remove at a whim without consideration of the risks on services. The ICS world looks to excacerbate this

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Andy Pow

@medicaccountant

11 months

I think you would have retained my GP spouse longer if you’d actually funded her GP practice properly so they could carry on providing a high quality service. But you didn’t so another one lost to the system along with one of her partners. Retention means also resourcing properly

Rishi Sunak

@RishiSunak

11 months

Second - we'll keep hold of the amazing staff we already have in the NHS by making sure it remains a fulfilling and rewarding place to work.

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Andy Pow

@medicaccountant

2 years

I think Mrs Ps final days of being a GP partner may have peaked too early. I am not sure she will beat yesterdays visit by the health and safety people who asked where the risk assessment form was for the coffee cup washing up liquid at Hawkshead ! She was busy with patients

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Andy Pow

@medicaccountant

1 year

Junior doctors in Scotland offered 14.5% pay rise - since when did we start measuring pay uplifts across 2 year periods ??? Come on ⁦ @BBCHughPym ⁩ get your people to be reasonable with headlines

Junior doctors in Scotland offered 14.5% pay rise

The new Scottish government pay offer comes after BMA Scotland members voted for strike action.

www.bbc.co.uk

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Andy Pow

@medicaccountant

1 year

Conservatives … we won’t match funding to cost increases Labour … we will make all GPs salaried LibDems … we guarantee you’ll see your GP in 7 days So why are we struggling for new GP partners ? Perhaps the constant political announcements aren’t helping

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Andy Pow

@medicaccountant

3 years

Just before Xmas notched up my 25th year advising GP practices. Never in that period have I seen the sector under as much pressure as it is now but equally never have I seen the will so high to get things done. The general public won’t see all the effort .. but it’s immense

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Andy Pow

@medicaccountant

2 years

Watching Doc Martin. GP wife complaining it’s not realistic as he’s gone out for lunch. I say it’s not realistic as he hasn’t mentioned pension tax. We both need to get out more 😂

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Andy Pow

@medicaccountant

1 year

A picture of someone no longer worrying about rota’s … and thankful that her husband spotted the cake shop sign 😀🍰 Muchos brownie points !!

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Andy Pow

@medicaccountant

1 year

Annual allowance is a far bigger problem for doctors in impacting work patterns than the lifetime allowance. I’m not sure anyone stops working solely because of the lifetime allowance

Josephine Cumbo

@JosephineCumbo

1 year

Raising the lifetime allowance would be beneficial to NHS doctors and managers retiring early or - reducing their hours due - to worries about breaching the LTA and incurring tax bills.

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Andy Pow

@medicaccountant

3 years

Surgery phone diverted to mobile so staff can make it home in the light, lunch being eaten at 6pm, staff who were not stranded worked flat out , general practice carries on remotely , let’s hope the rain eases off now.

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Andy Pow

@medicaccountant

4 years

I do wonder if my spouse is a GP or whether she’s been living a double life for years. Whenever I get hypochondriac issues like today she is very dismissive. Paracetomol , get on with it etc. Wouldn’t even see me on video to discuss 😂

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Andy Pow

@medicaccountant

9 months

For a senior politician to say that NHS pensions are paid tax free it just shows a big lack of understanding of everything to do with the remuneration package. The NHS pension is taxed in the normal way.

Dr Tony Goldstone

@goldstone_tony

9 months

10/ As to the "tax free" bit, get real! Of course pensions are not "tax free". Neither have they been built up tax free - consultants retiring now with a pension anywhere near your figure will have paid a *LOAD* of Annual Allowance Tax

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Andy Pow

@medicaccountant

1 year

As someone married to a GP who just handed back her contract on 31/12 I can assure any Labour Party MP that it’s not. Too much generalisation and macho sabre rattling going on for my liking. The country needs a different poltical approach.

