So the Health Secretary tells GPs - “Fax off”.
No faxing change there then.
I can give GP at hand a free evaluation of whether they are safe or not if it helps.
So....a consultant cardiologist suggests an expensive drug, but the GP overrules, fearing sanctions for breaking the budget.
The patient (hey, remember them?) is denied important treatment and rightly complains.
Who is going to take the blame (only 1 guess, please).
Ridiculous and fatuous nonsense, but the real agenda here is putting the boot into beleaguered GPs for not “controlling” their drug budgets.
Mad mad stuff. The GMC must have got hold of the Christmas sherry and necked the lot. What drunken demented dreck will they spew out next? Prosecuting doctors for gross negligence manslaughter? (Oh, hang on, that doozie was in last year’s Christmas cracker).
GMC - “Where’s our relevance, credibility and future ?”
GPs - “it’s behind you!”
When the super-duper, hi-tech, future-proof and failure-proof IT systems crash (as they do, again and again and again), then thank God for useless, outdated and obsolete fax machines.
Banning them is a ridiculous over reaction. The Health Secretary should either find and fund a 100% guaranteed 21st century back up system or pipe down and let us get on with the job using the meagre tools available to us.
Cock ups galore, yet NHSE refuse to strip Crapita of their contract. Oh boy, they must have been cheap.
NHSE are an utter disgrace.
Whilst I won’t shed any crocodile tears for those poor lambs at CQC, 2 wrongs do not make a right. But oh the delicious irony of hearing CQC bleating about bullying and intimidation- priceless!
Hope these pharmacists have rock solid indemnity or they will deeply regret this.
A real flustercuck from NHSE, who blame anyone but themselves for the pig’s ear they made of this year’s campaign.
If the DOH had the sphericals then they would BAN GP initiation of BOTH strong opioids and gabapentinoids.
Pain clinics need to be stringently monitored, and keep patients on their books if they choose to initiate, NOT simply discharge to GP with a “titrate up the drugs” letter.
A shared care protocol (like e.g. rheumatology drugs) would be sensible too.
The current Wild West free for all will inevitably lead to a USA style addiction disaster.
The DOH must act NOW!!
Recruitment crisis?? Must be Project Fear again, we’re awash with GPs desperate to become partners, new surgeries are springing up everywhere, profits are booming, and job satisfaction is at an all time high. The GMC should stop talking down the profession, after all, it’s never been a better time to be a GP.
If they want help, they will ask for it.
If they don’t, they won’t.
It’s called freedom of choice.
We’re not the obese police.
The balance between under and over reporting to safeguarding is being destroyed by zealous non GPs who will seize on a single line in a referral letter and report the offending GP to a disciplinary body for failure to refer.
GPs are used to making balanced line decisions in borderline cases, but non doctors who have done their Safeguarding training only see black and white, and refer each and every one of these cases.
The result is a culture of fear, so that now GPs are referring each and every borderline case, causing potentially dangerous serious mistrust between doctor and patient, and the flooding of the safeguarding team with inappropriate referrals.
When their department can’t cope, they will be forced to act like CAMHS, and simply reject most GP referrals, making a nonsense of the whole safeguarding system.
We still suffer from the delusion that all appalling cases of child cruelty could have been prevented, yet still demand the freedom to raise our children without interference from authorities.
But unless we want to live in a Police State, with children snatched away on the tip off of a vengeful neighbour, then we have to reluctantly accept that a few will slip through the net. It is the high price for living in a free country, but now the piggies in the middle (GPs, health visitors, social workers) are the easy ones to blame & shame when inevitable tragedies occur.
Is this really new?? Suspect we all do this any way.
If dieticians supervise and patients purchase the products (they’re not buying food, so it’s cost neutral) then fine by me. If they are truly motivated they will happily cough up for the products and stick to the programme.
BUT, if these products are put on (free) NHS prescription it will cost a fortune and eat up huge swathes of non existent GP time with barely any impact on the diabetic population.
The real world is very different from the trial world. As others have pithily stated above, the vast majority will fail to comply with their liquid diet, but the massive demand for these “free” products will decimate NHS budgets.
Why is this article accompanied by a picture of Harry Potter’s weird uncle? Do you have to be a wizard to figure all this gobbledygook out?
GP Winter preparation checklist
- invitation from Satan - check
- train ticket to Hell (1 way) - check
- 1 rickety handcart - check
- all hope abandoned - check
Right, I’m good to go, hope the rest of you are ready.
“The night is dark and full of terrors”
Re Paul Cundy ,
Bang on. The runaway train of utterly useless Vit D testing has been a total farce and a scandalous squandering of scarce resources. This pointless test should be banned in Primary Care, vit D should be blacklisted from prescription except in specific patient groups , and Secondary Care need to stop randomly testing then dumping responsibility back on GPs.
No additional funding to practices
Flu jab fiasco
Winter chaos (yet again)