Dylan - Frailty services need have ALL the elements in - if you dont you do increase health resource useage - however if done properly they do work. Data from local pilots supports that. A larger scheme will have a proper evaluation.
AnotherGP - No but you can put in place care plans for such an occurance....what usually is missing is either a plan or social care.
GPs in PCNs and in ICPs need be strong and well led to all say no...you do it...only then will trusts engage. Those that are involved must where it is suggested say no.....not enough colleagues at all levels do.
So its GPs fault or eps fault not failure of hospital to act on own results??
Should just done it on a 10yr APMS contract with GMS funding and GMS regs....a local practice may have taken it on - or local trust
How does he intend to tackle the real reasons for GPs leaving - that is lack of resources lack of pay lack of support, failure to tackle the unwarrented left shift - ie dumping or work
well you dont have to visit....if we left shift human resources aka consultants into the community do you reckon that would stop home visits quicker...
This was d...what they mean is we will dump everything on GP...what they forget is a sizeable amount of their income comes from outside of the area...they may not get their way.
And then there is please chase these tests Ive done - both in and out patients
My guess is they will direct CCGs to pay for it....
Another thought - I cant see capacity assessment for LPS is a diagnosis or an illness as GPs only required to manage them if ill in a manner they determine
Do not challenge this - do not look for funding - GMC advice is clear you have to be competent - GPs are unlikely to be so and therefore this will need be passed to those that can.
Yet another scheme to prevent GPs being their own boss.....so much for independence of PCNs
I wonder which trust she refers too. Care records are going to be a disaster for GPs I think - it will give the excuse for hospitals not to do letters at all but simply tell us to look it up...with that comes all sorts of medico-legal problems as well as workload dumping.
Oh well thats a loss of engagement that will cost the CCG dear.
formerGP.....nothing in my contract says I have to triage patients for hospital
The answer is more small practices..oh wait...although copying that small practice clinical model across larger practices (ie a clinical team of GPs Nurses etc caring for 4-6k patients like individual lists but not) may also be effective - just need someone to do it and write it up!
Just to correct the article North Staffs and Stoke receive above the NHS fair share allocation, the 4 South CCGs receive less
Not much of a threat.....work more or we take money off you for services you dont then have to do
Patients still entitled to an NHS appointment to diagnose/provide a management plan. I doubt if any CCG if challenged win on refusal for an out patient appointment. GPs are just that generalists and we do not know the ins and outs of whether a case can be made for individuality or exceptionality. After all they are procedures not consultations
So GPs shouldnt change it without expert advice...GPs shouldnt be prescribing then