can we refuse to be seen by non medics?
being mandated to take back responsibility for the ludicrous 12 hrly 7 day access is a poisoned chalice. We are fools to be bribed to take it on. We need leaders prepared to stand up to this nonsense. Where are they?
we were a pilot site for direct access physio and within a couple of weeks they had over a month waiting list so the patients chose to see GPs instead. we work quicker and cope better with the work load.
nocters don't provide a solution, we cannot manage GP work without GPs
EXCELLENT article. well said, and good to see lots of positive comments from traditionalists of which I count myself one. We need to defend this type of primary care which works well and wait for all the epiphenomena to evaporate when they are invariably found wanting.
I don't use emis but here in England it has a very good reputation in many practices. Why has it been pilloried in Wales. They should let practices stay on it and migrate at their own pace if they so desire. BEWARE managers forcing you to do something. It always ends in tears and they move those responsible to a new position and then deny any responsibility for the mess. Imagine if we behaved as badly as they do.....
now we know how lemmings feel
the simple answer is to do the simple stuff but quickly. noctors cant work at speed.
brilliant observation. Noctors are bringing a host of issues, and you simply cannot replace the role of GPs on the cheap.
where is the CQC in this. They will punish a surgery immediately for lapses but OOH is allowed to get away with unsafe practice going on all year. Our local OOH have loads of unfilled shifts and don't provide a safe service but got passed by CQC because their office paper work was in order. Honestly CQC should hang their heads in shame.
excellent! let the fight back pick up momentum. I am not convinced at all that there is much benefit in all this apart from the extra pharmacist. Any doctors thinking they will get worthwhile money will be disappointed. It will disappear in set up and running costs. Taking back the hub responsibility is a real poison chalice.
thanks still hanging in there. the story is that CQC shut it and it has reopened the next day and CCG are working with it to sort out issues of concern. We similarly failed our inspection due to serious flaws such as not washing the window curtains twice a year but only once. The doctors were also found to be putting patients in danger by drinking a cup of hot tea while consulting. (I kid you not)
Its important we know what brought about this sudden demise as we are all sitting on the edge of the same cliff. Can anyone out there add any more information? Checking the web site shows few doctors and plenty of Noctors. was this relevant? was CQC involved- we need more information, not least to give us ammo in our arguments with our local CCGs
could Pulse journalists please do more groundwork and find out what is going on....
sorry to hear that locum x. some of us partners love general practice, its just shameful that what was once the jewel in the nhs crown is being left to wither.
PCNs stink. I agree with D invader above that the money going into them will just pay for more noctors and make us liable to an ever more disparate work force doing odd bits here and there.
If I could I would not be a part of a PCN and would just carry on with GMS; seeing patients until this latest PCN effort was quietly ditched. WE will all find none of the money goes into doctors seeing patients in our practices but some of us will be spending hours on committees and planning meetings. What a waste of a useful medic
Thanks Kamal for defending partners in their vital role in the NHS. I am unusual in that I love the job and would not do any other. However all my stress comes from interference such as CQC and appraisal/revalidation. Could we not en masse refuse to do both of these on the grounds that we don't have time and patients are suffering as a result. It seems that our leaders are too craven to support this.
I'm sure her heart is in the right place. Its just that she sees it from the part time 'dabble doctors' view point where continuity and vocation are no longer at the heart of the career. I personally find this trend sad
A brilliant article that gets right to the most critical issue we face. Heartily agree with everything you say. Patients often worry about trivia and giving it 10 mins attention is encouraging dependency. !0 mins are fine for my generation of GPs if there is a mix of long and short cases.
the real fun starts when a shared employee gets injured or sues for some wrong and who then carries all the employers responsibility. PCNs are a recipe for confusion and conflict. I wish we could opt out and say just get 50% of the funding. Individually we could really control what we do and spend it wisely.