A call to Trump and we'll have a yankee invasion of what was that - noctors? no,or do they call them physician associates straight from hameryka?
5000 is easy and he'll be the 3rd Tory in a row with that promise. They do say you get it right the 3rd time - or very wrong, for that matter.
CCG paid money to 5 practices in one PCN. One Practice did not get the money and CCG is unable to trace where it went !!! Finally, they've asked the GP to personally chase SBS about money 'given' with advice that 'there may be a parallel account to which your other surgery money may also be going'
Wow ! this belongs to that 'Believe it or not'
You are not allowed to do CCP antibodies for suspected rheumatism so you end up referring to a consultant that costs the NHS 15-20 time. A balanced view is essential to keep patients safe and the finances in line.
And then an assistant and a secretary and somebody to get the morning coffee please. CCGs know where to siphon the money out of the system but this time it will be at the cost of obedient GPs. They say, you have to play the game. In games there is only one loser- the patient or the GP.
Wasn't there a case where a GP was almost struck off for sharing religious beliefs and a Nurse was actually struck off for giving a Bible????
GMC and RCGP contradicting each other or at loggerheads????
As the only Practice that stayed out of the PCN, I'm glad there is Think Tank that realizes that the process was rushed and puts Practices and services at risk but in it's recurrent idiocy this Think tank does not have the capacity to 'unthink' it's follies and retrace it's steps or just delay the process till there is clarity. Retrospection is not enough coming, surprisingly, just a week into the formation of PCNs.
Kent IT can't connect a working VPN to a laptop in 4 weeks !!! Digital, my foot. Get some IT professionals from abroad first and or give the present NHS IT bums a 6 monthly refresher like Nurses need so they don't forget how to Wash their hands.
The wider view is that once all Practices are ensnared in the PCNs, in 5 years they will become colossal partnerships as those working in these organizations will not be able to function without the network. A few pennies here and a few there to keep the disgruntled and then comes the private listing and we can say yankee doddle doo to primary care.
Glad I did not join the PCN:)
2/3 the value is better than being offered 1/2 the value because your rent revision has been minimal. Properties in the area have doubled in value during this time but your market value is based on the rent reimbursed.
This will help only the connected and a..se lickers.
For every such mishap, there's one Tory politician sipping coco rum in the Bahamas. Let's vote Tory again in the next elections so these people with hideous genealogies and coffers can further denigrate hardworking people of this country.
My LMC Vice Chairman instigated a complaint after my Practice did not fail and 600 patients transferred to him (and the money accompanying it, of course) came back to me.
LMC at the time was negotiating with the PCT on my behalf.
Must say that for once, the GMC took a very objective view and chucked the case out when I informed them that a day after my contract was saved, this chap got up in the GP Meeting and actually asked an external speaker who would get my neighbouring Practice's patients if the GP is struck off. In the complaint it said, it had been independently verified by somebody in his Surgery.
I was a BME and he was not, so thanks GMC - you can be objective when you wish to but, unfortunately, you do also take BMEs to Practice to Panel if a drug addict refused excessive drugs writes-'this GP does not know how to treat British people'
Hope your attitude will change before the workforce collapses.
'Robodocs' the new season on Westminster channel.
For getting your VPN linked to a service laptop it takes 4 weeks and multiple calls. It took more than a hundred errors highlighted to EMIS 3 years ago and then I stopped counting as they don't know how to resolve the issue anyway and I have to explain to my Locums and apologize that I exist.
It is the best way to siphon funds out of NHS legally and this government is good at it.
Backtracking and apologies from this government - introspection is not their weakness.
If you have a skewed Carr Hill, it doesn't pay to join PCNs because you have to commit to do work for the full list but the peanuts which is the 14p is paid only for 70-75 percent of your patients. Additional services for the weighted out 25-30% is the Practices problem. I would say that those signing with lower weightage need to really think if they want that added 20-25% unpaid work - no OBEs here and the pennies not worth their metal cost.
After your next holiday in UK you may wish to choose a different destination in future:)
In the last few years we have of our own accord removed around a hundred patients. NHSE has to understand that it is not in the Practice's interest to have 'dead souls' on the list especially if they are young and reduce your weightage or have chronic disease that muck up your quality indicators. The government needs to work out some strategy instead of blaming GPs for every fart they get wind of. We are doing a good job despite all odds so stop scapegoating!
It would be sufficient if all BAPIO members and BMEs just stopped paying contributions.
For Practices with low weightage, the outcomes can be really serious as they will be expected to provide for their whole lists and pay for the 30% of pharmacists accordingly though they will be paid 0.14 p per patient per month only for the weighted population. Worth it? No, never. All you have to do is give up the 40-50 p given in your global sum to the provider who takes on your PCN DES and provides OOH. In our case it would be around 380 pounds per month for a weight list of around 3.3k
They must have a strong Federation sitting as scavengers in the wings with links to the local LMCs and CCGs.