24Apr
![Secret Diary (1)](/media/qt5pddmj/secret-diary.png?width=973&height=352&rnd=1da58d3ea4e6180)
As we recover from the last-minute QOF work to maximise income, we now move on to the new QOF year, and the challenges are just as intense, says FPM's secret diarist and practice manager.
5Mar
![Secret Diary](/media/czvefrvz/secret-diary.png?width=973&height=352&rnd=1da4308e6956240)
The new contract for 2024/5 has just been announced for the NHS and General Practice. The view on different platforms is… that it will make only a tiny difference to practices. I can't agree with that, though. In my view, it is going to make a huge difference to practices and patients, and we cannot ignore it.
28Feb
![Secret Diary (1)](/media/qt5pddmj/secret-diary.png?width=973&height=352&rnd=1da58d3ea4e6180)
There seems to be a lot of talk about how the NHS will look in 2044. This made me reflect, as it is exactly 20 years since I first joined the NHS and became a practice manager...
7Feb
![Secret Diary (1)](/media/qt5pddmj/secret-diary.png?width=973&height=352&rnd=1da58d3ea4e6180)
My hopes for a better 2024 for primary care have been dashed by recent announcements and events, and it’s only early February!
10Jan
![Secret Diary](/media/czvefrvz/secret-diary.png?width=973&height=352&rnd=1da4308e6956240)
To kick off 2024, our anonymous blogger and practice manager gives their thoughts on worsening financial pressures, vaccination campaigns, and the forthcoming general election.
20Dec
![Secret Diary Header Pic](/media/hocfbane/secret-diary-header-pic.png?width=973&height=352&rnd=1da3322233bb0b0)
Looking at what is in the news now concerning the NHS, it is more of the same...