yesterday i called 999 for a patient with chest pain ?MI.
No ambulance came as they were all stuck outside A&E waiting to unload patients into a hospital that Mr Hunt has forced to cut beds to the point where they are 100% full.
Some of these patients will die. And he gets an award.
Repeat prescribing is a dangerous nonsense. we should prescribe drugs enough to last until the next appointment.
but that would not suit pharmacies would it ?
i frequently see letters from specialist starting a treatment and then i add it on emis and get a severe interaction warning. i then have to inform the specialist and the patient who never says sorry.
we have had software checking prescribing for years. they have a soggy out of date bnf.
it is not rocket science guys, but it is also clearly not a priority for hospital managers. after all there isn’t a target for it.
“ go and be a locum” if only a half of all the gps leaving age 57 ( the average round here) did that it would be a huge help, and perhaps far better than trying to get docs in from very different gp cultures.
Keeping experienced gp’s in the workforce by minimising irritations such as appraisal and stupid policy and IT changes, ie FGM policy 😱etc
Are doctors aware that the GMC is a registered charity? As such it has a duty to benefit the public and do good in a broad sense.
Yes really. !
Classic attempt to defuse situation and kick the ball into the long grass by Jeremy ****
The BMA needs to demand that he makes the changes he has the power to make - first of all the GMC needs to be told to reinstate the MPTS verdict pending the result of the appeal to which the GMC will offer no resistance. Charlie Massey looks like a ventriloquists dummy and he certainly is in this case, so he won’t have the brains to resist.
If Hunt fails to act then passive resistance is needed on appraisal etc. etc.
Come on BMA!
What are the BMJ or the RCGP doing about this? Is this the end of the idea of GP’s as i“ndependent contactors” Can we be told what the criteria were that EMIS failed to fulfil?
I don’t work in wales but if it happened in England I would pack the job in.
I work a few sessions in out of hours and also A&E as well as doing GP locums.
Hospitals are incredibly inefficient, with duplicated paper and computer records, huge amounts of time spent repeatedly logging into several different IT systems and recording rubbish such as ‘ no safeguarding issues’ and lots of staff sitting about having a chat or checking their phones. Hospital ‘managers’ and all consultants should be forced to spend time working in GP land. MAybe they would wake u and smell the coffee !
In Denmark surprise surprise they do it better. new gps just out of training have a centrally subsidised development programme with frequent meetings with peers. Now why didn't we think of that!
This is a knife at the throat of general practice.
Good practices have good access so that urgent stuff gets seen without delay. Many practices simply have too many patients per gp to provide a good service. More money ok, but i want to sleep at night. Our paymasters are right to push us on this. The best way of measuring it is already being done which is the patient satisfaction survey. Results show massive variation and access pretty much inversely related to patient list per gp wte.
Paul Cundy is one of the best of our leaders., and we need to take him seriously
SYstmone is on the other hand a really bad IT system that is completely unresponsive to GP needs.
THe only way to make them behave is to push them - hard by stopping access which they will hate.
So let's do it!
I normally worship you, and treat your words as gospel. So I have to take this seriously despite it going against my gut feelings.
But also my experience of work as a locum and out of hours GP. I find that in larger practices prescribing control is often very poor as are summaries. I worry that the idea that bigger size leads to better organisation s a myth. And surely human nature fits in with this because in a small practice doctors feel ownership. We know that if we put in a bit of effort personally we will see the results in better records and safer prescribing.
And then there is patient loyalty. Any brief look at patient surveys will show one clear result which noble wants to admit as it is inconvenient for the RCGP etc. Smaller practices score massively better. In our area the correlation is nearly perfect.
So please Des, admit what you are giving up. It may be ok for Glasgow, but it would be tragic if we all went the same way.
In oz and nz, if you pitch up at the ED with your backache or cystitis you get sent away with a flea in your ear.
So let's learn from them. 4 hour wait! No worries it's sorted.
Sorry hospital docs but Copperfield is right to point out that GP's are dealing with a huge increase in work that really we shouldn't be doing. Work that is caused by other nhs staff not communicating with each other or the patient, or not taking responsibility, or not doing their own work in terms of prescribing, sick certification, giving results of tests, arranging repeat tests etc. etc. This is often a consequence of the internal market and low morale in hospitals and the lack of personal contact between gp's and specialists.
So go on Copperfield, as usual you are spot on.