I concur that Pulse is a useful organ for information dissemination! NHS England is wise to row back on this expensive delay process to try and reduce Secondary Care referral. Hunt was not impressive at Conference. Workforce issues were weakly addressed.
If Hunt is serious, then a Cross-Party Working Group to Fund a significant increase in NHS finance and a significant recruitment programmer is a minimum requirement.
Workforce numbers still very low and recruiting physician assistant grade is a poor substitute for a properly trained GP who are now shunning partnerships and long term commitment. One off funding is a serious weakness too! Tories re reaping what they have sown.Pity!
A and E is a litmus for all Primary Care workforce issues! 20 years of poor planning and resource allocation will take many years to resolve Even If there was the political will to fix this!
A reformed QOF system is appropriate! NHS England wishes to destabilise current GP deployment and discourage small GP practice. They wish to exploit this opportunity to radically change current GP services and encourage large federations employing locums assistants and relying on computer data to provide continuity of management not care!
Leadership from the BMA imperative.
This is potentially a significant action which may have far reaching consequences. Remember the fate of the Junior Doctor "strike"!This could be far more significant.
Short courses may be beneficial But risk of abuse must not be ignored.Controlled Drug ststus wise.
These findings will do very little to reverse the gross underfunding and workforce crisis in General Practice! Leadership issues are part of the problem But it is far more deep rooted! Until there is a step change in resources the General Practice component of NHS will continue to wither! Real Political Leadership is Urgently Required. Steve Fields is not up to the task!
Electronic communication helpful but NO Substitue for lack of G.P. numbers!A Distraction from the real concerns about Recruitment,Retention and Retirement Threats to a Safe GP.Service.
The thin end of a very sticky option!
Expect more examples of this type as "challenging practices" fail and become urgent problems.£130k is current going rate and will increase!
GPs need to work Smarter leading teams of professionals- nursing,pharmacists, physiotherapy,Social Workers, Occupational Therapists etc. 15-30in appointments dealing with Complex Morbidity! "Simple Consultations will be managed by Supervising Physician Assistants and Nurse Practitioners!We will be working as Consultants in Primary Care! Some will find this unacceptable and will need to make adjustments. Work Smarter NOT Harder.
Andrew Bamji is correct! Area Health Authorities were the template 35 years ago!
An inevitable consequence of years of under resourcing in Primary Care. Other areas will follow suit in due course. Uncertain whether adequate funds will be allocated eventually.
Workforce challenges are severe and protracted! Government policy over years has discouraged Family Medicine! Rigorous oversight of qualifications and language skills essential as well as an urgent recruitment drive.
Department of Health Hubris has consequences! After Hubris comes Nemesis and then Catharsis! ? Will Hunt "take responsibility " for this Chaos he has created or slide away " off the hook!"
All valid points! Standardized Discharge Letters , Minimal Prescribing and Appropriate Handover to GP are Essential Tools to minimize prescribing errors! Jeremy Hunt is not supporting Primary Care adequately!
Is this the same Ruth Carnell who was Regional Chief Executive in the very recent past! "They were only playing leapfrog!" Oh What a Lovely War!!
GP numbers will not rise significantly whilst increasing demand outstrips resources allocated. Blame game politics does not address fundamentals.
Electronic contact has a Very Limited role in normal General Practice and will increase pressure not relieve it in a very overstretched front line service. Effective consultation which is valued by patients Will Involve appropriate Examination as well as safety netting.
Kings College Hospital A&E have deployed GPS for years. This tragedy could have occurred anywhere. HHSE seems to be rediscovering "the wheel"with yet another Study!