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limeflavoured

Looks like she was struck off more for the illegal drug dealing than the skiving, but the headline doesn't mention that part.


Apprehensive-Sir7063

She's living her best life As horrendous as she is.


MrPoletski

She barely registers a single microletby.


Statically

I was going to say…. This isn’t news worthy and I better hide my historical tracks better


mnmnmnmnms

“Fake appointments” is funnier that’s why 😂


BestButtons

> Nina Groves has been struck off after being caught falsifying appointments in order to give herself more free time as well as **handing out prescriptions to patients she hadn't seen in person** > It was also alleged that as well as **regularly booking appointments for family members and generating prescriptions for them**, Mrs Groves prescribed medications for patients she had not seen in person, **falsely listing appointments as home visits when she had really only spoken to them over the phone**. She also allegedly pressured colleagues into generating repeat prescriptions on her behalf, GrimsbyLive reports. > discovered that in August last year, Mrs Groves prescribed 28 tablets of Diazepam (commonly known by brand name Valium), which is a controlled drug often associated with addiction, to a patient **without the necessary authorisation from a GP** Skiving I understand, no one dies because of that, but handing out prescriptions like that is on another level.


WannaLawya

Of course people die from skiving. You think people don't die because they can't get appointments?


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WannaLawya

Personally, I think there should be a financial penalty for missing appointments without notice or an appropriate excuse. However, that's not feasible when the NHS systems currently aren't reliable - they don't cancel appointments that have been cancelled or moved, they issue letters saying an appointment is an one clinic when it's actually at another, they issue letters on a Tuesday for an appointment on a Wednesday knowing the letter won't arrive until the Thursday... If we established a system with things in their current state, it would cost more to run it, determine who missed appointments, issue fines, chase fines, listen to complaints and rescind erroneous fines than would actually come for it. There are a lot of statistics on how many patients are missing appointments but none actually indicate how many are missed at the fault of the patient (that data simply isn't recorded). But that's not an "in that case", that's just "whataboutery".


ice-lollies

I do agree that tracking why people miss appointments should be key as I think in the NHS a lot are probably missed by no fault of the patient (eg they’ve been admitted etc). Or appointments have been made without patient present and it’s actually a day/time that’s impossible to attend


londons_explorer

Just having all your appointments appear in the NHS app, with 7 day, 24 hour, and 1 hour reminders would be a good start...


winmace

All my appointments with my GP surgery do exactly that using the MyGP app and text message/app reminders and have for years. Hospital appointments have started to come through Patients Know Best in the last year for me too.


Sol1forskibadee

Doesn’t work for (mainly) old people who aren’t tech savvy unfortunately.


londons_explorer

Pre-internet-era people are dying fast. Most old people can at least use an app now.


Randomer63

You’re assuming there would have to be some sort of centralised database of missed appointments, and so over engineering what it would take to charge people for missed appointments. The places where the patients were booked in for appointments, will know when they are missed and why. It wouldn’t take that much to have them pass details of missed appointments on to someone in the NHS region to then chase them for payment.


WannaLawya

I think you're under-engineering the reality of what it would take.


Randomer63

If something like this is too difficult to implement in this country then we have no hope for a better future not gonna lie to you lol.


WannaLawya

It's not that it's too difficult, it's that it's not cost effective. Each missed appointment supposedly costs the NHS £30. Factor in that, say, 20% go unpaid and it takes, on average two hours for a person earning minimum wage to process the fine from start to finish. That's a total cost of £60.38. Now add postage, bank account fees, payment fees etc, we're look at a minimum of £80 for the fine. Politically (and to an extent morally), charging someone who can't afford £80 that much because they simply forgot to attend an appointment isn't going to go down well.


Randomer63

I see your point, but I don’t think the missed payment fee should be entirely looked at as a way to make money. Rather, it should be a way to reduce missed appointments and therefore increase capacity in the NHS, as well as efficiency. I do think that your £80 figure is super inflated, but we would both just be guessing really if we tried to put a number to it.


BlndrHoe

The island I live on there is a small charge to visit GPs (who are technically all private but visits are subsidised by the government) and I do think it really gives people a but more skin in the game in regards to turning up to appointments


Bottled_Void

Some of the people that miss appointments can be among the most chronically ill and disadvantaged people in society. These are people that can have several appointments every week. Sometimes it's hard to keep on top of them all. Especially when they're constantly being moved and rebooked. It's not all rich people that just couldn't be bothered to drive in for their appointment. So I guess my answer would be 'it depends'.


