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Check-ups for middle-aged are waste of resources, say doctors

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Published Date: 14 June 2008
HEALTH checks for over-40s will divert NHS resources from the genuinely sick to the "worried well", doctors have warned.
A British Medical Association (BMA) conference in London yesterday heard GPs call for the Scottish and UK governments to discuss plans to introduce routine health checks for people entering middle age, before rushing to implement them.

It is anoth
er setback for the Scottish Government's efforts to reform general practice.

Moves to impose extended opening hours on surgeries in Scotland have angered GPs, the majority of whom are refusing to take part in the scheme.

Yesterday, GPs attending the BMA's local medical committee (LMC) conference voiced their fears about routine health checks for 40-year-olds, which would include measuring cholesterol and blood pressure.

The SNP's manifesto last year pledged to introduce the "Life Begins" health checks and individual health plans for all men and women when they hit 40.

This promise was repeated in a "Better Health, Better Care" action plan in December.

Prime Minister Gordon Brown also promised "health MOTs" for over-40s in England.

But doctors at the conference voted in favour of a motion stating that they believe a national screening programme would "detract further valuable GP resources from the sick and vulnerable to the 'worried well'."

Dr Dean Marshall, chairman of the BMA's Scottish GPs committee, said the checks would perhaps lead to an extra six patients attending an average surgery every day.

But he added: "There is also no evidence that people will take them up. Dragging everyone in kicking and screaming to see a doctor is not a good use of resources. We are struggling to keep up with the unwell, never mind the worried well."

In 2006/07, a scheme offering cardiovascular checks to over-45s was run in Scotland.

Dr Marshall said this scheme – which only ran for a year – struggled to attract patients and was not deemed a success.

He urged the Scottish Government to discuss the plans with doctors before pushing ahead.

Margaret Curran, the Labour spokeswoman on health, agreed that the Scottish Government needed to talk to doctors about the health checks.

"The SNP need to remember that it is doctors and nurses and other health staff that deliver patient care, not ministers and bureaucrats," she said.

Margaret Watt, of the Scotland Patients Association, gave her support to the health checks and said: "Anything that helps patients to improve their health is welcomed by us."

A Scottish Government spokeswoman said: "We remain committed to introducing the Life Begins health checks and how they will be delivered is currently being worked on."


FACT BOX

PLANS to introduce routine health checks for 40-year-olds in Scotland are likely to see people offered tests including:

• Blood pressure checks, with those with high levels prescribed drugs to reduce it.

• Cholesterol tests, with statins for high cholesterol along with diet advice.

• Patients who smoke will be urged to quit and given access to smoking cessation courses.

• Doctors could assess if a patient is drinking too much and give advice on how to reduce alcohol intake or refer them for further professional help.







Page 1 of 1

  • Last Updated: 13 June 2008 9:46 PM
  • Source: The Scotsman
  • Location: Edinburgh
 
1

Charles Linskaill,

Edinburgh 14/06/2008 01:09:54


Don't even 'Go There' it is all,.. NONSENSE!

We Know we cant see our GP, without breaking into,..

'Fort Knox'!

We Know GP's don't want extra work or,,

'Soft Tissue' Baby Hours!

They Don't Want To Know,,'Full-Stop'!

9am-5pm No extra Chores in these Hours Please!

My Heart Bleeds!

Gp's Now simply want paid £100k a Year, until they die, for the Certificate that calls them a GP!

Forget serving the Community!
2

Charles Linskaill,

Edinburgh 14/06/2008 01:13:47

BTW, I am talking GP's! and NOT the "Doctors" that work their,..'Hearts Out' in our Hospitals!

But then, 'some' like a, 'comfy chair' all day, 9to5!
3

EPS,

Edinburgh 14/06/2008 03:27:11
As an over-40 (indeed a nearly-60) with high blood pressure and high cholesterol, I am grateful for regular checkups. My GP treats me well, and what he or she earns is none of my business.
4

Haggis MacBagpipes,

Central Canada - ex Perth & Glesca' 14/06/2008 04:05:44
#'s 1&2 -Charles Linskaill, Edinburgh.

Don't worry, Charles, you know that as your doctors, BW and myself will take excellent care of you.
Just continue with your prescribed medications and soon you will again experience reality and gone will be all the thoughts of you being a young man with a DYW. You will soon realise that your age is that as BW and I told you. You are very elderly, but you know that you are in excellent hands and BW and I will never stop seeing you at any time night or day. That's our promise to you.
Cheers,
(Dr's) B.W. and Haggis MacBagpipes™©
5

Kenny A,

14/06/2008 07:14:52
Think it is a good idea. why see a GP?, mobile facility in the Islands I hear though results interesting and possibly erratic due to advanced age of some of the nurses.Advice given seems to be don't drink to much and don't smoke, common sense but they have identified a number of people with real issues which otherwise would have been missed.