Irfan

@dr_irfan_malik

1 year

Oh dear! I am going off #Labour fast #NHSCrisis

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Andy Pow

@medicaccountant

2 years

Walking around Sawrey today we didn’t follow maps. My wife simply navigated us by the houses she had visited as a GP with fond stories of the people who lived there. To be rural GP you need to be part of the community - with knowledge passed down to the next generation

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Andy Pow

@medicaccountant

1 year

So what would help General practice that’s non medical; 1. Change student loan payments - excessively high for GP partners due to pension rules. 2. Reform or abolish annual allowance pension tax - its stopping people working. 3. Change the 60% rate of tax that applied from £100k

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Andy Pow

@medicaccountant

11 months

Mr Sunak said the plans would "mean people can have confidence that the doctors and nurses and GPs that we all need will be there" … 🤷🏻‍♂️ sums up the attitude to GPs that they are not classed as doctors by the PM ! A class of their own

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Andy Pow

@medicaccountant

1 year

What they forget is the massive reduction of experienced people at the moment . It’s not just a case of do some exams and away you go. You need experienced GPs to mentor the next generation … start working on retention urgently

The Labour Party

@UKLabour

1 year

Labour will end the postcode lottery for GP appointments and cut NHS waiting times.

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Andy Pow

@medicaccountant

8 months

Poor headline again … article is really about GPs lack of “access to” asthma testing … two words make a difference !

BBC Health News

@bbchealth

8 months

GPs' lack of asthma testing is abysmal, charity says

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Andy Pow

@medicaccountant

6 months

Minimum wage to rise to £11.44 per hour - that’s close to a10% rise . ⁦ @doctor_katie ⁩ this will have massive implications for general practice. Good for staff but the funding mechanism is going to have to change

Minimum wage to rise to £11.44 per hour

The new rate will apply to those aged 21 and over for the first time, the chancellor says.

www.bbc.co.uk

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Andy Pow

@medicaccountant

2 years

National insurance rises to fund Health & social care. Below inflation uplift to GP contract for 22/23 and no funding of staff employer NI cost increase. Most will be left with less resource than 21/22. So where’s the “new” money going?

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Andy Pow

@medicaccountant

1 year

So today is Kaye’s last day as the @HawksheadGP . It’s had its challenges but her time in the village has been the most rewarding & enjoyable part of her career. Sadly she leaves not as Chris or Jane did but will go quietly at lunchtime & will cease being a GP partner tomorrow.

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Andy Pow

@medicaccountant

7 months

A thread about local GP funding where I live. As part of my job finalising the finances of my wife’s practice who handed back their contract due to unsustainable funding I came across a major (£419k) clawback of Local Enhanced service funding

PulseToday

@pulsetoday

7 months

An LMC is demanding a 28% uplift in payments for its local enhanced services from its local ICBs as GP practices are facing instability due to inflation and financial pressures.

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Andy Pow

@medicaccountant

1 year

Well done @SteveBarclay . You impose a contract uplifting the core income by 2.59% to pay for all the additional costs. The partners running these practices are paying for this … not you. No wonder we have more practice hand backs than ever

Steve Barclay

@SteveBarclay

1 year

We’re making real progress in getting patients to see their GP quicker. ✅ Almost 2 million more appointments were delivered this February vs. February last year. 🗓️ That’s 100,000 more appointments each working day. 📈 With more GPs and primary care staff to come.

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Andy Pow

@medicaccountant

1 year

Good to see Mrs P applying a “can do” attitude today that will please the Labour Party leader. Doing a surgery today on what was meant to be a holiday, 18 days before handing back her contract for good. Thankfully the goodwill of people keeps the NHS going. They always “can do”

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Andy Pow

@medicaccountant

1 year

You can’t recruit more receptionists with higher skills if you don’t provide the funding to pay staff properly .

Irfan

@dr_irfan_malik

1 year

Shuffling deck chairs on the Titanic #GPCrisis You can’t improve GP access without more GPs

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Andy Pow

@medicaccountant

1 year

Wow … Starmer just said on TV if you have internal bleeding you should be able to self refer for a test. That’s the last thing I’d want to do

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Andy Pow

@medicaccountant

9 months

The model of large corporate ownership of General Practice sees another casualty. Recognition of funding issues, recruitment issues & not enough profit. If this is not a wake up call to commissioners about the state of funding of practices then I don’t know what is.

