Had a nursing home call me urgently about a patient they thought had a UTI because the dipstick showed there was "specific gravity in the urine" 😂😂😂
So....As GPs we are unable to charge for any care we provide to these patients but we are expected to police payments for their hospital care???
With the size of some patient records now, it can often cost the practice money to provide full copies. I am pretty sure that the solicitors who request copies of records charge more for the single page proforma request than we can charge for using 2 reams of paper to produce copy of records. This is wrong. We should be able to charge for the time taken by admin staff to produce the copy, and also the time taken by the GP to check the records and remove third party information, (most of this is done after hours too) plus paper costs, photocopier costs and postage. This fee was completely inadequate nearly 2 decades ago when I resigned from the BMA in protest about their lack of action on this matter........it was £50.00 then and has not changed since, despite the fact that notes now are considerably more lengthy. I still cannot believe that the BMA allow this to remain unchanged.
Still making me laugh weeks later! This is my favourite Copperfield post of all time! Thank you for brightening my days!
Hope you worked out your STarT back score, and hope it helped with your recovery 😂
I saw a patient recently who wouldn't take ibuprofen as he'd read it caused heart problems ...........noting his heavily nicotine stained fingers I asked him how many cigarettes he smoked...... 40 a day came the answer ??? I'm not sure he understood the irony.
Love it! Laughed till there were tears streaming down my face!! 😂
Guerilla gorilla.....love it!
Speechless again at the fluffy, woolly nonsense from my own defence organisation ........referral to a doctor with expertise in sports medicine.......... This should NOT be done on the NHS. There are limited resources and wasting money in this way would be absolutely scandalous. By being asked to complete forms like these we are effectively being asked to take responsibility for anything untoward that happens to a patient during the activity in question, and we should simply be able to refuse to be part of this. As far as I am concerned the GMC and defence organisations should not be encouraging GPs to have any input at all and should be supporting GPs who just say No!
Neo99 totally agree with you.
Glad old Jeremy thinks it's so easy to diagnose.
Ivan, don't tar all partners with the same brush. As a partner I am losing seniority, MPIG, and the notional rent has almost halved (with a massive clawback too) whilst the costs for heating, lighting, telephones, postage etc continue to rise. All of our staff, including salaried Drs, have had a pay rise this year and despite practice income falling their salaries are secure. The same can't be said for partners who shoulder all of the financial risk and uncertainty. The salaried Drs in my practice actually have a higher hourly rate than the partners.
Patients with AKI are referred to secondary care, so should receive written information from secondary care......no need for GP to be responsible for this. What about midwives and health visitors doing the screening for depression and anxiety in new mums as they are currently already doing? Yes, I would also screen at the post natal check, but responsibility must not be passed solely to the GP. Anyway......I thought QOF was on the way out 😂😂😂
??2002?? Didn't know 14 year olds could go to medical school....or is my brain just addled after a very long day at work?
Dr Brigg.....I fail to see how this "weeds out who should never have been a Dr"..... I would not assess or treat a dental problem because I am not a dentist.... I would still describe myself as a kind, caring Dr.
This is not about health & safety concerns, being "inflexible" or about being a "highly qualified Doctor" or "far too busy and important" .....but about NOT being qualified as a dentist.
Christoph Gallagher......... This is meant to be a bit of fun..for entertainment purposes only....... Don't be such a stick in the mud 😉
Defence organisation woolly nonsense again. I can't believe we have to pay such huge sums for such ridiculous advice. We are not dentists. We should not have to assess dental problems, and we should not have to explain why we cannot treat a dental problem. The defence organisations should vigorously defend any complaints made in such circumstances.
Sorry...I exaggerated with a slip of the finger on my iPad.........should read a 12 hour day today (was 13 hours last Friday)
Hilarious after a 13 hour day! Nearly choked laughing......clearly my own fault....
Why do GPs "need to be on hand in A&E to deal with patients who turn up inappropriately" ? Secondary care should have the b***s to turn patients away themselves. There are not enough GPs to cover primary care, without diverting more to do this sort of "dirty work" on behalf of secondary care. Placing GPs in A&E will simply send a message that it's okay to go to A&E for all minor and trivial health issues because you'll be able to see a GP. Utter nonsense.