Wish there was that facility available when I was 40, because no way would I have gone to see a doctor.
6

fife runner,

14/06/2008 08:10:35
so much for the people who complain about the nanny state. They should go to the back of the queue as many have made themselves needing monitoring due to their lifestyles. They do not wnat to be told how to libe then they do not need treatment from the nanny NHS.

What a waste of money. EG, low cholestrol- then try some excercise ( although i know some still suffer despite this) and get rid of the fat. I am 56 and still walk, run, cycle miles a day and hope to still be doing so like some in their 70's and 80's and above that I know of like my mum at 87.
7

Boy Wonder,

14/06/2008 08:56:49
#4. You speak for yourself, MacBagpipes!! If 94 year-old Chuckles Linskaill was all I had to look forward to, I'd be off into private medicine. But I am NOT his doctor ... I'm a molecular biologist, specialising in botany. I'm not here by choice ... I'm a plant!! :D :D
8

The Former Mr. Angry,

Perth 14/06/2008 11:09:39
Don't worry when GP's decide like dentists to switch to private practice and the NHS goes redundant, you can always get your 40+ check done at the supermarket to undercut the GP who'll be charging twice as much to keep their income up to fabulous levels as they were in the NHS...

It would be nice at that point to get a large tax reduction when we get "opted" out of the NHS. Still waiting for the dental refund as can't get an NHS dentist. Scarce as err, hens' teeth!
9

Symmachus,

Rome 14/06/2008 12:09:41
Charles,

As pater familias intenditio - should you not be checked? It seems your sphincter fundamentalis is extenditio extraordinarius.
10

Scotindy,

Los Angeles 14/06/2008 23:36:51
SACK EVERY GP WHO IS NOT WILLING TO SERVE HIS/HER COUNTRY. HEALTH IS LIKE AIR TRAFFIC CONTROLLERS LIFE DEPENDS ON THEM. RONALD REGAN HAD THE RIGHT IDEA SACK THE FRICKING LOT OF THEM AND REEMPLOY THOSE WHO LOVE LIFE. GREEDY LAZY B- -t- r d s. Do the math!!!!
11

Dr JS,

ABERDEEN 15/06/2008 00:19:16
Mr Charles Linskaill

As usual your wit preceeds you. But are your opinions based on fact? I doubt that. Last year there were over 300 million primary care consultations. You obviously have swallowed every last morsel of NUlabour spin, so much so that you seen to be suffering from a prolonged episode of bovine excrement.

You cleary are not n educated man.

Let me tell you the basics, having been university trained and worked in primary care for over three decades.

GP's were the heart and soul of community medicine for years post formation of the NHS. we were expected to be on call 24/7/365 without so much as a thank you from our beloved government. Its okay for us to work ourselves into an early grave serving ungrateful members of the public like yourselves who demand everything, but seem offended when asked to take even minimal responsibility for their own health. Lets talk facts laddy without your tosh...

Primary care is on the verge of being privatised. I dont really care since im due to retire, but as a future patient and old fogey Im really worried about these so called polyclinics. Why??? because chronic disease makes up 90% of the burden of healthcare and with an ageing population this will only get higher. Private medicine serves shareholders. We need , as ive mentioned before to train more GP's to open up primary care so that we can open up our appointments etc, but our government will not do this, because it consts MONEY! so instead in the future you will see a nurse or a healthcare assistant, or even a staff grade doctor, but because you will be able to see them whenever you want you will feel vindicated.

You need your GP . see beyond the spin, the manipulation, (all manufactured to allow private cooperations a foothold in the multi billion pound health industry) the lies and the propoganda.

Do you think for one minute that those that have trained to look after your health are less trust worthy than the toe rags riding the gravy
12

Dr JS,

ABERDEEN 15/06/2008 00:22:42
in westminister?

Primary care needs to improve I agree. But it will only improve with those who work within it being on board.

grow up and look beyond the headlines, the m ythical 100k salary, the 9-5 hours, the golf course clinics etc. I f you want a real taste of general practice come and spend a day with me and lets see who is overpaid. Be careful what you wish for alienating an entire profession will only spell disaster for those who are most vulnerable.
13

linda mccafferty,

Glasgow 18/06/2008 00:20:22
A very stressed out GP i presume......... Tut , Tut .

 

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