Agree with David Banner above.
How about this. 1 Stop all prophylactic antibiotics in animal farming. 2 Charge £20 for every course of antibiotics in primary care. This will really educate patients on when they need to go to the doctor for antibiotics or if they can wait and try alternatives like honey lemon turmeric. But , everything has to be free , like Smarties , even if it makes things worse.
How about this for an idea. Non medical providers run the PCN and GPs provide the medical services for the PCN on a fee per activity , like the pharmacists , dentists and opticians.
It wouldn't matter if we got paid per consultation. different rates for telephone, video, face to face, home visit.
Agree with carfentanyl. i will work less to keep my income below the threshhold. don't want to be targeted by conmen.
Why become a GP when we are told that a pharmacist or HCA can do the same job after attending a few courses?
And will all this advanced IT make our cancer survival rates the same as in Germany?
This will be important when everyone is a Locum. Because we won't just fit lots of extras and telephones on at the end like Partners do at the moment.
so no more urgent faxes to the pharmacy with a copy of the prescription needed now.
The evidence shows that in European countries with copayment systems, the survival rates for cancer are higher. Discuss.
Any model which supports unlimited work and unlimited clinical risk for limited funding will suffer a slow and natural decline. Every GP partner knows that.
How does a second referendum help the RCGP? It cannot predict the outcome.
I have been to 2 Colorectal cpd meetings recently and in both meetings we were informed that colorectal cancer survival is better in Europe. ie systems where copayments exist. Today I was in a diabetes cpd meeting and we were told that the percentage of diabetic people with good hba1c control is higher in Europe. People who are against copayments need to explain this. My hypothesis is that in systems where there is a copayment, the patients go to the doctor when it matters and don't just go for trivial matters. Secondly they seek to have a more healthy lifestyle in order to go to the doctor less. Leaving the health professionals more time to deal with medical matters. It isn't just about the extra cash. It alters behaviour when you pay for something. Now, it is upto to some Public Heath doctor to refute my hypothesis.But they need to explain why outcomes are better in Europe. Not just ignore it. And if it is just to do with the extra cash then so be it. Dont expect our grandchildren to pay for our healthcare.
Pulsepowerless. The figures are confusing because there might be more salaried doctors working part-time so the average pay would be lower. It would be more accurate to print pay per session for partners and salary doctors.
How does he know that 85% of cases can be dealt with entirely via online consultation? Was this data in a peer reviewed journal that i missed?
10 years from now is everyone going to have an online consultation with 111 who will then decide if the patient should see a real doctor who can examine a body? How will these doctors be trained if they have not examined hundreds of normal bodies to start with? What is the Endpoint of all this? How can a profession make its skills seem so worthless? It looks easy because it has taken years of practice. Time to go private and then patients can choose who they want to see.
I wish there were reciprocal arrangements for working as a family practioner in the USA. Nearer than Aus and warmer than Canada.
What is the job description of the Primary Care Director? And there is a Deputy as well.
Matthew keep us posted please.
I don't see my single handed dentist rushing to join a bigger group. That is because he gets paid for every piece of work that he does. And patients go to him because he provides a good service.
Dear Dr Madan, Doctors in the NHS (tax payer funded ) should be paid for providing a good service to patients. They should not get paid for just pushing paper.