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.
I’m sure NHS England will be pleased for these “top GPs” running this “superpractice”
I can see both sides of the argument but taking it from another angle what is best for patient care and most efficient for the NHS? A GP partner working 6+ sessions a week and knowing his/her patients offers more continuity and fewer investigations, referrals and possibly admissions than a 4 session portfolio GP. If Scotland wanted to encourage partnership I don't blame them if (big if) they are using this measure.
Thank you for another interesting and well written article. It's refreshing to hear a fairly balanced discussion of UK vs Auz/NZ GP.
Re your 3 week wait - you of course have the option of changing practice if you're not happy. In my opinion, 2-3 weeks for routine problem and same day phone/surgery rv for urgent problem is not bad considering our under resourced system. More of a problem for me is the 5-6 month wait for physio in my area and 3-4 month wait for a routine specialist appt.
“Online consultations have doubled”....how will these measures do anything to reduce demand, they will soon triple. Does not interest me at all. Is there any evidence this way of working is more efficient or is what patients or doctors want?
Have had a few cases myself with vague symptoms, normal psa, abnormal examination and cancer picked up. What is the alternative to using DRE? At the end of the day we need a better test than psa in the mean time I will continue DRE...