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MAGAZINE EDITION Chris Johnstone Intro.Waking up from the medical matrix... Letter Column Hope for Palestine? 5 things I wish Id known before becoming a GP Tales of a Grandfather Alastair Short Did You Know? Supporting practices by helping managers... Using SPICE to help meet contract criteria IM&T Quality Practice Award Practice Accreditation Representing GP interests Revalidation - In brief New Educational Opportunities, New Tools Is There Life on Mars? BLEEP Embarrassment hoolets Top Tips Finlay and the Contract Summit hoolet at the Edinburgh International Film Festival CONTRIBUTORS Chris JohnstonePeter Davis Lesley Morrison David Haslam Sommerled Fergusson Blair Smith Alex Thain Peter Murchie About The Contributors RCGP Bookstore BACK ISSUES hoolet 51-Spring 2007hoolet 50-Winter 2006 hoolet 49-Summer 2006 hoolet 48-Spring 2006 hoolet 47-Winter 2005 hoolet 46-Autumn 2005 hool8 45-Summer 2005 hoolet 44-Spring 2005 hoolet 43-Winter 2004 hoolet 42-Autumn 2004 hoolet 41-Summer 2004 hoolet 40-Spring 2004 hoolet 39-Winter 2003 hoolet 38-Autumn 2003 hoolet 37-Summer 2003 hoolet 36-Spring 2003 hoolet 35-Winter 2002 hoolet 34-Autumn 2002 hoolet 33-Spring 2002 hoolet 32-Winter 2001 hoolet 31-Autumn 2001 hoolet 30-Summer 2001 hoolet 29-Spring 2001 hoolet 28-Winter 2000 hoolet 27-Autumn 2000 hoolet 26-Summer 2000 hoolet 25-Spring 2000 hoolet 24-Winter 1999 CONTACTS contact detailsWEB LINKS COURSES |
![]() FINLAY AND THE CONTRACT SUMMITBy Peter Murchie Scene 1: Janet’s Pantry Dr Cameron emitted a satisfied sigh as he sank into the deep leather arm chair that took pride of place in Janet’s Pantry, Tannochbrae surgery’s inner sanctum. In his hand was a wedge of Janet’s best jam sponge and it was this into which he now sank his teeth. He cast his mind back over the preceding cases as he awaited his young colleague. He keenly anticipated how he would tell young Finlay how, only this morning he had diagnosed cases of yersinia enterocolitis and two cases of lateral medullary syndrome. The field of general practice held few enduring conundrums for a physician as adept with taste-buds and wooden spatula as he. It was a deeply preoccupied Finlay who entered several moments later, brows as furrowed as his rough corduroy suit. He slumped into the chair opposite Cameron with a weary sigh. “Be of good cheer, Finlay!” boomed Cameron, looking up from his copy of the bugle. Seeing Finlay’s gloomy visage he asked “Problems with thon bonny wee nurse again Finlay? Will ye never learn? Well ye can just bring yersel along to Gibbfield on Saturday. Tannochbrae and Rangers in the cup. That’ll take yer mind off it.” He resumed his pipe-puffing. “Dash it all! Where is that woman?” said Cameron. He rang. A flustered Janet entered, tinkling china teas things on a tray which she set down before the two good doctors. “Dr Finlay’s love sick again, Janet”, chortled Cameron. She looked sympathetically at the young man, his face a dismal mask. “Och it’s nothing to do with that, Dr Cameron” said Finlay irritably, waving a sheaf of papers. “It’s this new contract that’s depressing me. Have ye no seen it?” “Ach awa wi ye, Finlay, never bother yer heid with such clap-trap. New contract indeed! Now let me tell you only this morning..” “It’s going to make things dashed difficult for us” interupted the younger man. “Targets for this, targets for that. Domains, indicators, points” said Finlay flicking through the tome. “Here, you look at it” pressing the document on his older partner. “Och, Finlay” said Cameron as he began to flick through the pages. “Blether’s, blether’s” he said. Finlay watched. The colour slowly began to drain from his partner’s face like an arctic sunset. “Carr Hill, Carr Hill” muttered Cameron. He looked up, his expression matching his younger partner’s. Together they looked like a pair of dyspeptic toby jugs. After a moment’s pause he leapt from his chair. “There’s only one answer to this. We’ll need to negotiate our own! Janet get me Dr Sparrow on the phone.” “Och Dr Cameron, Sparrow died in Venice,” moaned Finlay. “Hold yer wheest, Finlay.” Minutes later Cameron was in heated telephonic communication with the Chairman of the Guild of Unbelievably Fantastic and Fictitious Family practitioners, that’s GUFFF. The result….for the next three weeks, young Erchie the Tannochbrae messenger boy whizzed the length and breadth of the land on his gleaming Norton Featherbed. His mission to deliver, hand to hand, impressive brown envelopes marked “Urgent. Contract Summit.” From Cardale to Albert Square, from the Riverside Practice to Lochdubh Surgery his slight liveried frame strode purposefully through surgery doors, unswaying in his mission, pointedly ignoring the cries of “anachronism” from just off-set. Scene 2 One Month Later in the Tannochbrae Arms One month later a handsome Dr Simon Sparrow stood up and cast his eye around the function room of the Tannochbrae Arms. “Thank you everyone. Thank you for coming in such numbers to this special GUFFF Contract Summit. If you’ll just mark your name on the register…” motioning with well manicured hands and a flash of Duchamp cufflink toward a full list of attendees pinned to the wall between a still life of fruit and some rutting stags.