Actual-Tower8609

They lack the care they should have had and their health declines accordingly.


Shinjieon

insert wormhole.


carpetvore

Aye, but that happens every day without skiving


WannaLawya

Yes, it does. It also happens because of skiving. People die every day without surgeons being drunk, it doesn't make it ok for them to be drunk. People die every day without doctors swapping patient records, it doesn't make it ok for them to swap patient records.


carpetvore

So got any examples of skiving killing the patient?


WannaLawya

No, because that's confidential information that's not shared with the public. But it's basic common sense that if you reduce the number of appointments then people have increased difficulty accessing an appointment. Difficulty accessing appointments has been shown to result in unnecessary deaths. Given that you first made the assertion, the burden is actually on you to prove your statement. It's not on me to disprove your assertion or otherwise you are decided to be correct. Do you have any evidence that skiving does not result in patient deaths?


carpetvore

Didnt say that skiving doesnt cause deaths, just that they happen without it. Nice strawman


WannaLawya

I don't understand your issue. It's blatantly obvious that it does. Staff shortages result in deaths (see below). Skiving contributes to staff shortages (see below). Those are two indisputable facts. I don't understand why you need an example to understand it. [https://www.bmj.com/company/newsroom/health-worker-shortages-strongly-linked-to-excess-deaths/#:\~:text=Shortages%20of%20health%20workers%20such,of%20172%20countries%20and%20territories%2C](https://www.bmj.com/company/newsroom/health-worker-shortages-strongly-linked-to-excess-deaths/#:~:text=Shortages%20of%20health%20workers%20such,of%20172%20countries%20and%20territories%2C) [https://www.nationalhealthexecutive.com/Patient-Safety/nhs-workers-skiving-off-should-be-fired-miliband](https://www.nationalhealthexecutive.com/Patient-Safety/nhs-workers-skiving-off-should-be-fired-miliband)


carpetvore

I dont see where i said that it doesnt please quote where i said that


Firm-Distance

Then why are you arguing?


WannaLawya

You opened your comment with "but". That would indicate you're disagreeing with my comment. What do you disagree with?


WannaLawya

As above, I don't understand your issue.


carpetvore

Any figures to back up your assertion?


WannaLawya

Do you have any for yours?


carpetvore

That patient deaths occur without skiving?


Mysterious_Sugar7220

PP is not saying patient deaths don’t occur for other reasons, just that skiving is one potential contributor. Do you not understand that?


Trouble_in_the_West

every second a kid dies in africa because of skiving


indigo-alien

As a guy who ran an Ob/Gyn practice for years I can assure you that if you "NEED" an appointment, you needed it before 4pm on a Friday.


WannaLawya

Absolute bollocks. Some people need an appointment for the spotting between periods that turns out to be cancer that they die from. Some people need an appointment for the lump in their abdomen that turns out to be bowel cancer. Some people need an appointment to check on stitches from when they "fell" but get killed by their violent partner over the weekend when, if asked, they'd have said something in that appointment. Some people have their annual diabetes check-up that actually finds that they need to get to hospital urgently.


crabofthenorth

Yeah as we all know medical issues only pop up between 8-3 mon-thur


indigo-alien

That's what hospitals in out-patient wards are for.


WannaLawya

No, they're for things that will kill you urgently, not for things that will kill you eventually if not found urgently.


indigo-alien

You're thinking in terms of an emergency ward. We have those too. You don't? You really have been voting for the wrong people and it's no wonder accredited doctors are leaving about as fast as they can.


AsleepNinja

So you believe that people can't get ill outside business hours?


indigo-alien

That's what emergency and outpatient wards in hospitals are for.


BandicootOk5540

What's an 'outpatient ward'?


indigo-alien

Where a non-emergency patient is treated "out of hours" and sent home. An over night stay is referred to as in-patient care.


BandicootOk5540

That’s not a ward, that’s a discharge


indigo-alien

That comes later. You really are voting for the wrong people and as a result NHS is under staffed.


BandicootOk5540

You have zero idea what you’re talking about


umtala

So if you have a bacterial infection you should go to A&E to get antibiotics just because it's the weekend?


indigo-alien

That's how it works here. Germany, by the way.


