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Sukhdev Singh

  • Meet the vanguards: NHS England's new pilot projects

    Sukhdev Singh's comment 12 Mar 2015 11:44am

    It's about time that Primary Care got extra funding to innovate and pilot changes to see if there is anything else that works.
    Otherwise, we carry on with the same old ...

  • LMC vows to block CCGs' attempts to commission primary care

    Sukhdev Singh's comment 04 Dec 2014 10:34am

    This whole "delegation" of PC commissioning is being rushed as the NHS Chief wants to cut management costs at NHS England.
    CCG's will not get the extra management support in to do PC commissioning properly, but they will be held responsible.
    Ultimately, this will not be clinicial led commissioning as the Joint Committee for PC commissioning will have a Lay Chair and non-clinicians making the decisions.
    So, why is this any different to the current CCG-LAT system?
    Why do CCG's think they can do PC commissioning without any extra managers?
    In Birmingham, the CCG's cannot even commission secondary care well. So, why pretend you can take on PC too?
    From 2016, CCG's will have to take on pharmacy, dentists and opticians. Then they will be more like PCT's.
    I was PEC Chair for 10 years in our PCT and have a fairly good idea of what it was like and what this is going to be.

  • GP chief inspector's practice set to deregister nursing home patients due to recruitment crisis

    Sukhdev Singh's comment 27 Jun 2014 6:31pm

    Dear Noddy Holder
    I am the Executive Partner at Bellevue Medical Centre. As such, I have been dealing with the media interest in our practice. I comment here to try and clarify questions posed and comments that were not correct. Not good enough acc to some replies. Perhaps I should not have in hindsight?
    BUT TO STATE CLEARLY: The practice is not Prof Fields practice. The decision taken by the seven Partners was a partnership decision...not Prof Fields decision. So, I am acting on behalf of my practice.
    I can understand that most antagonists of Prof Field want to make it a Prof Field issue, but it is not.
    So, I am not replying on Prof Fields behalf.
    I believe I have also said enough on the subject, so thank you all for your comments, but I will not be adding any more replies. I am getting caught in the crossfire from some unhappy GP's.

  • GP chief inspector's practice set to deregister nursing home patients due to recruitment crisis

    Sukhdev Singh's comment 27 Jun 2014 11:58am

    Like 99.9% of you out there, I am an ordinary jobbing GP trying to get the best for our patients.
    Deregistering patients is not new - we have rarely done it at our practice. The regulations do allow it, as pointed out by a Dr above in his "extract".
    Yes, we are letting patients outside our boundary know of our intentions, as advised by our LMC. We can then help them by suggesting a suitable local GP and that is it.
    The NHS is an imperfect system -so there will be problems for some patients in this. I try and limit this as best as I can whilst taking my practice and my practice team into consideration too.
    When I say NHS England local is supportive, their team contacted me to determine what was happening. My explanation was accepted as a valid right for a GP. I know patients have rights, but so do GP's - but much fewer and are tighter.
    Lastly, I don't usually read comments in Pulse, but did this time as it was to do with my practice. Hence, I don't reply as fast as some would like. I apologise if it was deemed late.
    We were offered a retainer fee to continue, but finance was not the issue. We would not continue with a retainer fee as the issue is about outside boundary patients and changes of working circumstances in our practice.

  • GP chief inspector's practice set to deregister nursing home patients due to recruitment crisis

    Sukhdev Singh's comment 25 Jun 2014 2:19pm

    some context:

    1. Patients outside the practice boundary are set to be de-registered, not just the home.
    2. No one has been de-registered yet
    3. The deregistering plan is a Partnership decision, not Prof Field's decision. He is one of 7 Partners.
    3. The LMC and NHS England are aware and supportive of our deregistering plan.
    4. Another large group practice is able to take on the nursing home as they are on their doorstep, so a planned handover is the plan. We have talked to this practice.All amicable.
    5. So, this is not really a big issue. Plus, it is within our regulations and allowed.
    6. Most of PC has a recruitment issue and workload is heavy for most...not just at Bellevue. The BMA is talking about most practices on the verge of imploding.
    7. Like other GP's, we are trying to do our best in the circumstances.
    8. Year on year cuts to the overall PC budget is a major factor in current PC problems.
    That is the reality so far.

  • GP chief inspector's practice set to deregister nursing home patients due to recruitment crisis

    Sukhdev Singh's comment 25 Jun 2014 2:19pm

    some context:

    1. Patients outside the practice boundary are set to be de-registered, not just the home.
    2. No one has been de-registered yet
    3. The deregistering plan is a Partnership decision, not Prof Field's decision. He is one of 7 Partners.
    3. The LMC and NHS England are aware and supportive of our deregistering plan.
    4. Another large group practice is able to take on the nursing home as they are on their doorstep, so a planned handover is the plan. We have talked to this practice.All amicable.
    5. So, this is not really a big issue. Plus, it is within our regulations and allowed.
    6. Most of PC has a recruitment issue and workload is heavy for most...not just at Bellevue. The BMA is talking about most practices on the verge of imploding.
    7. Like other GP's, we are trying to do our best in the circumstances.
    8. Year on year cuts to the overall PC budget is a major factor in current PC problems.
    That is the reality so far.