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Independents' Day

Sam Everington

  • NHSE: GP practices may have to provide extra tests when referring cancer patients

    Sam Everington's comment 26 Jun 2020 10:54am

    Which is why every general practice should be resourced and supported to provide phlebotomy services.

  • BMA: GPs face ‘tsunami’ of extra work due to poor IT infrastructure in hospitals

    Sam Everington's comment 23 Jun 2020 1:17pm

    Resourced phlebotomy needs to available in every practice in the country along with direct access key aspects of hospital notes.

  • CQC will restart routine GP practice inspections from this autumn

    Sam Everington's comment 17 Jun 2020 5:15pm

    Dear Editor,

    CQC (Care Quality Commission), which is only found in the English NHS, costs £234 million a year (2018-19), the cost of a district general hospital every year. It costs the same again to the NHS because of the time taken to manage inspections. A CEO of an acute trust told me earlier this year that he spent 3 months managing a CQC inspection, this last 3 months he is working with doctors and nurses at the frontline saving lives and producing amazing quality improvements in the NHS under very difficult circumstances. The first rationing should be to the cost of bureaucracies and regulators, in order to ensure nurses and doctors are allowed to completely focus all their energy and NHS resources on patient care and recovering the NHS for those patients with non covid illnesses, including cancers, that have had their treatments delayed. The simple equation is 100 of millions of pounds spent on CQC or frontline services and saving thousands of lives.

    Professor Sir Sam Everington
    GP, Chair Tower Hamlets Clinical Commissioning Group

  • CQC will phone to check in with GP practices in England starting next week

    Sam Everington's comment 15 May 2020 10:21am

    The national finances are seriously stretched
    No CQC inScotland
    CQC costs over £40 million a year and far more to the system
    Very Senior manager said to me recently that they are now spending all their time sorting out the service to patients. For 3 months early this year they were spending all their time managing CQC
    CQC and other regulators have ensured a disproportionate focus on regulation at the cost of quality improvement.
    Change comes, yes from an element of command and control, but the great changes come from innovation and cooperation at the coal face. Vital that we maintain the energy of clinicians and managers working on the ground and do not go back to stifling and overwhelming regulation. Sam Everington, a commissioner for CHI, a predecessor of CQC

  • Coroners clash with BMA over death verification during coronavirus pandemic

    Sam Everington's comment 29 Apr 2020 10:58am

    In our out of hours service in the East end of London, video verification is used widely and speedens up the verification process by hours often, reducing stress in families. This is particularly important to our Muslim and Jewish population whose traditions requires burial within 24 hours. Our coroner has struggled to deliver this and engage General practice and the local community in coming up with solutions. I had one individual patient who in his terminal illness prepared all the paper work with the solicitor ahead of their death from asbestos related cancer. I sent all the details to the coroner ahead - despite this they could not turn it around in time for burial for purely administrative reasons. We also asked the coroners officer recently if the coroner could join the GPs on a webinar - no reply. As a Barrister and a GP, I find it strange that we have to remind the coroners to stick to the law and the importance in engaging with their local communities.

  • GPs wishing to return to NHS for pandemic caught up in red tape for weeks

    Sam Everington's comment 22 Apr 2020 9:51am

    Presumably Nhs England and capita can tell us the average time it is taking to process and the numbers they have processed. that would be more helpful than the general statements they’ve given

  • Continuity of care has worsened 'due to part-time GPs', says NHS England chief

    Sam Everington's comment 09 Mar 2020 10:18am

    What you also need is a resourced multi disciplinary team in each practice proactively managing the upto 5% of patients who are complex, housebound or terminally ill. This is the group that most need continuity of care from a clinical perspective.

  • CQC will not cancel GP practice inspections despite coronavirus

    Sam Everington's comment 04 Mar 2020 7:04pm

    This is completely unacceptable and unsafe. Not only is this the most challenging winter in the NHS for years, but managers and clinicians are all spending an enormous amount of time on managing patient and staff concern along with a substantial extra clinical and managerial workload. CQC should only be doing emergency inspections and ensure that it inspectors, who are often active managers and clinicians in the NHS, are back at the front line supporting good and safe patient care. All hands on deck please.

  • If you disagree with the RCGP's assisted dying decision, make your voice heard

    Sam Everington's comment 26 Feb 2020 5:40pm

    Clarification: I sent this article to Pulse as a personal opinion with just my name attached. This article represents my personal opinion and not the opinion of my CCG or any other body I sit on or represent. Best wishes, Sam Everington.

  • NHS Property Services on why ‘a clean slate’ isn't the answer

    Sam Everington's comment 07 Feb 2020 11:19am

    “Every penny is reinvested back in the NHS”

    So please explain the bonus that was given to your chief executive - the biggest in the NHS


    “The biggest went to Elaine Hewitt, the chief executive of NHS Property Services, who received between £75,000 and £80,000 on top of her £220,000 salary”

  • CQC to reinspect almost 70 adult social care services due to report errors

    Sam Everington's comment 22 Jan 2020 3:20pm

    All of the providers should be financially compensated by CQC for the extra cost of an inspection caused by their failure. Also many medical directors of acute trust say this has been the most challenging winter in their living memory. Why did CQC not suspend all but essential inspections to ensure doctors and managers were focused on managing this crisis in patient care?

  • GPs must report deaths to coroners in writing under new rules

    Sam Everington's comment 02 Oct 2019 10:53am

    Can we please have a standard template/letter in Emis and other IT systems that populate the letter and reduce workload. Emails are as old fashioned as writing letters. Template/prepopulated communications substantially reduce workload.