Andy Pow

@medicaccountant

9 months

Centene to sell GP clinics and hospitals in exit from UK market - Financial Times “Centene has found it difficult to make Operose profitable because many Operose sites are in generally less affluent areas where recruiting GPs has been difficult,”

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Andy Pow

@medicaccountant

1 year

This needs changing and rapidly . ICB’s need to understand funding quickly and the impact cuts have . NHSE needs to understand that without practices you don’t have PCNs … not the other way round. Core funding needs to be moved from PCNs to practices - now without conditions

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Andy Pow

@medicaccountant

1 year

Still can’t work out how the lead singer of one of my favourite bands ended up playing two nights at the Arnside Sailing Clubhouse but what an excellent evening of songs new and old. Thanks ⁦ @mileshuntTWS ⁩ ⁦ @thewonder_stuff ⁩

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Andy Pow

@medicaccountant

9 months

Assuming 5 day working week then by my maths over 10% of the country has an appointment EVERY WEEK. Why is no one asking why we are so sick as a nation ? Or is the GP system now the only go to for multiple problems in society ?

Shaun Lintern

@ShaunLintern

9 months

GPs delivered 1.36m appointments each working day in July 2023, up from 1.24 million in July 2022. Over two thirds were face to face. More than 43% were same day appointments. Data here:

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Andy Pow

@medicaccountant

4 months

Anyone who has seen my tweets knows my wife’s partners sadly handed back their contract in Dec 22 as the ICB decided to cut atypical local funding. They were already on the lower earning spectrum for GP’s . On reflection the ICB probably did them a favour

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Andy Pow

@medicaccountant

2 years

I admire Kaye, Paula and Paul for the simple statement they have just placed on their website. Thank you to them and all their team for trying their hardest against all odds @centrallakesGP A very sad day. General Practice is about people & communities.

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Andy Pow

@medicaccountant

1 year

Thanks to the Daily Mail for highlighting that my wife’s practice saw close to half its population last month in appointments. And showing the contribution of nurses , physios & others. It failed to mention that & that they have handed back their contract due to cuts in funding

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Andy Pow

@medicaccountant

1 year

Accountants all saying the same thing - the GP contract uplift is not sufficient to cover significant rising costs. Will someone take notice before problems escalate ?

PulseToday

@pulsetoday

1 year

Practices have reported that they are struggling to hire staff on the new minimum wage, due to the contract uplift not keeping in line with inflation.

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Andy Pow

@medicaccountant

1 year

My wife handed back her contract as that could not afford to run the service with local funding cuts. National imposition of a second year of funding which will leave partners in negative profit positions will lead to the ultimate industrial action - widespread contract handbacks

Steve Taylor

@DrSteveTaylor

1 year

Why GP practices close for good What happens when 100% of practices receive less income per patient year on year @NHSEngland @Jeremy_Hunt They will become financially unviable If a GP Partner can earn more as a salaried or locum - practices will close

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Andy Pow

@medicaccountant

1 year

Heard that the PM of a practice I had close connections to has had to spend a lot of time recently explaining that “no you can’t have an appointment with your preferred GP as they no longer work here”. Didn’t work though as patient insistent because @Keir_Starmer said they could!

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Andy Pow

@medicaccountant

2 years

It’s happy to throw money on concepts , resilience , management jargon ... but won’t dare consider the resources needed to fund core services . It’s seems simple to me that if the resource went to the frontline you wouldn’t waste so much time and precious money

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Andy Pow

@medicaccountant

3 years

If the NHS thinks some practices are not performing deal with those direct .. not by causing the rest of the service which is performing to jump through more hoops, have more unproductive meetings . Not by supporting a view that the service is not open

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Andy Pow

@medicaccountant

2 years

So next time you see your GP please do thank them for funding the NHS out of their pay. But don’t be suprised if soon they are no longer there. Do remember that staff are mainly low paid when you go to reception. But if there is no one there don’t be suprised.

