Responsibility for extended hours provision for the practices not engaged. That is certainly a reason to not engage.
anonymouse3 - they are not talking about reusing the same exact preparations. They are saying we could order the same product which is changed each year as normal to account for your antigenic drift. Not sure why anyone would use these now though with this new QIVc on the block. Lets hope they can make enough of it in time.
It’s genius in a way. They have worked out how to invest in primary care while ensuring individual practices don’t increase profits without providing additional services. Shame there won’t be many practices left to bid for this additional work.
Headline needs changing. There is a difference between buying and using. I'm not really sure how he can stop us doing either.
There is a big difference from a fax arriving with the noise+paper produced compared to an email which may just sit in an inbox and go unnoticed.
The idea is good but the actual QOF indicators seem a bit of a mess. This is sure going to complicate our recall system.
These indictors rely on good coding of moderate and severe frailty and that is not as easy as it seems.
There is a reason we don't just rely on our practice nurses and HCA - we pay them per hour. Partners do this work for "free", much more cost effective. We rely on this income to keep the lights on and to pay our locum and salaried staff. I'm not saying its right but it is the reality we are working in.
There is no need for talks.
Under any other government regime this would seem easily solvable in our favour.
Are we going to stop patients declining online record sharing then?
If we run out of the adjuvanted vaccine can't we just offer the quadrivalent rather than sending them elsewhere? Better than the trivalent they got last year...
I'm still not clear if they offer any sort of visiting service... Its great that people who cant leave the house can have a consultation via app but what if this group need to be seen face to face?
Honeymoon phase did not last long. Surely just this makes him the enemy of most GP's!
Such a shame we don't have the "correct equipment available" anymore...
Semiretired - I'm hoping to get to semiretired also and wont get there if keep doing more unfunded work. As a GP I wouldn't want my ears syringed for free, I'd expect and be willing to pay for microsuction.
Who is going to be doing this work? If its a role which GPs can do then we are suddenly going to loose a load more GPs from the coalface.
CCG spending 250K to investigate "financial risks to the CCG". Idiots.
Surely the messaging is all wrong on this. If we had money to invest in GPSI sessions in derm/diabetes etc then we could reduce our referrals in a positive way by giving better care at our own surgeries.
It is hard enough keeping partners as partners. I fail to see why anyone else would be willing to take on the massive risks this involves. Lease liability, redundancy costs etc.
What happens when the hub appointments are full?
The thought of having to ask people if they are over 65 or not is also causing me some worry. Asking for trouble. If you run a walk in system - have fun with this...
The beginning of the end of neoliberalism? Lets hope so. And the government too perhaps.