Register “These are challenging times my friends and the unique pressures of our profession mean that we are not like normal GPs. For that reason we’ve gathered here to start the ball rolling on our own New Contract, a contract that will revolutionize the entire discipline of fictitious general practice” At this point Hamish McBeath’s Doc Brown stumbled in from the bar, pint in one hand, a reefer like a rolling pin in the other. “Did I miss anything” he said swaying slightly. “Off course not,” everyone said chuckling indulgently, anticipating no end of unconventional japery from the tousled toker. “Now,” said Sparrow, “Down to business.” Structured in five intensive sessions the remainder of the afternoon was spent in concentrated and heated debate, breaking only for lashings of tea, jam sponge and rock cake. Session 1: Affairs with Patient’s
“At least three a year” said Dr Ramsden. Session 2: Caring The Peak Practice partners really dominated session 2. Useful and realistic targets were set for percentage of patients dropped in on for a cuppa during family get-togethers, ruefully smiling as your page went during a candle-lit dinner and cheerfully greeting the sociopath sitting on your front door step when you got home from a hard day. It was Dr Trueman however who suggested the 3 second rule for arrival at domestic crises, although this was increased to 15 seconds at Doc Brown’s insistence on allowing for the development of absurdity and whimsy. Session 3: Attending Disasters After a lengthy and heated session (interrupted briefly when Ashley and Fred arrived to remonstrate with Dr Ramsden) it was decided that this should be placed into the enhanced services bracket. It was agreed that to qualify for the payments each individual doctor should single-handedly manage an explosion in a petrochemical plant, two plane crashes and the aftermath of a mad axeman per year. All felt this would pose few difficulties. Session 4: Issues Sensationalism and down-playing the facts were to be the key indicators in this crucial area. Members must continue to appear to welcome a bulimia or teenager impregnated by the local café owner in their Friday pm surgery. Particularly to be encouraged were messages in gritty regional accents at the conclusion of “issues episodes” of the general form “If you or anyone you know has a passing interest in the issues in tonight’s show you MUST consult your own GP late on Friday afternoon.” If at all possible members were to encourage patients to shake them by the lapel frequently during “issues episodes”. Session 5: Personal Turbulence It was agreed that a turbulent private life was defined as a core service with points coming for attainment in four domains, drug and alcohol abuse, divorce or same sex relationships, financial impropriety or just caring too damn much. All members would continue to be fabulously caring as their lives disintegrated around them. There were some concerns for Finlay, Cameron and Doc Brown on the gritty realism front until Doc Brown reassured all present that he had something up his sleeve involving a highland terrier and a sinister press photographer, and Finlay and Cameron outlined the Thai lady-boy episode. Exhausted but satisfied the delegates drifted to the bar. Finlay, Cameron and Sparrow took the air on the front steps of the Arms. Gratefully they puffed on pipes and gazed at the valley below as the sound of Doc Brown leading the rest in comic song drifted from the open windows of the saloon bar. “Aye, Sparrow man, a damned fine afternoon’s work” beamed Cameron. “Mind you Finlay,” he said turning to his younger colleague, dinna you be paying ony heed to Ramsden or Trueman. Just you stick to yon bonny wee nurse…”. HONK! HONK! His discourse was interrupted as waving and bonneted, Donald Sinden and Kenneth More pulled up in a vintage car.
Other hoolet online articles by Peter Murchie can be found at:
hoolet is the magazine of RCGP Scotland. It is supported intellectually, financially and emotionally by RCGP Scotland. |
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