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Andy Pow

@medicaccountant

2 years

So in summary your GP gets an average core funding of £95 per year to ; 1. Provide unrestricted access 2. Pay for all the staff 3. Pay for all the premises running costs 4. Pay for everything else you see And the rest they get to keep as there pay. Bonkers isn’t it

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Andy Pow

@medicaccountant

4 years

So my day in a small general practice with GP spouse ... arrive soon after 7.30. Emails, results. Phone constant for Julie on reception. Face to face arrivals . Break for lunch 1.25. Lunch ends 1.30. Off to visit in nearby village . Back 2.15 for the afternoon (1/2)

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Andy Pow

@medicaccountant

1 year

I just don’t get why NHSE cannot recognise that practice costs are every month. You cannot therefore fund a service just by putting more and more lump sum “reward” payments at the end of the year which come with more conditions. It needs investment up front.

Andy Pow

@medicaccountant

1 year

Practices need support not PCNs … Practices need support not PCNs … IIF is not practice support Out of touch with reality. Out of touch with where the cost increases are.

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Andy Pow

@medicaccountant

3 months

How can a letter state it assumes staff pay is 2% when minimum wage is going up 10% . Do they not have a scooby do about how much GP staff are paid ?

Katie Bramall-Stainer

@doctor_katie

3 months

The GP business model is now non-viabile despite accrual of 👉£0 👈financial deficit (hospitals c£1.5bn) Patients & the public need to wake up 👀 & see what this is: an intentional, predetermined, strategic, non-evidence based, ideological dismantling of NHS general practice.

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Andy Pow

@medicaccountant

3 years

Really pleased locally to see the teams @centrallakesGP @nutwoodmedical Windermere , Cartmel & Haverthwaite start vaccinating today. All care homes now complete in the Lakes area. Unbelievable effort being put in to organise this by many - on top of the day job

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Andy Pow

@medicaccountant

11 months

Except if if you are a junior doctor / consultant / nurse / GP etc etc etc

Robert Peston

@Peston

11 months

“We are delivering…the fastest wage growth in years” says Rishi Sunak in #PMQs . It is an extraordinary boast, for a few reasons. 1) that wage growth is a big reason why interest rates are still rising, why the Bank of England will next week increase interest rates again, and why

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Andy Pow

@medicaccountant

1 year

Practices need support not PCNs … Practices need support not PCNs … IIF is not practice support Out of touch with reality. Out of touch with where the cost increases are.

PulseToday

@pulsetoday

1 year

BREAKING: NHS England imposes GP contract with focus on access, with practices told they will have to offer patients an ‘assessment of need’ on first contact and will ‘no longer be able to request that patients contact the practice at a later time’.

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Andy Pow

@medicaccountant

4 years

@allisonpearson So no idea what my GP spouse was doing again today ... left home just after 7am got back in just before 7pm. That’s a long time to be sat on your backside doing nothing but I know she wasn’t. And since March this was regular including extra unpaid days.

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Andy Pow

@medicaccountant

3 years

GPs reporting reduction in vaccination supply and now things like this appear. Hope we don’t do the British thing of snatching defeat from the jaws of victory. GPs doing an excellent job - if they got regular planned supplies like the mass centres they could continue to !

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Andy Pow

@medicaccountant

3 years

If you lose 1 and 2 then it’s the patients that will suffer. And we are all worse off. It’s time to support general practice properly - with resource so it doesn’t leave it to the few to prop up a service

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Andy Pow

@medicaccountant

9 months

I was told last night that we have over 4000 people on housing waiting lists in the Central Lakes area. Yet many properties stand empty and unused for much of the year. Residential housing should not be a play thing for the few.

