National Health Service Salaries in London

Likes

The national or regional guidelines followed in acute settings in management of patients/children and the aim to meet high professional standards in patient care including communication with parents or patients.

Dislikes

Extremely poor GP service and standards, and the poor referrals from the GP to the children's ward adding to high burden and waiting list, parent frustration and sometimes poor quality if care and consultation. The IMGs in GP training or newly appointed IMG GPs do not enthuse confidence or quality, and they have been made the system worse. However, the same grievances do not majorly apply for IMGs in specialist training as the curriculum is much strict with high standards.

Likes

National Health Service -Very organised -Immaculate planning in running a robust health care system which caters to the needs of the British people in UK -Friendly and supportive environment can be seen in the hospitals. -Stepwise administration of medical care to patients -Stepwise learning and development for junior doctors

Dislikes

There should be more encouragement for junior doctors to think like doctors. There should be an open culture to question diagnoses and management plans. Doctors doing so, should not be ostracised by the management team. Their opinions should be handled with respect and understood that they are trying to be productive in improving themselves and the system they work for. Doctors are not handlers of conveyor belts in airports. (Not trying to be rude, just a simple analogy.) In helping to progress junior doctors in their training pathway, more should be done to facilitate their assessments while working. What is expected from them, should be made very clear from the onset and they should not be second guessing about any issues that they may face. A sensible test to gauge a UK trained doctor's abilities is to compare their knowledge and skills with doctors graduated from rest of the world. Gaps can be identified by doing so. This is from personal experience when I had attended workshops and clinical observerships in overseas countries. For example, a medical registrar in UK can compare his knowledge and skills with a MD doctor from India. From what I gather, doctors who did MD medicine in India and who had read books like ''Principles of Internal Medicine'' by Harrison are far superior in their medical knowledge as compared to doctors who had done their basic medical training here in UK. Ultimately, knowledge is power and quintessential for any doctor to practise medicine safely. I have just described some of my points of reflections. This is not to criticise the fantastic NHS system, but just to highlight what can be improved so that NHS becomes even stronger.

Likes

Excellent service. However the service needs revamped. Too much money being spent on managers who contribute very little to direct patient care. The service is in an urgent need of financial review. Many instances where unnecessary staff are paid huge salaries and contribute very little. Otherwise a brilliant organisation

Dislikes

Too much red tape. Too many unnecessary staff

Likes

It's a neurologist trauma centre with better management of such cases as compared to other centres in jalandhar

Dislikes

The respect of an employee by the employer is of utmost importance but this is lacking in this place