The problem is PCNs will not go away.
Because a few of our "entrepreneurial" colleagues see money and bark like dogs, without realising increasing turnover and work does not equate increase in profit or take home pay.
The you have the big players modality OHP virgin et al who are jumping all over it
Wow, words fail me
I wonder how much money has been thrown at this, that could have been used for front line care.
And 10 years? Where on earth is the pilot to show any evidence of any benefit
The issue with the frail elderly is that it is an extremely volatile state.
You can do the best proactive review possible of a patient, it still won't stop them being admitted a week or two later for an acute illness.
We cannot predict or prevent the future
I suspect if you asked GPs to records short clips of what they really think of the profession, they would contain more expletives than a Tarantino flick.
Reviewed a discharge summary today, elderly chap chest pain significant coronary artery disease found, for medical management
In the GP action box - someone had verbatim cut and paste the entire NICE guidance on secondary prevention for CVD. In a tiny font.
What pointless rubbish.
The issue with non medical prescribing is that it is give you almost full prescribing rights akin to a doctor.
What is needed is limited prescribing roles whereby non doctors can prescribe on pre agreed protocols , bit like PGDs , in very narrow scope, with regular audit and review.
If home visits were funded and resourced properly , I'm sure most GPs would be happy to continue doing them, although there are still issues around suboptimal enivrionemnt to work, lack of record etc and safety issues.
before I became I GP, I genuinely thought home visits would be rare, for end of life dying at home. I was astounded with all the "cough, dizzy, Gen unwell " crap
More chance of seeing flying bacon than this becoming a reality
Here is an idea
How about PHE/NHSE/CCG/PCN or whichever else organisation with time on its hands knock up some posters for our surgeries..
"this is a non-prescribing GP practice
We are not allowed to prescribe anything, for the risk of harm
We are however happy to do the jobs of others and talk to you about fixing you boiler, gambling problems, safeguarding issues or refer you to Prevent if you are a nutty terrorist, or listen to you moan about your terrible life.
Hugs and kisses, your local friendly GP"
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When I finished GP training 10 years ago there were very few partnerships on offer, it was either salaried or locum. Whilst a trainee in the north west, several of us didn't actually have a GP practice to do registrar year due to the sheer number of trainees . We were shoehorned in.
Everyone knows post 2004 contract and the money grew, the partners at the time didn't want to give up any extra slices of cake.
Two cliches come to mind
Swings and roundabouts
You reap what you sow
What a plonker.
He has one of those extremely punchable faces
Let's form a queue...
110K gross as average for a partner? Locums can earn this on a three day week
Talk about being shafted
I would want at least twice that amount to be a partner
Come on fellas you could have easily faked a signature and saved this whole fiasco.
Use some nouse
Oh yeah, Dr Dre
I'm no fan of Boris, but this article is just bad comedy with a very tenuous link to NHS in it hence can be pusblished on Pulse.
Must do better
It is both the convenience and cheapness, they are not mutually exclusive.
If no need to cook more time at home to watch X factor and dream of little Jayden, kayden or Wayden having his 15 seconds of fame. Or hit the pub.
This is the poverty of western liberal secularism.
Another GPs must do better story
Add it to the list
Load of cock and balls
Never whistleblow. You have nothing to gain and everything to lose. Managers are there for a reason, to manage such situations, not your job.
Best thing someone ever told me - there are no medals for bravery in NHS - this applies to everything whistleblowing, going the extra mile for a patient or colleague, taking risks I,e not refer etc.
Look after yourself and your family