I dont...I refuse to accept this...ultimately I will resign
Any returned referrals with advice any conditions ccg decides are more appropriately treated in General Practice is automatically a breach of the GP contract
Perhaps they could do the same for secondary care esp around DOACs
No investment...no extra work...suit themselves
QoF is a series of outcome measures and needs be retained. Dont forget if it gets moved into GS we will be told you need do the work still
Think we should sue....
Prescribe non otc drugs or amts
Here's some ideas....GPs to stop prescribing specialist medication...dmards...psych drugs...anticoag...amiodarone....specialists to monitor their own diseases eg thyroid cancer....there that will make the system much safer....oh hang on hospitals are less safe....
Secondary care has the money....secondary care can do all the work...buggered if Im going to
Would help if trust contract was observed and enforced - I expect ,many GPs are issueing more due to secondary care dumping
Difference here Obi is the Parish councillors will have a vested interest it being very likely their practice
yes Bob I remember on another site....locally CCGs werent interested and when they were it was so didactic and underpaid noone did it
Anybody who needs an urgent GP visit is sent to hospital....all admission avoidance work is...well avoided!
To be honest this really means that Doctors cannot continue to work in the NHS as emergency practitioners as it appears that we will be blamed for system faults.
Fortunatley as a GP very little power from NHS managers
ACS = GP to do more work with less money that goes to the trusts for them to waste whilst they do less work for more money...
Supposed to be CCGs to commision therefore if not commisioned dont do
so in the urban midlands of scotland fine...rest can bugger off
Over my dead body - I presume they will just change the contract because at the moment this isn't possible to do without agreement. I also dont want NHS111 filling up my time with the dross or inappropriate work they currently try to get us to see
we havent any vanguard system despite this our referrals and a/e attendances have fallen
There are many things not least that they are more proacttive as practices rather than the intervention that has worked