NHSE answer to protest at unilateral imposition of new work: 'Don't work it doesn't actually mean anything... they don't have any role, function or responsibility'
Dear Heavens above! How useless and pointless can you be? Better not ask, as CQC, ombudsman, appraisal, revalidation and several tiers of NHS managers demonstrate the answer daily.
They wont get any of the under resourced and unstaffed DES obligations. That's better!
Local autonomy is incompatible with top down diktat
Supporting primary care viability by huge under resourced and unstaffed work dumps is an oxymoron.
DoH and NHSE either know this and are dishonest or are totally incompetent.
So now NHS Primary Care Director with a PCN DES, wants more home visits: Weekly visits even to the well in care homes!
Do they really understand the service they run so poorly?!?
Duty bound to seek this? I did not see any effort on the GPC part to do so.
My faith in senior NHS management, especial their primary care team, is poor currently.
If you promise autonomy and ability to saet local priorities, but micromanage and set London centric priorities, is that dishonest or stupid. While I'd like to hope they are not dishonest, the evidence really is stacking up that they really do NOT understand primary care.
Pension simply taken as salary when at the 62-90% tax threshold seems like a poor solution thought up by people who neither understand notr care. If a full career on 12 session gives £5k/ pa LESS pension than a 6 session career (when using scheme pays) you know the solution needs to be addressed at the fundamentals.
In a system atr breaking point, the time is more for a systematic senior review of NHS roles in relation to resource priorities. 'All things to all people' (and for free): When has that ever ended well? Political governance is currently in moral hazard (power without responsibility). And when did that ever end well either!
'Valiant' attempts to adress the problem? Or superficial ones? Addressing underlying fundamentals seem too expensive, complex and slow to be worth addressing with our political system as it is!
In a system at breaking point, piling on more stuff is not sensible. Complex specilaisted stuff even less so. Policy makers are demonstrating how poor is their grasp of how things work and what's going on!
NO! It is worong to say GP numbers have 'hardly increased'. We've had year on year decreases: Net 2000 less WTE since the promise unless like NHS digital you include FY/GPST! 50% GP retire early and many more are moving to part time.
I don't believe anything Charlie says. If he'll lie to parliament, why not to everyone else?
The 5000 WTE extra GPs: Yeah, only 7000 still to go!
(NHS digital can massage those figures if you like: Would you like FY with that?)
Flexible = opt out periodically = Loose 20% of pay and all death in service benefits....
Not a good solution. But Governement are not budging... so given that 3 day week career = pension £5k more per year than 6 day week working, I've thought of a better way ahead....
I'd put it differently: 'GMC has further seriously damaged an already bad relationship with Doctors and its Chief Exec has lost all confidence of the profession'.
Many LMC are alreay coorniting group actions. We are among them.
It's a scandal. I am also surprised that the National Audit Office spokesman is supporting arbitrary, extra contractual, unlawful service charges.
SO far PCNs see basic PCN forms and EH as the main items. EH as the ongoing burden.
Next year as the next tranche of obligations come online, we'll see if there's any capacity to do anything much above work to rule....
If our practice hands back the DES (PCN are a DES) I will be salaried to no one. This sounds like DoH revealing how little is understands GPC and GMS?
It is well understood by Kings Fund/ Nuffield Trust/ GPs that NHSE and DoH do not understand primary care. But DoH does understand how to offload risk and responsibility. Only without the authority and funding the 'offload' is cosmetic. I note that DoH are also experts at spin. Style over substance does not seem to bother them.
We are in (very slow) legal process coordinated by LMC vs NHS Propco. They are demanding manifestly unlawful charges, supported by the National Audit Office. Problem is that while arbitrary £30k/ year charges sound modest, it's been accumulating year on year during the legal process.
When short of key staff, and those are under huge pressure, the KLEAST sensible thing is to insist on underused low impact EH/ EA. The 8-8 fiasco is style over substance of a whole different order of magnitude than this. Though why CCG are involved with PCNs seems problematic on another level. Nothing to do with them how PCNs work!