What are the stats on hospital prescribing? They probably don't exist. We are being hammered on this what is the pressure on secondary care? The excuse that "there are sicker patients there" is not good enough, we all know antibiotics are overprescribed and durations too long there too.
An excellent article - many thanks
How much coal face clinical work has the chief inspector done in the last 5 years. If it's less than 6 sessions per week she has no right to comment on "pressures facing the sector". Get back to the front line and do what you were trained to do.
What about the wait for routine hospital appointments? 6 months plus I find and growing. Yet patients more likely to complain about the 2 week wait for a GP. Considering our funding and staffing issues we are delivering a better service and access than secondary care.
Dont believe the hype, you are correct see the below, what a mess this all is, needs serous action by the BMA not just more words.
Where is the evidence that a shorter course resolves the illness completely and reduces antibiotic resistance? What measures are being taken to reduce (IV and oral) broad spectrum antibiotic use in hospitals?
Another attack, feel sorry for the doctor who will likely receive zero support from the top GPs and managers at the CCG, BMA, RCGP, GMC etc
The silence from the GMC, RCGP and BMA is deafening - I hope this brave GP has received some support from tour “top GPs”
The study looked at over 50s but only 28% of total patients were over the age of 75 - despite this thresholds for over 80s are suggested to be decreased significantly.
On top of this, I'm afraid UK GP does not have the resources to do more diagnosis and follow up - the proposed QOF suggestion will not materialise
What does the RCGP and BMA have to say about this case? Probably not a lot.
Dr Syed shame there are not more like you at the LMC. You have hit the nail on the head with BMA failed tactics. Dr Annie Farell your comments are laughable - how do you propose we reduce demand, much of which is inappropriate?
NHS England will probably blame GPs for this mess
Agree with above but there are plenty of patients who will never follow dietary advice for multiple reasons. Do we give them a lecture and do nothing and wait for the complications which cost around £10 billion a yr (far in excess of the cost of meds).
The archaic NHS IT systems will not be able to cope. Even when it does the patient will probably miss the call and be discharged back to the GP to refer back “as per trust protocol”.
Sadly the “top GPs” at the BMA, RCGP and LMCs would not agree with the above views. Even something simple such as charging for DNAs (100 appointments a month in my practice on average) is deemed unacceptable.
A well written and sensible article. I agree with you but in bad times there are opportunities also for drs like you - there are still some higher earning practices in nice places to work eg fully dispensing, research income etc that would be good to join as a partner with little competition currently.
OBE on the way for this "top GP"
Thank you for this Dr Davies, have donated. Loved your comment on the crowdfunding page:
“This is hopefully more useful and more practical than going on a resilience course”
More than the college or bma have done for us.
Congratulations to this top GP (I’m surprised you haven’t titled him as this pulse)
Agree pulse please stop this silly “top GP” business which Dr Gerada’s fellow top GP dr Mavan was labelled as before his exposure.
The new trainee contract will not help reduce this problem as they have enough less realistic exposure.