Didn’t think this one through, did we Matt?
I suspect his mandarins will quietly point this out, and we’ll never hear about it again
Our referrals for these services are routinely bounced back or ignored , and if anyone makes it into the service they are discharged tout de suite. So our fall back position of doling out SSRIs, then being criticised for not referring, will continue.
The result of this study will be the usual league tables and graphs from med mgmt naming and shaming high prescribing GPs who will be pilloried again.
The real answer (which will not happen) is to ban GP prescribing of strong opiates, and force Pain Clinics who initiate these drugs to keep patients on their books under a shared care arrangement (similar to rheumatoid drugs).
So, so true!!
I’ve long marvelled at the patient concept of “a while”, which is clearly a specific measure of time that is common knowledge to everyone except GPs .
“When did your headaches start?”
“A while ago”
“How long precisely?”
“Oh.....a good while”
“Is that days, weeks or months?”
“Oh, longer than that, quite a while”
“Oh no, not that long!”
“3, 6 or 9 months?”
“Hmmm, not sure, it’s been a good while though”
We should give these people state secrets, not even the KGB could extract any useful information from them. Well, they might, but it would take a while...
Ban it or can it.
Sinister details lurk behind the positive headlines.
This contract is like an onion. The more you peel it, the more it stinks.
Re Gen Prexit
“Collusion of anonymity”- wonderful phrase, perfectly sums up the pass the buck mentality of the modern NHS, where continuity of care has been sacrificed for short term gain.
Spot on. The labels “cis” and “trans” are gradually being imposed on us by the trans lobbyists, despite the fact that they have fought hard to reject labels applied to them by society for years.
Plus, “cis” and “trans” are such ugly pejorative terms, if I wanted to label people I would suggest “classic” and “nouveau” instead!
And there are plenty more recruitment sinkholes around the UK teetering on the brink. The make do and mend approach of employing non doctors to replace partners is stretched paper thin, and 1 more retirement will topple multiple practices into the abyss.
Other than his ruinous obsession with IT as the answer to all our prayers (wrong, so so wrong), Hancock has exposed the hidden agenda of a nurse led Primary Care Service. Of course, this is already in full swing as older partners are starved out whilst younger GPs wouldn’t touch a partnership with a barge pole, giving practices no option other than to either collapse or employ more non-doctors.
There is the strong whiff of expectation lowering going on here. NHSE sowing doubts that this will be a whitewash, that we will all be no better off than before, then cheer us up with an indemnity deal that is marginally better than now expected, but nothing like as all singing/all dancing as promised by Hunt in 2017.
And when Mum drags their monosyllabic miserable son back in to surgery to tell you the online CBT didn’t work (hint- it never works), what is Plan B? Good luck getting CAMHS to see them.
Increasing antibiotic resistance led to an increase in cases of sepsis. If GPs miss sepsis they face GMC/prosecution/prison. Thus many GPs prescribe fig leaf amoxicillin as a career saving insurance policy against this.
If you seriously want GPs to prescribe fewer antibiotics, take the threat of prosecution off the table, otherwise expect more defensive medicine, more antibiotic prescribing, and more deaths from sepsis.
Don’t do them, never done them, never will do them, don’t care about fee, don’t care about anybody telling me I “have to do them”, I will never be forced, even with a gun to my head.
Now go away.
“It’s easier to see the Pope!”
“Indeed, you are correct, if not particularly original. I saw the Pope in St Peter’s Square doing his weekly multilingual blessing, just walked in, no appointment, easy. I’m FAR harder to see than the Pope. Now, what seems to be the problem my child?”
In 2017, when the dire warnings on spiralling indemnity costs were everywhere, Hunt cleverly booted it into the long grass by putting off the decision until 2019. Now we are here it is obvious there will be no meaningful financial support. Is anyone surprised?
Tick, tick, tick..............
Partnership means more and more work for less and less pay, with the added bonus of unlimited liability bankruptcy when all your partners skidaddle. It is doomed.
Lost faith?? Most of us have been DDRB atheists for a decade or more already.
If we’re including verbal abuse, surely the figure should be nearer 100%. Myself and many colleagues I know suffer this several times a year.
In terms of physical abuse, a disgruntled 70 year old swung a punch at me once (he missed), various bored youths have thrown stones at me, and my car has been frequently vandalised, but most GPs I know have suffered far worse. Sadly it comes with the territory these days.