Remediable, as well as remarkable, maybe ??
How on earth does this save a penny ? I can see why an overburdened hospital should see the urgent cases first. And the most remarkable next.. and issue guidelines on cost-effectiveness. but unless you downsize and sack workers, how do you save money ?
GP Trainer's holiday analysis is plug-in. BUT THERE ARE NOT ENOUGH GPs. Not for years to come. So whatever global sum increase , GP practices MUST get non-doctor assistance, or throw in the towel as soon as the pension or the passport permits !
Ah yes, the physician/apothecary split !!
Goes back a very long way.For instance, in Bristol in 1775 there were 8 physicians, 56 surgeon-apothecaries and 3 druggists. NO CCG NOR NHS.
No-one lives forever ?
Well, not yet.. but if ... maybe
The beatings haven't stopped. It's just cnangeover time.
One opener of mine was "why are you here"
"Why are any of us here" came the riposte.
You cannot win. Lower ing the threshold to 3% log means you will refer 97 cases without cancer, for every three with. If you miss a case, someone might sue you. You will be blamed anyway, and all the patients you referred will all be asking you to expedite..
Stop worrying, and refer if the patient is worrying.
Dear Bob Hodges,
Can I be your fight manager ?
or to put PPV more simply - for every right action, how many wrong'uns must there be ?
Once upon a time your referral letters were read by the Consultant, who then accorded priority, and picked out those he would see in his next clinic.
Some patients waited forever, presumably because the specialist always found someone more urgent.
So waiting-list initiatives, priority clearing, waiting time directives, referrals management and guidelines have grown apace.
So much better isn't it (not).
Nothing actually new here, evidence-wise.
30 studies going back 20+ years were metanalysed. Women with AF had twice the stroke risk that men had. This merely confirms the inclusion of gender in the Chads2 and cha2ds2vasc scores, which OVERestimate current stroke risk. "Aggresive" anticoagulation should be offered when benefits exceed risks, as before.
Looking at practice sicknote records is likely to produce rubbish data. Surely no-one has the time to wade through the free text nightmare that most GPs write! Surely the DWP could get quicker more useful data by looking at its own computerised payout records ? Or is that garbage in garbage out too ?
When Will all these commentators realise how strong they are... the BMA can now negotiate from a high ground, and "no progress" is no problem.
Talk of mass resignation, imposition, and division is inappropriate. All the JDs have to do is threaten total strike the day any unagreed imposition occurs. Hunt the Cunctator has no practical political option but to come to terms.
About time too. The Strike weapon should not be used again unless Hunt imposes changes. Let negotiations now continue for however long it takes go reach agreement. Let the junior doctors get back to work in full confidence that they have unity, strength, and right on their side.
What's it called if you are forced to work a non-agreed imposed contract ?
Answer : Slavery
Dear anonymous, 12.45
Show your GP the NICE rivaroxaban guidance, and ask why he disregards it !!
We offered our NVAF patients rivaroxaban, and cut our one workload in half. The HB AND A WALES AWMSG cannot overrule NICE !
No problem on free prescription Wales !
Cbc = cvd. Not = nnt, sorry about predictive typos.