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Andy Pow

@medicaccountant

1 year

A change of direction for me today … a portfolio career. I am delighted to be joining ⁦ @MedicsMoney ⁩ to help them grow their support for doctors and now others. This weeks podcast covers the many exciting things planned

Ep 160 - The future of Medics’ Money - Medics Money

Want to stay up to date with the latest financial information for doctors? Subscribe on YouTube to never miss a...

www.medicsmoney.co.uk

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Andy Pow

@medicaccountant

2 years

Perhaps GPs should take legal advice on loss of income from wasted management time on multiple payments not received on time or dealing with pension issues ! Opening up a hornets nest here

NHS England seeking legal advice to claw back £28m in GP seniority ‘overpayments’

NHS England is currently seeking legal advice on whether it can recover £28m it has ‘overpaid’ GPs.

www.pulsetoday.co.uk

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Andy Pow

@medicaccountant

1 year

It’s also poor economics because well run local practices reduce costs - they reduce admissions to hospital - they reduce the risk of safeguarding issues - they reduce the risk of a poor outcome for a patients as knowledge and knowing people is important

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Andy Pow

@medicaccountant

4 years

Huge numbers of people are working their backsides off in primary care .... thank you .

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Andy Pow

@medicaccountant

1 year

So when you can’t get appointments or find that your local practice you have built a long standing relationship with closes please realise that it’s the funding system which is leading to this . Smaller practices feel the pain hardest & they are often the ones most connected

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Andy Pow

@medicaccountant

1 year

Midguided policies led to the GP practice which has good patient centred care in the central lakes handing back its contract. Learn from that as well @wesstreeting Reform needed but not this way. Invest not change a system that with investment worked before

Liam Hosie

@liamhosie

1 year

⁦ @wesstreeting ⁩ maybe come and speak to some GPs so we can actually explain how partnerships work, and also dispel some of the misguided statements in this article. Be very careful what you wish for if you wish to get rid of GP partnerships .

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Andy Pow

@medicaccountant

2 years

GP contract changes England - so global sum up £2.92 per patient (3%) , pay rises for staff meant to be 2.1%, no additional funding for cost of employers NI, little change in out of hours opt out , not much else really apart from PCN changes

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Andy Pow

@medicaccountant

11 months

This was why my wife’s practice handed back her contract when the ICB removed local funding . The funding per patient meant it was insufficient to cover the costs of running the service once you’d taken into account another years wage rises without funding

GP partner

@GPDrYvetteDoc

11 months

I work as a full time GP caring for 1500 patients It's very busy as we're in a deprived area with a large elderly skew Global sum payment last month didn't cover the bills & wages, so I couldn't take a salary Before anyone signs up to become a GP, think again, it's unsustainable

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Andy Pow

@medicaccountant

4 years

Minor panic at home. GP wife wakes up with aches and pains. Cat and myself isolate ourselves just in case ... forgot she went to yoga yesterday and that’s why she can’t move ! We have come out from behind the sofa now

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Andy Pow

@medicaccountant

6 months

Daughter just walked from Low wood bay hotel with colleague back to Windermere as 4 wheel drive picking them up couldn’t make it through. Can’t recall this much snow in last 15 years since we lived here

Harrison Ward | Fell Foodie

@FellFoodie

6 months

Lots of abandoned cars in Ambleside now. Some still trying to get through but relative standstill. Snow and the smell of burnt clutches in the air @BBCNEandCumbria @BBCNWT @ITVborder @SkyNewsWeather #a591 #Windermere #grasmere

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Andy Pow

@medicaccountant

1 year

8pm is a bit too late to remember that your Aga baked baguette you put in at lunchtime might be ready now 🤣 #workingfromhomefail

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Andy Pow

@medicaccountant

2 years

@DrPeterWeeks1 Answering for someone else ; 1. Having a break in the day 2. Leaving the house after 7.30 3. Having a proper day off without dialling in 4. Going through a meeting without rolling eyes and saying FFS 5. Thinking the ICB have a clue about rural issues

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Andy Pow

@medicaccountant

4 years

There have also been a huge drop in accountants visits .... but like GPs work has carried on in a different way. This is such a rubbish headline & not reflective of the work being done. 😡

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Andy Pow

@medicaccountant

1 year

NHS execs don’t pay for the NHS out of their pocket, nor do consultants , nor do politicians . In the business world if demand goes up it generally means you bring more income in so I would not have this issue. So why are we doing this to GPs. It’s poor commissioning.

