1. Would the pharmacists arrange follow up bloods?
2. Would the pharmacist see the patient if side effects develop?
3. Is there any patient demand for bypassing the GP in this way? I can see the appeal with obtaining viagra over the counter but statins?!
Klavio | Doctor in Training24 Jul 2019 6:06pm
I for sure will give a crap to UK and will leave the country for good, once I pass this Crap exam.
Care to clarify this comment about your intention to 'give a crap to UK'? It sounds incredibly disrespectful and hostile.
Introducing a MRCP-level of rigour into General Practice would be very beneficial for GPs and patients alike but two major problems with this:
1. The sheer amount of time taken to perform a thorough examination would demand an extension of the 10 minute consultation.
2. MRCP only pertains to medicine!! How would this qualification assess a GP's competence in dealing with cases based on O&G, gynaecology, paediatrics, mental health, orthopaedics, general surgery, ENT, ophthalmology, etc, etc? Put a vaunted medical consultant in a room with a child, a pregnant woman, a woman with period problems, a bipolar patient, a patient with an ambiguous skin lesion etc, etc and see them squirm.
Clearly Lyme needs treatment from the clinical point of view. But also in terms of potential patient hassle over refusing antibiotics, you'd be crazy not to treat as Lyme generates fundamentalist passions in patients even more than thyroid disorders.
RCGP cautiously endorses chaplains in GP practices
To read out the last rites to General Practice?
When Dr Jones talks about experienced GPs finding it untenable to report to a non-clinical junior manager, I presume he is referring to GPs working for health boards in Wales where beleaguered partners handed back their contracts with the list then being passed over to the health board. This is a dreadful prospect. At least for partnerships, there is some autonomy. If GPs go the way of consultants in being placed under non-clinical managers, this ignominy means there will be very little to recommend the specialty at all.
This comes after NHS England chief executive Simon Stevens claimed last week that the greater use of technology to deliver GP services will encourage part-time GPs to take on extra services, which will help mitigate the effects of the 'inverse care law'.
Isn't the inverse care law that the poorest areas have the worst healthcare access/outcomes?
Which areas are more likely to access digital healthcare? Deprived/poorly educated or affluent/IT savvy?
d in vadar | Locum GP14 Jun 2019 3:34pm
don't sign the contracts at all - they are a bad deal - you don;'t have to sign, it will cost you dear and dump you with the OOH responsibility at the end of it with no guarantee of any extra funding after 5 years, it will fall apart, the network will then be sold to a private company and patient services will be cut drastically. your are bonkers to sign
Think you're right about the schemes going on at NHSE but if there is any attempt to dump OOH back on GPs, everyone will simply withdraw from the DES.
For my practice at under 6,000 patients it's worth 8k net (figuring in the partially recycled money from extended hours) and a 3 sessions pharmacist.
Nice, but hardly a massive amount of help, and therefore it can be dumped if needed.
So collective punishment by the CQC not only for the unlucky GP but also their colleagues!
In addition, the notion that every GP surgery can possibly have a 'system' or policy for every conceivable medical topic is nonsense. Clinical safety rests primarily on the skills and judgement of the GP as they go through their day making hundreds of measured decisions. There cannot be a formal practice policy to consult for every one of these decisions, even if a single GP were employed by each practice to do nothing else except write policies all day.
The NHS pension scheme is rapidly losing all credibility.
Never paid into the NHS pension scheme. Initially because as a junior doctor I needed all my money to pay the household bills, now because I don't trust that the scheme won't be endlessly whittled down over the next 25 years and lastly because of the private sector clowns/chums of the government currently administering the scheme.
I have one rental property and am planning to build a portfolio, albeit probably a modest one, as my retirement plan.
Apart from homeopathy there is an amazing list of drugs banned from prescribing on this list, e.g.:
Cabdrivers Diabetic Linctus
Dove Cleansing Bar
Dr Brandreth’s Pills
Dr D E Jongh’s Cod Liver Oil with Malt Extract & Vitamins Fortified Syrup
Dr William’s Pink Pills
Which GP in the history of the universe has ever prescribed these products?
Incredible resilience shown by the fact that she still wants to practice medicine in the UK.
Truly bizarre that GP practices should be lumped together with opticians/pharmacies/dentists. Their funding is a mixture of private and NHS. How can they be lumped together with GPs? Do they have contractual obligations analogous to GPs which forces them to join PCNs or will it be voluntary for them, in which case GP-led PCNs will have a nightmare coaxing them in.
Either this is an unintentional dog's dinner or part of a masterplan to aggregate healthcare services to make them easier for private healthcare companies to buy out.
Can't imagine the Sultan wearing a scruffy tweed jacket with leather elbow patches so perhaps he should voluntarily reconsider his position on sartorial grounds.
In all seriousness though, while not being a fan of protest politics, the policy of stoning gay men to death isn't consistent with the honorary position bestowed on him.
I didn't realise GPs get London weighting. Is this correct?
GPs are not responsible for national screening programmes.
Isn't the prospect of a few hundred SSRI/loneliness reviews referred by allied HCPs not sufficiently enticing?
The GMC's competency tests involve a written assessment and objective structured clinical examination - and for GPs, they are also observed in a surgery simulating a real-life practice.
-Face a fitness to practice inquisition and be forced to sit the AKT and CSA again! Do the same fees apply?
Does anyone else find it interesting that the Welsh primary care clusters introduced in 2014 have exactly the same number of patients as the new English PCNs i.e. 30,000-50,000 patients?
This looks like Wales being used as a test ground for wider roll-out of the working at scale method in a very deliberate way.
Any potential for a freedom of information request off the back of these numbers regarding DOH internal strategy documents, which could contain more embarrassing strategic plans to euthanise cornershop GPs (a la Dr Arvin Madan) through the introduction of working at scale with Wales as a test ground?
Am I talking nonsense here or do my colleagues on Pulse think there may be any realistic mileage here?