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Jan Harley Doyle

  • GPs write to CCG to say they are stopping all 'unfunded' work

    Jan Harley Doyle's comment 16 Sep 2016 7:49pm

    Isn't it about time the contract was made totally explicit? There should not be any 'grey areas'. Yet, over the years there have often been queries about what is and is not funded. I cannot imagine may other professions that tolerate such a lack of clarity.
    When we employ staff, their contracts are legally binding on both parties and CQC would jump all over us if they were vague and unclear. Yet the GP Contract continues to be ambivalent at best.

  • 18,000-practice set to close as GP partners hand back contract

    Jan Harley Doyle's comment 16 Sep 2016 7:24pm

    General Practice as we know it is 'on the ropes' and if we want to see quality primary care for ourselves and our family into old age, radical action is needed.
    I am fundamentally against the caring professions taking industrial action, but I am rapidly coming to the conclusion that there is little else that will make the 'powers that be' sit up and really listen. What a sad state of affairs...

  • Bringing kindness back into medicine

    Jan Harley Doyle's comment 16 Sep 2016 7:16pm

    This article really resonated with me. It is often the small acts of 'kindness' that make a huge difference to patients (and staff) at times of stress - or even just as part of everyday interactions.
    Random acts of kindness bring solace or cheer not only to the 'recipient', but also to the 'giver'.
    Who wants to live in a world where tick boxes and targets take priority over simple humanity.
    I fully appreciate that time pressures and ever increasing workloads can numb us into robotically doing our jobs, but my underlying principle (which I am the first to acknowledge I don't always achieve) is to treat others as I would like to be treated myself.

  • Can I allow access to a deceased patient’s notes?

    Jan Harley Doyle's comment 16 Sep 2016 7:06pm

    The comment made on 15/9 assumes the records are no longer at the practice. Notes of deceased patients are not instantly returned, especially if there is a Coroner involved. So I do agree with the 'experts' that a practice should have a policy and the legislation is pretty clear in my view. Unfortunately it does mean trawling through to remove any third party references and anything the patient explicitly requested remain confidential, but in reality I have rarely seen that documented in the records.

  • How we digitised our Lloyd George records for 60p per record

    Jan Harley Doyle's comment 08 May 2014 11:18am

    This is a perennial issue and whilst this is an interesting concept, I am curious to know at which point in the process the LG file is summarised. Presumably this is still undertaken at the practice, so I would have thought some element of sorting the paper file is required in order to facilitate summarisation. In the past we have looked at a number of systems available for record storage and/or digitisation, but none have been able to address the summary issue. If anyone has a cost-effective and IG compliant service available I would be very interested to hear details. (jan.harley-doyle@nhs.net)