Wrong: GPs don't supply: GP prescribe, Pharmacies dispense and wholesalers supply. MHRA control toxicity. Careful!
And how much consideration for inadequate resourcing is in the guidelines. NICE say it's a factor but it's not clear to me how much that stops the iniquity of 'excellence creep'.
I saw quoted 100,000 Dr and nurse vacancies currently. Sounds like the rate limiting step?
Saw the Director of Primary care in Kent this week. He knew nothing about it, had no plans. Noone knows much. Local Community Health Trust (nice DNs dysfunctional Admin) is denying access to anyone seeking details of their contract, KPIs or even the service specs. Joined up isn't it?!?
All our local spare GP capacity is working in the minor illness WiC. Much better conditions all round than OOH.
Eh?!? Nothing to do with GPs. They don't need to finds anything. It is no longer in their remit, they have no obligations after 1830h. And this has been the case for over a decade
Which would you rather work?
OOH, heavy, hard, unpleasant, risky, poorly paid, unsocaial hours, unsupported, unrelenting, unappreciated......
WiC, minor illness, appreciated, in pleasant environment, no visits, better paid, supporting 8-8, 7/7. On a sunday in 12 hours you might see 3-4 patients (locally been zero since april).
DoH/ NHSE should not wonder where spare GP capacity is: It is being misemployed. Out regional Primary Care cannot get anyone nationally to understand it.
Summer is the new winter. Black alert is the new red. Flashing blue lights is now obsolete? But don't worry £3.5Bn is now allocated to Community care teams, the PM said so. Only our Regional primary care director knows nothing about it...
Our local Ambulance trust was found, by the coroner, to have a blanket policy of refusing 999 to 111 request fpor ambulances. 32 deaths were attributed to the policy. NO ACTION WAS TAKEN. This seems small besides that!
PM announces £3.5Bn and this CCG Offers £20k. High level Policy purpose to coordinate Community Care with GPs and our own CCG is blocking FOII enquiring about existing Community Health Trust tender details, service specs and KPI (apparently there is no contract, old arrangement were just rolled over). Disjoint between grass roots and managers has never been so flagrant.
GP refer to outpatients; then it is best to let outpatients decide how they want to handle their workload.
Lets not divorce responsibility for the outcome from the person making the decisions!
Round us 3000 per WTE is normal and with right triage, hub support, visit support, multi-skill team and reception-navigation to right 1st time contact, it is manageable. This smacks of ivory tower divorce from grass roots! And it's a totally meaningless vote given workforce numbers.
NHS Digital considers 40 hours in 4 days part-time does it?
Dr Vautrey: ‘In many cases, those scheduled on part-time hours are still doing a full week’s work.’
I'd like NHS digital to do a its work a bit better.
He will not be missed. He has had measureable negative impacts, not least to early retirements, workload, regulatory burden, evidence free change imposition and waste.
The only organisation less competent is the Ombudsman. The only organisation more damaging to the reputation of the profession is the GMC. The only bigger bully is NHSE appraisal.
8-8 7/7 does not tackle workload. Quite the opposite. It takes key staff out of intense complex chronic management, into low uptake minor illness work.
CCG? Retention factors of significance are none of them in the gift of CCGs. Tell me which of these do CCG control: Regulation, GMC, indemnity, workload, ombudsman, CQC, complaints, NHSE hostility, appraisal revalidation, pay, pensions, work dump, constant reform, top-down diktat, social expectation, NICE standard setting, wait lists?
Hard to see how this would reduce demand, already at unrealistic levels. More top down diktat to tell us how to manage our workload by people who don't know what it is we do? Shall we manage the elderly chronic complex sick? Or shall we spend all out time on the worried well in WiC/ Hubs with ~50% appointments unfilled?
Wow: Ridiculous or desperate?
Regulation, appraisal, revalidation, NHS/ DoH/ GMC/ Ombudsman/ CQC hostility, workload, funding cuts, work dump, constant reform, top-down diktat, pension raids, paycuts, recruitment problems, indemnity, complaints, expectations, other nicer options. And 60 was the normal retirement age till recently, why make it sound surprising!