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Secret Diary of a PM – Five years on the front line!

I have recently been reminded that I have been writing blogs for FPM for five years and I have been asked to reflect on this. It’s safe to say we have seen a lot of changes in that time…

When I was first asked to write articles, I was a little bit apprehensive as I had not written professionally before, but like most things I decided to give it a go.

Once I started and my articles were being accepted for print I gained more confidence and, because I was writing anonymously, I was able to be completely honest about how I felt - as well as possibly being a little controversial.

In the five years since I started I was made a partner, and for almost a year I was sole partner which was unheard of. After steering that surgery through a difficult patch I moved back to being a Practice Manager a few years ago, but in a much bigger practice - a real challenge.

Reflecting on the articles I’ve written, I have covered many topics and given views and dare I say suggestions to the powers-that-be on how to make changes.

So how has the NHS changed over the last five years?  Each year the NHS seems more financially challenged and politicians still seem reluctant to tackle the problem of its own success. This has always been a view I have put forward, with people living longer and the medical knowledge we now have to treat more conditions… it is no wonder that the NHS is financially challenged.

The dedication of medical personnel and the scope of treatments come at a cost and as I have continually said we need a discussion cross-party to decide the best way of financing such an ever-increasing resource.

Should we raise a special tax, ring-fenced for the NHS? Should we restrict procedures, or should we expect to contribute more towards our care? These are just some of the questions ignored over the last five years and I am not convinced that they will be tackled over the coming five years for fear it is a vote loser at the ballot box.

As for us practice managers, we continue to go above and beyond the call of duty to keep our practices running smoothly with our budgets failing to keep up with inflation and increased costs.

I look forward to blogging on for some time.

If you have ideas for topics to cover in our articles we’d love to hear from you. Let us know in the comments section below.


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