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
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