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Andy Pow

@medicaccountant

4 years

Son passed his driving theory today. A levels & uni not for him ... but he’s happy as he put the effort in today & got the result he needed. Life’s not all about school work. It’s about those achievements which are important to you as a person.

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Andy Pow

@medicaccountant

2 years

Dear GP’s ... having just checked my email it looks like PCSE have sent you all one about pension returns (even those not in the scheme). Please don’t send them on to your accountant ... we know what’s due & when ... my email box 😳😳😳

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Andy Pow

@medicaccountant

1 year

Happy 21st to our youngest Luke. Not sure where all the years have gone.

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Andy Pow

@medicaccountant

2 years

Important news …. Mrs P finally after 4 years received a pension statement yesterday ! What a battle that was - I share the pain of every other GP who has to go through the process

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Andy Pow

@medicaccountant

1 year

We have an increasing problem with commissioning of GP services which go out to tender. The process is a tick box exercise which gets scored more around compliance than service delivery. When was the last time a GP contract got awarded in an open tender process to a small team ?

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Andy Pow

@medicaccountant

3 years

Not in the short term with winter “fixes” but in the long term. Not with paranoia of name & shame lists but by recognising and building on the good stuff. Not with faceless commitees directing policy but on the ground at community level.

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Andy Pow

@medicaccountant

2 years

The lack of pension tax changes in yesterdays autumn statement was a clear missed opportunity to resolve an issue that could have helped the NHS significantly - particularly around cost reduction however ….

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Andy Pow

@medicaccountant

2 years

It’s 5.30pm and @DrPeterWeeks1 I can now say my contractual obligations are over as a partner . I return Monday in a new role in the same firm still looking after GP’s & consultants .I have been blessed to work with some incredible partners, clients, staff & friends

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Andy Pow

@medicaccountant

2 months

Thanks @timfarron for highlighting this. The resource uplift for 24/25 has been set at 1.9% since this report was written. Many staff now employed are at minimum or close to min wage levels so that’s unlikey to cover the cost rise from wages alone. 3rd year running for this

Tim Farron

@timfarron

2 months

A shocking new report reveals that 10 GP practices in Cumbria and Lancashire are at risk of immediate closure, with a further 111 struggling financially due to soaring costs. I've written to the Health Secretary urging her to support our vital GP surgeries before it's too late.

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Andy Pow

@medicaccountant

4 years

Morecambe Bay is a big place ! Been on a magical mystery tour of surgeries delivering face shields today as has my son. Quite a logistical exercise. All practices should have a small supply by Monday and hot hubs larger supplies. Thanks to @MFAminGP for sourcing.

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Andy Pow

@medicaccountant

2 years

So much good happened today in my wife’s GP practice -the daughters of a patient now deceased who dropped in to say thanks as their dad didn’t have a chance to, calling someone who posted something on Twitter about the surgery to check they were ok. Which is why we don’t give up

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Andy Pow

@medicaccountant

2 years

Live shots of @goldstone_tony ! 😂

Dr Tony Goldstone

@goldstone_tony

2 years

Congratulations @Jeremy_Hunt Delighted that that we - *FINALLY* - have a chancellor that knows what a complete car crash pension taxation is for retention in the NHS; and that waiting lists of 7m+ are a car crash for economy Will be in touch #FixTheFinanceAct #TaxUnregistered

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Andy Pow

@medicaccountant

1 year

So when you complain that receptionists are awful - remember they are low paid despite having skills which may save your or my life one day with a quick decision & are doing their job to try and manage a demand that in many cases can’t be met.

