RCPCH statement at odds with ENT advice
Fine for GPs - and staff?
HMG cock up at its best - BMA not helping. Or perhaps the treasury and DHSC should talk to each other!
Would help if font size had remained...and had it not been dumbed down!
council of despair - if they don't do triage it ain't going to happen now overnight.
I think the loo is the only place - no it has no phone but all patients do these days (so we are told). All other rooms are required daily, have carpet, cant be decluttered as no storage space - except corridoors = fire risk...so NHSE if you had sorted out a nice health centre in my town we wouldn't have a problem but jam tomorrow form them is no use. For the record - 5 sets of plans in my 16 years here - failed planning permission x 1, inital outline planning permission x1 followed by rule changes when CCGs came in so no we weren't going to be the carrier for that, redevelop own site, planning permission granted, NHS put caveats of extended access on rent so 1) not doable and would have been for ever even if no funding 2) required full planning consultation....now the council have pulled out the latest 1 wanting to use the land for affordable housing.
Well this will just ensure that GPs dont do more pensionable income
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.