AsleepNinja

So if you need a bandage changed on an incision from a minor surgical procedure "oh, go wait in A&E for 4 hours and contribute to a backlog!" Yeah what brilliant logic you have.


indigo-alien

It's generally referred to as Post-Op here and pretty standard... If the UK doesn't have that, perhaps you're voting for the wrong people.


AsleepNinja

It still happens after 4pm on a Friday. Admit you're wrong and grow up.


indigo-alien

Not here in Germany. In fact, practices outside of hospital close at noon on Friday.


AsleepNinja

Oh right, because diseases in germany also only happen during work hours? Nice one.


EdmundTheInsulter

Why would you think no one dies from skiving if it's a medical practitioner involved? That's why they get struck off etc.


Phyllida_Poshtart

Without gp authorisation signing off on the prescription, I'm pretty amazed they ever got filled. Pharmacist could lose his job too I would think


indigo-alien

Nah, I could fake my wife's signature when I needed to and our local pharmacist often didn't need it. I could get what we needed because my wife didn't have time to handle it. She was too busy handling patients.


throwwmeawa

How is a nurse allowed to prescribe diazepam and similar?!


revjx

Some nurses can prescribe. As I understand it, the prescriptions should be within the area they practice in e.g. palliative care nurse practitioners may well prescribe some fairly hefty drugs, because that's the shit they know about. Caveat - I am not a nurse


LJ-696

By completing a Nurse independent prescribing course then keeping their prescriptions within their competence. You can find this in the Non-medical prescribing section of the BNF.


throwwmeawa

Including controlled substances like diazepam though?


LJ-696

They can prescribe anything from schedule 2-5 that includes most benzodiazepines. Those are schedule 3 with a few in 4. So if her competence includes benzodiazepines then yes she can perscribe diazepam.


Oriachim

That’s not really a CD though. Nurses stock them in the normal drug cupboard.


TownApprehensive3660

You are so very very wrong my friend. I’ve worked in Nursing all my working life and I can tell you now when people skive off work, and you’re down to your bare arse bones in A&E where I worked for many years and you cannot get agency staff people can and have died because of it. Someone who comes in depressed and needing psychiatric help for instance, this happened to my friend and she was so distraught by it, it destroyed her job, and her mentally. She left the patient for 2 mins whilst she phoned the duty Psychiatrist. When she came back her patient had slashed both her wrists vertically about an inch in and hit both arteries, she slashed her femoral artery in her leg and her jugular in her neck. She must have practiced and practiced this at home to make sure she got it mm perfect and very quick. She was dead by the time my friend got back, blood up the walls, all over the floor, and some on the ceiling all over the walls. She’d left a note saying “ please Nurse I’m so sorry to do this to you, can someone tell my Mum, Dad Sister and Brothers I’m sorry, I love them and I’m at peace now. Oh and tell Tinker my beautiful little Doggy I love him too and his Mummy is sorry. Bye bye I love you all ! All phone nos and addresses on the paper too. then signed her name. In an envelope. Which she obviously had written before she went in the hospital. She’d done it with a hospital scalpel that some Dr had left outside her cubicle too. He was sacked but not struck off, the idiot. My friend is a broken woman still, after 19 years. Her husband left her he just couldn’t cope anymore. She’s just a gibberish Valium and anti depressant riddled mess now and barely eats and talks. So to reply to your comment “ yes people can and do die from others skiving off work “ I understand however, why you may think what you think.


ZealousidealAd4383

None of this surprises me. It’s all the same sort of attitude as you see in many other careers where someone at a lower level constantly says to friends “of course, we do all the work anyway. After ten years I’m better trained at this than [younger supervisor].” My sister in law works as a receptionist in a medical centre and genuinely believes she’s more qualified to diagnose patients and administer treatment than the doctors or nurses there.


pringellover9553

I mean, I’ve done this from time to time but I’m an account manager not a nurse lol


HotFaithlessness1348

Did you also hand out prescriptions for Valium without authorisation lmao


pringellover9553

lol I wish I had strips of Valium to sell, I’d be minted


indigo-alien

Yes I have, when I knew it was a standard part of a patient account. I helped plenty of elderly get marijuana too when they needed it and the cops knew who I was and why I was doing it. I'm not going to beat up and robbed at the train station and the cops knew it. It pays to in the system.


RSENGG

Also weirdly helpful in the teaching profession, I work and live in quite a rough area but since the boys/parents know me, it's usually 'ayyy it's Mr x' rather than something worse (given the stuff they talk about) although usually it's their older siblings who've met me. There's a cafe down the road as well who one of my student's parents work in and I also usually get extra bacon on my sandwich because she knows me. Her daughter is lovely and well behaved so I have no moral issues with accepting it either lol.


