So either they weren’t evidence based and should have been scrapped ages ago or they are and this is cost cutting? It’s ok, as long as a policy has great sound bites everything will be ok.....
Step 1)- explain to patient lab have erroneously declined to process test. Give them labs number and ask him to speak to them directly and find out who there to complain to and how they can arrange for him to repeat the test
Step 2) relax
As mentioned above since when do we refer for a procedure? We refer for a specialist opinion-which may or may not include operative management.
I saw an article about “the worst food desert in the UK” where the nearest fresh food “was a 30 minute walk away”. The fact that a 30 minute walk is seen as an obstacle is astonishing. Don’t get me wrong, I’m lucky to have a farm shop 10 minute cycle away but sometimes we need to say that too much of it is diminished personal responsibility.
Lots of patients think things work for them- homeopathy for instance. It doesn’t mean it’s anything beyond placebo. I’m not saying T3 doesn’t help just needs proof beyond “the patient thinks it works”
What a depressing story. We have an epidemic of drug overuse and GP's seem to be the only ones blamed.
I've been reading articles recently about endurance athletes getting hyponatraemia in part due to excessive marketing of "energy drinks" which encourages over hydration. Interesting.
Great article. I agree- condense the sun protection advice in to "avoid tanning". Some people will never learn though.
They are paid per appointment. A novel idea. Could work in general practice. Why don't we try it?
Yeah that's right mate. Just turn up at the local clinic stinking of a few ciggies saying you're addicted and they'll pay out cash money to ya can get a maccies and some tinnies in.
Researchers can say anything they want. It’s us that get our lives ripped apart by complaints. Remember there are lots of secondary care doctors out there saying “make sure to get antibiotics from your GP at the first sign of a chest infection” which somehow never makes it on to the clinic letter.....
I work as a GP and also GPSI in dermatology. One huge problem is that patients respect for a GP’s opinion is so low. I can see the same problem in both locations and suggest the same diagnosis and management but the likelihood of a patient accepting what I say in general practice is so much lower as to suggest they literally see you as an obstacle to seeing a specialist. What patients don’t realise, is GP’s are specialists, in dealing with early and undifferentiated disease and multimorbidity.
A drop in the ocean? It depends. If the required budget of the NHS is 101 billion but it gets 99, then 2 billion being spent on people with no right to get it is a huge deal.
Try getting care in another country free at the point of use and see how far you get.
Its well proven we bond better and quicker with people of a similar ethnic background to ourselves. This is usually a by a tiny amount but over a large social interaction (which the CSA is) the net result will be a lower pass mark for those whose background is not adequately represented by the mock patients and examiners
I wonder what proportion of blood tests leads to a genuine diagnosis of actionable pathology
Appraisals are a useless waste of time that help noone apart form those in the appraisal machine. I did not say this on my formal feedback because I dont trust NHSE or any of the large organisations supposedly there to support us.
Quit. All of us. Then offer our services back via chambers at £150 an hour seeing patients at 15 minute intervals.
Until people start getting sued for overinvestigating, a much more tenuous thing to prove, expect it to continue
as per David Banner