GP at work
As a GP when I do medicine/surgery emergency referrals it takes 3 minutes on average
However a psychiatry/crisis team referral takes over 12 minutes just to give all the information they need
Most of this information they request usually can be obtained directly from patients
I think everybody ( including psychiatry/hospital colleagues)should be educated about pressures in GP surgery and how much can be realistically done in. 10 minutes time slot
I think the whole idea of 10 minutes appointments is misleading
Most of the GP’s work easily 30 minutes extra (unpaid)for every session. If we scale this up nationally it will be worth over several hundred million .
So first thing that needs doing is increasing consultation time for 15 minutes. After this they can then ensure all appointments are filled 100%
Good idea, but where is the space? Where are extra funds
I think partnership model is old and outdated and used to be good when there was no internet. New ways of working (sessional/online consultations) are way forward
If you look at CKS website g for any non self limiting condition it will direct you towards referring patients. This being the case , I can’t comprehend how the GP can reduce referral and defend it successfully if challenged.
Patient safety is paramount and should always come first not saving money
I have encountered similar situation
1. In ooh setting on home visits-driver can fetch it
2. In regular GP work
- neighbour/ family and friends
3. Perhaps in rural settings surgery should have a list of volunteers who will be able to step up and help in such situations.