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Andy Pow

@medicaccountant

1 year

In real terms this equates to my family having to pay the NHS back £2.5k for the pleasure of my wife working her backside off for that year before regrettably handing back her contract. It means people give up a job they loved in communities they loved working for

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Andy Pow

@medicaccountant

1 year

So where did those 25 years go. Happy anniversary to my best friend ⁦ @kayekpow ⁩ ❤️

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Andy Pow

@medicaccountant

9 months

Centene to sell GP clinics and hospitals in exit from UK market - Financial Times “Centene has found it difficult to make Operose profitable because many Operose sites are in generally less affluent areas where recruiting GPs has been difficult,”

Centene to sell GP clinics and hospitals in exit from UK market

US health insurer faced anti-privatisation protests and hospital integration proved tricky

www.ft.com

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Andy Pow

@medicaccountant

3 months

Seeing same GP ‘improves patient health and cuts workload of doctors’ - so contrary to NHSE strategy 🐻💩🌳🌲🌳🌲 again ⁦ @DrPeterWeeks1 ⁩ 🤔

Seeing same GP ‘improves patient health and cuts workload of doctors’

Study analysing data from 10m consultations in England also says practice can free up millions of appointments

www.theguardian.com

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Andy Pow

@medicaccountant

4 years

Afternoon .. staff shortage so no reception. Phones covered by other site. GP answers door, sees patients , phone calls . Leave 6.10 to go back to main surgery to pick things up for next day and catch up with team. And people say general practice is closed ... it’s 100% not (2/2)

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Andy Pow

@medicaccountant

1 year

@wesstreeting Dear Wes … I don’t think anyone in primary care thinks this is the service that they would like to provide in a perfect world . But the battle is not with the doctors - it’s about how resources are invested in the NHS, it’s about the failings in social care provision …

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Andy Pow

@medicaccountant

10 months

Having the same conversation at home with GP spouse. Can’t be bothered with another meaningless appraisal process. I suspect she won’t be a GP next year & that seems to be a prime reason.

Dr George Cook

@drgrcook

10 months

@fhussain73 @ScottMcKenzieCo I retired after 40 years as a GP who loved my work because I could not face another pointless revalidation exam. I now cannot work, like thousands of others

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Andy Pow

@medicaccountant

1 year

New GP partners routinely being quoted 9%+ interest rates for unsecured practice buy-ins at the moment. Another big issue in attracting people into partnership at the moment. And proving challenging financing retired partners exits.

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Andy Pow

@medicaccountant

2 years

After a sad day ... this is a photo from 2015 ... a packed hall at Hawkshead to hear about local GP services and the threat they were under. It mattered then , it matters now. Communities matter ⁦ @centrallakesGP ⁩

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Andy Pow

@medicaccountant

2 years

By doing what ? No additional resource , below inflation funding increments , no major policy change , no fixing pension issue properly … you are doing nothing whatsoever exceot become less believable by the day @trussliz

Irfan

@dr_irfan_malik

2 years

PM Liz Truss ‘The Health Secretary has committed that people will be able to see their GP within 2 weeks’ #LauraKuennsberg

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Andy Pow

@medicaccountant

1 year

@DrSteveTaylor @dranitaraja @edballs Increasing the number of turnstiles doesn’t change the number of seats once you are inside the stadium !

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Andy Pow

@medicaccountant

2 years

Really poor that GP contract terms for 22/23 are only released on 31/3/22. No covering of additional costs to practices of Employer NI increases, rise in core funding not matching inflation ... and all the emphasis on PCNs. GP partners bearing the cost

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Andy Pow

@medicaccountant

1 year

Quote from one chain “small practices are no longer viable” … ask why that is ? Is that a deliberate policy ? We are replacing good small practices with large chains & at a big wider cost to health. Loss of personalised continuity of care is not good for NHS finance nor patients

Rowena Christmas

@ChristmasRowena

1 year

Prognosis is poor for your family doctor as big chains take over

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