  • GP settings in medical school imagery 'significantly underrepresented'

    Sam Everington's comment 08 Aug 2019 4:39pm

    But it is not just about the pictures. It reflects institutional bias against primary care to the detriment of patient care. Too much training in medical schools has not changed in the last 40 years. This make it not fit for purpose now let alone for the next decade, when major changes will come through innovation, technology and artificial intelligence.

    PS only 5.6% of professors in medicine are primary care.

  • RCGP withdraws invitation for Julia Hartley-Brewer to speak at conference

    Sam Everington's comment 31 May 2019 2:41pm

    And these were the original comments I posted to Dr Woodall’s article

    You are rightly angry about the label that was attached to you but do you not think there is a problem when you attaching a label of fascism to someone, when fascism is something we associate with Hitler and Franco, people who actually murdered millions.

    Do you think your article exhibits a certain amount of hate for someone and have you never said anything that Julia has said that you would be embarrassed about? There is much more to every person than one thing they have said.

    Hope that you are not this judgemental and unforgiving with patients.

    I get hurt frequently. That is what free speech is about, not just hearing the nice things.

    Finally if I was the RCGP, I would would invite you to this years conference to do a presentation and then questions and answers.

  • RCGP withdraws invitation for Julia Hartley-Brewer to speak at conference

    Sam Everington's comment 31 May 2019 2:37pm

    The end of freedom of speech. This is no different to the no platforming that is going on at universities.
    How many of the 700 signatures actually researched Julia’s comments rather than responded to what they were told about them by Dr Woodall.
    Good science is about listening to all voices and all the evidence and being a good GP is about not being judgemental.
    How does this fit in with your acceptance of large sums of money from someone who already believed in homosexuality (I call it love) being a criminal offence.
    Is this concern about the loss of membership fees.
    And finally what do the vast majority of the members think rather than the 700.
    You could have invited the petitioner onto the platform - that would have been fairer.
    And did you ask Julia to respond to Dr Woodall’s comments.

  • Why I'll leave RCGP if Julia Hartley-Brewer speaks at conference

    Sam Everington's comment 21 May 2019 2:53pm

    You are rightly angry about the label that was attached to you but do you not think there is a problem when you attaching a label of fascism to someone, when fascism is something we associate with Hitler and Franco, people who actually murdered millions.

    Do you think your article exhibits a certain amount of hate for someone and have you never said anything that Julia has said that you would be embarrassed about? There is much more to every person than one thing they have said.

    Hope that you are not this judgemental and unforgiving with patients.

    I get hurt frequently. That is what free speech is about, not just hearing the nice things.

    Finally if I was the RCGP, I would would invite you to this years conference to do a presentation and then questions and answers.

  • NHS 'losing a grip' on cancer screening as rates hit 21-year low

    Sam Everington's comment 13 May 2019 2:23pm

    When there are local contracts in place with general practice that ensure a personal follow up by a person’s primary care team, screening and immunisation rates go up significantly. It would also help for schools to require certificates of immunisation before entrance. Please note that a certificate obtained from a health professional could be signed for a conscientious objector.

  • Matt Hancock’s vision for IT is the worst idea I’ve heard in a long time

    Sam Everington's comment 23 Jan 2019 12:43pm

    It would be helpful to have hardware that matches what we have in our home life. Seeing two screen would be helpful and a microphone, loudspeaker and camera, rather than the basic dell that we get supplied with.

  • NHS England's flagship GP time-saving scheme frees up '120,000 clinical hours'

    Sam Everington's comment 10 Oct 2018 11:11am

    I work in a practice of 13,000 patients and am often on call for the whole practice on Monday and Friday morning. It is unusual to have more than one visit for the whole practice and I do virtually no paper work, repeat prescriptions or complex multi drug reviews. We never believed there would be 5000 more GPs and in fact the national focus on this reduced focus on coming up with other solutions. There are three things that have changed my life in the last 5 years. 1) a prescribing pharmacist that does most of the paper work and repeat prescriptions, 2) a nurse practitioners that leads a monthly multi disciplinary team meeting that proactively manages the top 5% of the practice population that are very frail and terminally ill and 3) the ability for me to see instantly all the important hospital information and for hospital doctors to see my notes.
    There is clear evidence that you could reduce the work of GPs across the country by at least 50% with new models of care and skill-mix, the focus on 5000 GPs takes energy away from solving the problem in other ways.

  • NHS England denies direct involvement in Babylon's GP at Hand app

    Sam Everington's comment 29 Jun 2018 1:03pm

    20 years ago the system was changed so that GPs could not take a patient off their list, except in exceptional circumstances.
    Now we have a system that enables a practice to indirectly reject the majority of patients who have more than transactional needs.
    We now know that social determinants of health and continuity of care are critical but GP at Hand encourages a focus on the biomedical.
    We now have a practice, that to a great extent, ensures that to those who have, will have more.
    We have a great confusion between Babylon and GP at Hand, exacerbated by the company. Babylon and e consult and harry longmans systems brilliant and transformative to General practice and secondary care. On the other hand, GP at Hand indirectly discriminating against the vulnerable in society and reducing the support to patients to basic biomedical transactional medicine.
    Sad to see all those senior leaders attending the Babylon party not understanding the difference, the very leaders who have allowed primary care to fall and close across the country. Primary care is not perfect and needs transformation although On IT clinical systems the hospitals are way behind. If you lose the essence of service to small communities out of hospital, as you see in primary care, the cost both in holistic care, health outcomes and money will be immeasurable. The five year forward plan understood this. It expressed the importance of supporting patients to have and manage their care in the community and was as revolutionary as the 1948 Act. But then the Five Year Forward view has all but been abandoned by the very leaders who party with GP at hand.