Surely the problem is not where these patients should be seen it's that these patients don't need to see anyone. What are they going to get from the health service with a flu like illness or D+V?? Nothing apart from advice to drink fluids and take paracetamol which they can find on the internet. The problem is that the great British public can't cope with any discomfort or illness at all on their own
Perhaps she could explain how to be a modern Schrödinger's GP. Simultaneously reduce referrals but refer 100% of cancers at first presentation. Have excellent patient satisfaction scores but reduce antibiotic prescriptions (hint - they love antibiotics) etc etc...
I don't really understand the vitriolic response to this. If a patient is unwell enough to ask for an ambulance transfer for a patient surely you would know their pulse BP RR sats conscious level and temp so it's not time consuming to add up a score. It's not like the ambulance crews are all sitting around drinking tea. They need to be able to triage and use their resources I. The most effective way and anything that helps standardise communication is surely helpful . A deteriorating news score will help prioritise your patient - it's harder to argue with than 'they look sicker to me'
Errr sorry Dr Hunt we did want to be partners in the years following 2004 but the GP partners the time did not want us sharing the cash! Don't patronise my generation of GPs we were there! - the 2004 contract split the profession and now it's come back to bite the partnerships. Everything you say is true but it was GPs who decided not to expand the partnership model with the extra cash in 2004 and created a 2 tier workforce, and now we have the consequences.
Mandy Dingle completely and totally agree - GPs didn't want to take on more partners after the 2004 windfall - there were very few partnerships advertised, it was all salaried posts when I qualified so that's what my cohort took and what we came to expect. Then 10 years later when the money wasn't so good, people retired and the remaining partners started whining that no one wanted to be a partner anymore - well no you couldn't keep it to yourself in the good times and then expect us to share the burden when it got tough! If the partnership model is on the way out GPs are partly responsible for this.
Pharmacists only increase work for GPs - 2 patients go to pharmacist to try to self manage, first to buy some antisan stuff for insect bite, pharmacist says 'oh I can't sell you that it's infect see your GP urgently'. It wasn't infected. Secondly mum wanted cough syrup for snotty child 'oh he has green snot so he needs antibiotics - see your GP urgently'. He didn't need antibiotics.... This will be a disaster, it just opens up a suggestion to see a GP to a bigger audience!
Not entirely surprising when any infection is now sepsis, however minor....sepsis is a very specific condition defined as life threatening organ dysfunction caused by a dysregulated host response to an infection. ie it is not just someone poorly with a UTI or a chest infection.
Perhaps Wales should ban all non Welsh students from studying medicine at it's universities?? That should sort the problem right out.
If you want more a more practical job then remote and rural Scotland is ideal - we don't have enough practice nurses to do all this stuff so the GPs do it themselves, plus there are community hospitals with non bypass A+E departments all run by GPs!
Why are we being repeatedly lectured on this?? Pulse why 2 articles telling us off for not doing stuff for trans patients that we aren't even contracted to do for anyone else? Everyone should have access to sexual health screening but it's not GPs fault they don't.
Why must GPs do this?? Screening is national. The whole campaign to saving general practice is to push back against making everything the default problem of GPs. Why should we make an exception for trans patients?
Ha ha ha ha ha!! No
They just sodding come back!!! Prescribing 3/5 days instead of 7 just leads to an increased workload for the GP practice or the OOH service, so that's why we do it PHE or whoever is moaning about GPs this week....
It's pretty disgraceful that basically the RCGP took a bribe from a pressure group to help bully GPs into taking completely inappropriate responsibility for managing a complex specialist issue - when they should have been protecting GPs from this expectation
Yet still the official NHS advice is imploring the great British public to base their diet around starchy carbohydrates, it's crazy how long dietary advice has taken to catch up with the evidence. And still diabetes nurses are telling people to go low fat....
If PHE are really serious about people getting 150 minutes of exercise a day they need to be lobbying government and business for a change in working hours/long hours culture. Have they actually read their own advice - how can you possibly work full time and exercise for 2 1/2 hours a day, plus see your kids etc??? unless they want everyone to work as park rangers something has got to change and it is not a GP's responsibility it is a societal problem!