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
Turn out the lights - we have and we are - simply wont happen here if not all the ccgs of us agree
Well CCGs can always hand back delegated commissioning....
Mistake here is for GPs to be involved in issueing fit notes at all if patient appeals - if they do then the presumption should be unfit and save time for GPs to see people who are ill not simply to provide papers for the DWP
Given that all community services have a geographical restriction of where the patient is registered, they wont be able to access services as their host ccg is in London.
They wont be dead as removal is automatic via death certification
That's ok...consent isnt lawful
There will be an STP estates policy no doubt than means only 1 or 2 developments will happen in the whole of the county. This is how it is in my County and my area is not getting anything useable
Econsult analysis though suggests 70% need face to face....oh and increases contacts by 8%
Dont contract changes include something about looking at vaccinations? I see therefore the denegration and blame on GPs has started...
What proportion of those not referred had cirrhosis....study has answered wrong question....and what is primary management and has it been commissioned??
So GPs to take on the non-nhs work from non-gp providers because NHSE cant be arsed to commission proper non-GP services??
we have no idea whether crp testing increases chances of return...just in case...as well as the evidence being poor for them....clinically just as easy to judge and say no - but not a strategy that has been tested
Simply should be for GP initiated bloods only. Secondary care sort their own and GPs shouldn't accept transfer of work
My view is this makes it more likely you will regarded as an employee
Too simplistic a model over 65's??? Need look at frailty screen and do appropriate interventions...and have those available in the community
So they are saying it's dangerous? Good enough reason not to do it IMHO