Just like to point out that each GP practice will need to have a DSA with each provider that wishes to interact with their system
How about the a/e just do the work until such times as GPs can get the letter and act on it - ie they deal with their tests and the patient not expect GPs to?
I wish I thought pharmacists or anyone else was the answer to my practice problems....it cant be as still need minimum number GPs....and extra staff unaffordable if small
Safest is direct referral to 1 provider who then own the whole pathway....direct access for cancer is unsafe for reasons stated above
Yup - clearly not correct as CDs have toi be printed still
or the courts
You would need be bonkers to give up your contract.
Why is London more complex than say Bham or Manchester??!
Who the hell would want to work in a practice run by and to the rules of an NHS trust?
So how are they managing the conflicts of interest?
Why not just say no?
1% wont make want to change my contract....changes as suggested above may make me quit instead
Model isnt a take over...GPs retain the contract but then subcontract it to the trust who then employ the GPs on same salary...however they are employees of trust and follow trust rules otoh they are also still expected to do their previous jobs...hence the tensions....as for cover idea is to use post cct fellows to fill the gaps...and the gaps in the hospital by making the posts have an element of you can get somexexperience in other specialties by filling in where we cant recruit...supposed choice of where
Bad for GPs and trust....no you wont be able talk to RWT salaried GP without their permission
An STP proposing and accepting change for GPs must be helped and to do it in a sensible manner....why cant they all be like this?
Isnt it about time SU monotherapy was removed from guidelines for long term treatment - too much unsafe about it
Are they saying GP to certify safe...not on....or certify medical info....ok....needs a fee still
Pity there is or at least was when we scored it for investment 12 months ago no compelling evidence. So much wrong with this as CRP isn't absolute - I dont have time to do the test either. Since GP isnt the problem with antibiotics please stop beating us about it.
No doubt they will chnage the contract to ensure we must use it....no I doubt that
Perhaps secondary care should do the same, advise us they have done so when they tell us to start something (they forget we can decline)