Surely they would need appraisals and revalidations and evidence of 50 hours learning and reflection in the last year. What's that you say ? All that gumph isn't really necessary to practice good clinical medicine ?
Nick Mann , most of Europe has some form of charges for healthcare and on the whole their cancer outcomes are better than the UK. The free NHSers need to explain this fact not ignore it. Definitely it has to do with more money going into healthcare per capita. But I also think it has to be with patients behaving more healthily and using medical services more responsibly because of the cost. That means the medics are not overrun with trivia. Anyway that is my hypothesis. You may be able to explain it another way. Maybe someone from Australia can comment on if charges change healthcare seeking behaviour?
I suppose the question is , Does Medical Devices Regulation cover the use of AI in clinical decision making? Google search is educational. Do we know the sensitivity and specificity of the device compared to a trained human ?
You don't need more GPs anyway . I keep being told a trained pharmacist and nurse can do my job. So really the statistic quoted should be ' FTE primary care staff '
Katie it is refreshing to see someone young have such a mature view of the state of affairs. of course if it is free you ain't going to value it and you are not going to bother to learn the skills of dealing with minor illness. eg . Why are people advised to ask pharmacists for medical advice ? Just do home remedies like your grand parents used to. eg. Now I feel happy when a child sees me for an urti with symptoms since one week which was the norm about 20 yrs ago because now it is usually cough since one day and that is after seeing OOH the previous night. Everyone is so anxious now , thanks to the media and the NHS is free , so why wait?
Agree with Edwina.
It should be a clean slate because the service charge bill is not accurate. If contested in the courts it will be long and drawn out. Going forward ( or looking backwards ) the NHS should charge a set fee like say £3 per patient for service charge and make the rest up with NHS Property Services. Our surgery is seriously thinking of leaving our NHS Property Service Building and joining a neighbouring surgery to avoid future service charges . Repeat this by a few hundred and you will have lots of empty NHS buildings. Look at what is happening to large property companies with empty shops in shopping malls. At the moment I would not recommend a new GP partner join a GP surgery with NHS Property Services lease because of the uncertainty of future service charges.
Crazy idea. A list of high earners for all the fraudsters in the world to target. On the same principle of getting public money, I assume the government will be publishing a list of everyone who gets total benefits of more than say £10K per year?
How will people complain about a locum? Seems the best way to work now. And also stay below the £150K reporting rule and have more leisure time.
we have been doing these for years. better start getting paid for them in that case.
Won't need so many GPs anyway. The block contract means that it makes more sense for each GP to supervise a few non medical personnel to meet the unlimited demand and maximise income.
Why not send a proportion of the bill to the patient direct ( like they do in Europe). That would make more sense and require less phaffing about with PCNs but it would require more honesty from everyone concerned.
You could get value for money by linking pay to number of consultations and having some token cost to the patient so they learn how to self treat minor illness. PCNs will do nothing to reduce patient demand.
The British public ( or their politicians) don't want to pay a sum at the point of care unlike in France Germany Netherlands Spain etc, then they cannot really complain if there is not enough money for ambulances and doctors at the point of care.
It is a good thing my surgery has a block contract with the NHS and we will see all patients as often as is needed or wanted , regardless of if we have capacity in our surgery hours. We will just expand our staff and hours of working to accommodate any extra work sent our way because after all , we are responsible for all care out of hospital. Thank you our negotiators.
Our GP partners will not vote for any deal unless there is 100% funding for the extra staff ( not 70% ) because we now see that the extra staff will only have time for DES work , not GMS work.
On a wider point , personal General Practice with continuity of care will only survive if there is some form of payment per consultation. Otherwise might as well delegate everything to digital triage , non Partner workers and non medical staff. The really ill people will just go to A/E. It will be good for Part time workers I suppose.
At the moment we have a visiting paramedic service supplied by the CCG but I think it will end next year . It works very well. The paramedic can visit about 8 patients per day for about 40000 patients. The GPs don't pass on all the visits . We keep the palliative care and ones where the paramedic has been before and there is no improvement. Once the paramedic is booked out for the day then GP has to decide if to visit any further requests. The number of home visit requests is definitely going up because people are getting older and more housebound/ residential homes. What would really help would be if NHS England would fund a visiting paramedic per PCN. It would probably pay for it self in reduced ambulance call outs.
The job is fullfilling and interesting but any new recruit should understand that in this country , the workload and clinical risk are potentially unlimited and the tax burden is high. So if you want to work a couple of days per week and have a nice life then it is good ( but not good for the Health Secretary). If you want to be a full time partner/ full time earner , you may burn out, with not that much higher take home pay.
Don't worry. One social prescriber, one pharmacist and one physiotherapist per PCN will make up for the experienced GPs reducing their hours.
I suspect this hands off way of practising general practice can only survive when the tax payer picks up the cost of indemnity insurance. Funny that.