So let’s go through these proposals....
1- “digital GP appts for all” - where are these appointments? On Mars?
2- increased cholesterol testing- guess who will be arranging and following this up?
3- children’s mental health targeted in schools.....who will say “see GP to refer to CAMHS”...who will reject referral
4- stroke scans - probably to be arranged by GPs
5- smart inhalers etc - ditto
6- Rapid discharge from A&E.....dumped on to GP when they inevitably need re-admitting.
The extra money will be gobbled up by NHSE to be piddled away on the vanity projects of 30000plus patient super practices.
Smaller practices will simply see a lot more work done by fewer and fewer GPs, who will finally yield when indemnity reform is fudged and superannuation rates go through the roof.
Happy New Year.
If the proposed massive hike in superannuation goes through, and the promised indemnity deal turns out to be the damp squib most of us are expecting, then the slow strangulation of small partnerships will be accelerated.
(“Procrastinating Paramedics”. Brilliant band name, think I’ll steal it)
The issue here is that if she snapped her NOF in her own doorway, as my poor mother did, an ambulance would arrive pronto. But crack one off in the GP surgery then you wait for yonks. You don’t exsanguinate any slower in the Quack’s waiting room.
All GPs secretly love their DNAs, they are the unsung heroes who daily rescue our sanity just when it seems a surgery will never end.
But there’s a special place in hell for the pseudo DNAs, who tease you into thinking they ain’t coming, then rock up 10 minutes late, insist on being seen, chirp “it’s quiet here today, doc” then witter on for 30 minutes whilst the waiting room fills up again. AAARRRGGGHHH!!!
I can’t believe they seriously want a 6.2% increase, practices will fold in their thousands. More likely this is a classic consultation ruse.......threaten us with a 6.2% rise, there is a hue and cry, then “negotiate“ it down to “only” a 3% rise........still outrageous, but you fool people into thinking they have scored a victory against you, when in fact you have rogered them.
“Now look here, there is no supernatural being controlling our lives, no heaven, no hell, it’s all just superstitious nonsense that you choose to believe to give some meaning to your empty existence rather than accepting the obvious if chilling fact that you are a tiny irrelevant speck in a cold universe ruled by chance and indifference, and you and everyone you know and love are inexorably drifting towards decrepit old age, darkness and oblivion.
So, may we have your kidneys please?”
Well at least Haemorrhoid surgery is still allowed!
And whoever compiled this list has clearly never suffered from CTS, nor enjoyed the relief of surgery.
“Save GP time”?? So we diagnose these problems, then when asked what we can do about it? Bugger all. Well, that’ll be an easy consultation then. At least we can blame the Suits and direct patients to their MP.
We still have verrucas pouring in, with parents bewildered when told there is nothing we can do. God help us when this lot is banned.
Just say no
If in 5 years time it can be demonstrated that this approach saves young lives, the of course it should be rolled out nationally.
But it should never come across a GPs desk, this is a secondary care issue.
Starve GMS to breaking point.
Feed APMS until unaffordable.
Merge to build the perfect beast.
So GDPR created more work for less money?
Fits perfectly with every other aspect of modern general practice then.
They’re not retiring because there is nobody to take their place. After piddling away thousands on unanswered adverts for a replacement, what choice do they have?
Dump your remaining partners in the mire by leaving?
Face Last Man Standing bankruptcy if your partners have already left?
Or plough on regardless, grimly accepting the misery of increasing workload and plummeting profits in a joyless job destroyed by over-regulation and infinite demand?
There is a chilling subtext to these irritating warnings. When GPs strays from the guidelines they can no longer claim to have been acting in the patient’s best interest. Those annoying flashing catastrophising pop ups and messages that we increasingly ignore will one day be the damning evidence used to hang us out to dry.
Don’t think for 1 minute that scrapped QOF monies will stay in your global sum. It will be “reinvested” in nebulous enhanced services that will involve far more work and inevitable drops in profits.
Good work Healthwatch England.
Some suggestions for your future research.....
Would patients prefer longer appointments?
Should we scrap prescription charges?
Should you be able to have instant access to your personal GP 24/7?
Would you like to do less work for more money?
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.