GP principal - 25+ years
I have absolutely no problem with such a service, which should offload trivia by the truckload from general practice. But it is not a replacement for GMS services and should not be funded as such.
I'm interested to see how long it will be before a 'service user' is unable to access a GP core service from this provider. At that point the GMC need to be involved.
Newsflash: The Carr-Hill formula is not 'out-of-date' - it was always rubbish. Hence the MPIG farce.
The 'small business model' of GP partnerships is one of the few things in the NHS that continues to function efficiently and at ridiculously low cost. Chuck it out at your peril Jezza!
So when do you drink coffee now?
I love the BJGP. It is the only journal that I can drop in the bin without opening, safe in the knowledge that I won't have missed anything worth knowing. I just wish they would print it on softer paper, so that at least I could put it to a good use.
As a profession we must resist the knee-jerk move towards easier (electronic)access. It will not reduce waiting times, it will probably do the opposite by doubling the work.
I will retire before I Skype.
Dear CQC. Please advise us what the cost of inspecting 28,000 establishments was. Do you think this represents fair value for money as the purchase price for one knighthood?
GMC: "Indeed, appraisal rates have risen steeply in all four countries of the UK since its introduction."
It's funny that isn't it - you make something mandatory and suddenly we all start doing it. Does that mean that it is invaluable?
Just how are you meant to do 50 hours of CPD in 20 hours? And 'reflect' upon it!!
Are we as a profession becoming completely 'dumbed down'? I have seen one case of flu this winter - yesterday. Many dozens of viral URTI's of course, and a few LRTI's, a couple of which required admission. Flu is flu, and a cold is a cold. We've been telling Joe Public that for years, but now it seems that even we have lost that distinction.
Scrap the 'frailty index', retire the 'Friends and Family test', remove all care home work from GPs, remove the processing of repeat prescriptions and most letters from GPs, scrap large chunks of the QOF (annual asthma check, RA review etc).
Let increased patient access mean 'getting an appointment during the day' rather than stretching the day into evenings and weekends.
Make 'working at scale' no more than an option, and encourage the 'cornershop model' of general practice.
Lifetime allowance and annual allowance on pensions is largely responsible for this trend.
Extra resources provided to prioritise minor/trivial illness.
Should we be looking at the bigger picture?
Back in the dim and distant past we were taught that diabetes was a diagnosis for life but that it could be controlled by weight loss. Now I see that the disease can be 'reversed' or even driven into 'remission' by calorie control. What a wonderful scientific advance.
We now have the somewhat paradoxical situation where a diabetic who diets can achieve 'a non-diabetic state', whilst an ordinary bloke can be labelled with 'pre-diabetes'.
Give me the old days when doctors just treated diseases.
NICE must have some of the best-informed, most well-educated fools in the country on it's panel.
It seems Dr Deveson has the inside track on Brexit. I thought no-none had any idea what will actually happen. Seems I must be ignorant.
I've beaten you to it Dr D. Exactly the phrase I used in the survey!
At last. Some software to hell me identify illness. Don't know how I've managed without it for the last 30 years.
The NHSE 'definition' of an MCP could succinctly be put as:
'to do what a CCG should already be doing'
...or am I missing something?