What a con
Quite correct Pradeep. What about imdemnity and who will hold their contracts? If they are employed by the CCG or local hospital, then fine. However, experience shows that GPs will be expected to manage the contract and the associated risks.
Don't even go there. I remember St Paul as well. MDU and MPS have financial and organisational strength that simply cannot be reproduced by a start-up firm. If this "MDS" becomes insolvent, then the doctor will have to purchase "run off" cover from MPS or MDS for the period of time they were with MDS. You have been warned.
anonymous salaried @10:52
It is not "simples". APMS cannot be changed to GMS under current rules. In fact, no new GMS contracts are being handed out because they are not time-limited.
Then then 202 extra appointments get filled up with trivia.
I wouldn't touch a PA with a barge pole. I'd rather have a locum GP any day.
Message to new GPs:
Welcome to the dung heap. Prepare yourself to be plastered with dung from patients and NHSE. You must face this with a smile on your face. Pretend to enjoy the job.
Many practices are akin to cattle markets with "consultations" resembling fleeting encounters with the worried well, sick note requests, social problems and trivia. Until a monetary value is placed on a GP consultation it will continue to be abused and taken for granted by the DoH, patients and all other agencies who dump on us.
What? The use of a pharmacist or paramedic didn't prevent the need to see a GP? Who'd have thought it.
I have had past personal experience of a "noctor". Poor record keeping, misdiagnosis, missed QoF opportunities, low productivity, referrals to me : I can go on. Take my advice, if you are short of a permanent doctor, get yourself a locum or see more patients yourself. They end up seeing trivia that does not need to be seen by anyone.
Management training for GPs would be a great step. Many GPs are struggling to manage their practices in the modern world with numerous well-organised threats from CQC and the like.
There will be no "savings" once the cost of doing it are taken into account.
Owner-occupied premises have been the best value for GPs and the tax-payer. I will NEVER move to leased premises.
The BMA "looks" at doing many things but ends up actually doing very little. The reason given? "This would play into the Government's hands"
When patients plonk themselves in front of me expecting me to do something, what else can I do? Until a GP consultation has a visible monetary value placed upon it, the masses will continue to use it as a dispenser of sick notes, counselling referrals and reassurance.
Increase pay then claw it back with interest by means of tax rises.
Spot on Know My Limits. This is an example of the hijacking of diagnostic tools that is so prevalent these days.
If GPs are allowed to charge their list patients for non-NHS patients then that would open the door for them to gradually increase their private practice and gain financial independence from the DOH. This would result in an inability of the DOH to control GPs. Take it from me, it will never happen.
No doubt we will be subjected to a cascade of emailed diktats from NHSE which requests a read receipt. There will be a dedicated PLT monthly meeting on this. CQC inspectors will ask for evidence of implementation. Meanwhile, attendance rates at asthma reviews will be as poor as ever but GPs will still be blamed. Sound familiar?
I hope you're being sarcastic.
Noble intentions I'm sure. It would be interesting to know how practices deal with appointment letters from bowel cancer screening, breast screening etc. They would all go the practice who would then be responsible for chasing a patient who has no fixed abode and possibly no telephone. Any missed screening appointment resulting in harm to the patient may end up being the responsibility of the practice. Any practices involved who would like to share their thoughts?