It was long before someone forwarded me this
" talk to patients? , listen? , empathise ?" - I'm sure this is how we all open our consultations, the point raised earlier was at th coal face, what are the real alternatives and quickly! All though some patients may accept verbal pain therapy, motivational chat etc there are a cohort of patients who attend spend an hour with a trained chornic pain therapist and come and say " what a waste of time , they tried to convince me my pain doesn't exist ", I do believe we are between a rock and a hard place as you are damned if you do ( give analgesia) damned if you don't (try dealing with the 'your violating my human rights doc as your letting me suffer in pain'
David has hit the nail on the head ... Those at the coal face understand the catch 22 of opioid prescribing .....try dealing with reattending " it's inhumane to leave me in pain" patients to such guidance, pain clinics just add to the problem at times.
Rob Peter to pay Paul.
It is clear that the finance will come from the GP magic money tree fund. This tree can spout large wads of cash at the will of the government, which directs the GP farmers association to regularly water and fertilise this tree.
@lostthewilltolive..... Interesting hearing this from the 'frontline', I would have thought given the shortage of doctors and fill difficulty... The rates would go up or be more lucrative in such areas ... But as with most of general practice appears not
There are some patients who may not be eligible to register as an out of area patient and will be advised by the practice if they cannot be registered:
Women who are or may be pregnant (If you are pregnant, NHS England advises that you register with a GP practice close to where you live).
Adults with a safeguarding need.
People living with complex mental health conditions.
People with complex physical, psychological and social needs.
People living with dementia.
Older people with conditions related to frailty.
People requiring end of life care.
Parents of children who are on the ‘Child at risk’ protection register.
People with learning difficulties.
People with drug dependence
On a serious note does anyone actually bother with reviews ... I couldn't frankly give a damn about reviews.. Ok if there is a recurrent theme and something the practice can improve on ... But a general moan and whinge on it we just ignore ... I pointed this out to CQC who has the audacity to mention a few negative reviews on NHS choices... I pointed out we did over 15,000 appointments hoe many postive reviews have we had for them ?
Hi Dr ... Can I record our consultation today ? ... Yes of course ... Patient : ok I have 8 problems to discuss.... So your saying on camera you can't discuss my health problems with me ... That's disgusting
In my experience the the majority concerns about a patient's memory have been flagged by third parties Ie friends and relatives who bring in patients anyway. But if there is no relative avilable why doesn't the GP simply move in with the patient for a week to see how they get on with ADL's etc and then drive them to the memory clinic to formalise the diagnosis
10.51 that's exactly what I thought ...But then it swiftly struck me ... For every poor discharge , lack of medication, wrong medication, unfit to be at home etc etc there's only one person on who's doorstep this comes back to ... THE GP!... Forget getting the process right just let the GP clear up the mess
Excellent summarised article.... Fair enough we don't charge, but I still don't see why the practice should cover the cost of administration and the medium on the first go, OK a cd cost 20p but what if patients asks for it all printed ?
My take on replying to such petty complaints is if you spend more than 5 minutes writing a response the patient has won.... My proud record is a 3 line response.
I'm sorry I could not find an adequate reference from a respected journal. So Wikipedia it is;
Cloud cuckoo land is a state of absurdly, over-optimistic fantasy or an unrealistically idealistic state where everything is perfect. Someone who is said to "live in cloud cuckoo land" is a person who thinks that things that are completely impossible might happen, rather than understanding how things really are.
Much discussion about racism and no evidence etc , obviously this isn't something that can or will be proven against the GMC or an organisation unless it was clearly stated in some policy, email , memo etc ( highly unlikely ).
Perhaps an objecive start would be case analysis comparison. Dr X White committed similar misconduct to DR Y Black , Dr Y got struck off and Dr X got a warning type approach. Does race play a card in judgements made? I don't know because there is no 'evidence' but what I do know is I see decisions like in this article and think hmm interesting .
As per 11.39... Why have MDU committed when government hasn't or not it place. whats the hidden reasoning ... Or did was it to pull in the punters or keep the punters as it doesn't appear it's gone that way
.... Just speak to your GP before you dial 999. + a million other things to ... Just see your GP.
All comments spot on especially by lost hamster.
Most complaints are a load of bull and things you can't actually change and a product of the system eg gp appointments and waiting times etc & patients not getting what they WANT and not NEED.
I appreciate a complaint is a grievance but when this grievance is over-dramatised and baseless tosh it winds me up, sometimes I wonder if I should refer to the Geneva convention with the descriptions I've read....I was mistreated, humiliated and abused because I didn't get my referral for a 3rd opinion on my 2nd opinion type thing.
I used to spend ages worrying, writing a response etc. Now I just see it part and parcel of the job and try to deal with them with mimimum effort/writing as possible eg a quick call if possible . I may just copy and paste this article To the next complaint we get about appointment waiting times....:
everyone has a price ...name your price to work as salaried! ... BMA model ~60k full time ?
Is this any gp in a practice salaried and partners ?