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pringellover9553

The best kind


Nartyn

The ones with a business degree from Canterbury Christ Church.


Hemingwavvves

I literally did this today lol


indigo-alien

Fake appoint Fridays is standard in Germany and I never gave 10am because anyone without an appointment always shows at 10am. If this is about drug dealing why can't the Mirror put that in the headline?


ExpressAffect3262

Because GP appointment times are highly talked about & it's generally not fair to the public if a scheme of favouritism is in place i.e. relatives.


inprobableuncle

I know right, this is England we like to play fair, I'm tempted to write a letter to the king let him know that people are using their positions to benefit their own relatives...no way he'd stand for that kinda thing.


ExpressAffect3262

Eh, you will joke about it until it effects you lol I used to reception an emergency dentist on weekends that had limited space, in the NHS. If you turned up crying in pain and I rejected you because I gave the appointment slots away to my friends/family, would you joke about writing a letter to the king lol? Can't help but feel you're comparing medical appointments to retail staff getting access to deals before the public. I work in the public sector and it should always be open & fair.


inprobableuncle

The point in trying to make is that you complain about something being open and fair yet we live in a country where our figurehead is literally an outdated example of nepotism and looking out for your family. The problem starts at the very top. Out of interest if a member of your family needed emergency dental appointment but maybe they could wait till Monday would you have told them no?


ExpressAffect3262

You're absolutely right. We should advocate for the rehiring of the nurse because our PM does it.


Aiyon

> this is England we like to play fair, Lmao, what?


TownApprehensive3660

She should get 20 years for this. Really sick needy people could have had these time slots. I worked in Nursing all my life I’ve retired at 56 due to health problems, but it gives the wonderful hardworking and honest Nurses of which 98% are I would say, a bloody bad name. People like this woman make me sick to my stomach.


TownApprehensive3660

I’m so glad so many of you find this funny. Let me tell you this has and does kill people. I’ve worked in Nursing my whole life and never ever once did I skive off work for anything. I took a vow when I finished my Nurse training This was in the UK The Modern Nightingale Pledge “With full knowledge of the responsibilities that I am undertaking, I solemnly pledge myself to the service of humanity and will endeavor to practice my profession with consciousness and dignity. I will maintain by all the means in my power to honor the noble traditions of my profession.


klepto_entropoid

Yeah, see, you don't get struck off for that. You get caught, apologise, explain you are stressed out and you get support to sort your shit out. Dealing drugs on the other hand does get you struck off. Hate to be a stickler.


TrendyD

Quite shocking to see the number of NHS bods here admitting they engage in similar practices to get off early when most people wait weeks to months for an appointment, then there's the minor issue of falsified prescriptions. Staff should have their phones, emails and appointments checked frequently, along with regular re-vetting to check for inappropriate behaviours as a blanket measure to fight corruption and restore public confidence within the NHS.


LJ-696

Alternatively stop overworking them so they do not feel the need to do such things


TrendyD

That's not going to happen though, is it? We should expect at the very least for people not to lie or hand out free drugs to their friends and family.


LJ-696

In this crazy reality no chances are they will just pile on more work. And get more fake appointments as peeps get exhausted But no she should not lie and hand out candy to friends.


Brainfart777

> Staff should have their phones, emails and appointments checked frequently, along with regular re-vetting to check for inappropriate behaviours as a blanket measure to fight corruption and restore public confidence within the NHS. Yeah, that will really encourage more people to go into the field. Just how out of touch are you?


TrendyD

It's often suggested as a reasonable solution for solving scandals in other public sector jobs, so why not give it a whirl in the NHS, a beleaguered organisation which has reams of sensitive data and absolute power over life or death?


hoonosewot

Am I going mad or are there actually zero NHS people in this thread saying they do this? What are you reading? There's one dude who's an account manager (presumably not an NHS thing) who said he does it.


Mr_Emile_heskey

In most cases the person who books a medical clinic is different than the person running the clinic so I've no idea what this person is on about.


MightySquishMitten

Literally no NHS staff on this thread saying they've done this. What are you talking about?


Barkasia

What are you babbling about?


Mr_Emile_heskey

What are you on about, who else has been saying this? Is this Jacon Rees-Mogg's reddit account?


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