Complaints that I have received so far verbal & official were in situations where I have to say no which were based on Evidence based guidelines e.g. no to blacklisted meds for hirsutism ,no to referral early for infertility rx
Who pays me for spending 50 hours updating myself &,the hours spent writing it up on clarity toolkit & 2 hrs spent with the appraiser to tick boxes
Variation of weight in a day can be unto 8 pounds for various reasons
good practical advise
I get request at 5.30 pm or middle of the day when no appointments are offered that the patient need to see GP with in 1 hour . It is usually because patient has complained of SOB or chest pain , What do you do ?
train hospital doctors & gps to identify these patients
What about travel advice by practice nurses which takes up lot of their time .I am not sure if this ia a part of GMS contract ?
During summer I notice that lot of patients book in to see GP for antihistamines which are cheap as chips but they do so as they are eligible for free prescription .
What about GP consultation cost to nhs ?
As the clinical encounter is significantly reduced due to this contract this will have impact on trainees passing CSA .
Resulting in extension of training which costs taxpayer more money to train GP.