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)
7 days isnt enough to get the letter to the GP let alone time to reconcile and weed out the dangerous prescribing done by hospitals Im afraid.
Advise ceo you will be invoicing for cost of doing their work for them
And where is the commisioned service for this?
When will NHSE realise it isnt just the money...actually enforcing trust contract would be a start
Dudley CCG are a law unto themselves anyway. For a lot of us we dont have a local hospital that is commisioned by our CCG - this makes it diffciult and ACOs are beiong formed form STPs - they are driving things now - Ive noted a few things recently that shoul have had Governing or Members approval that havent had that. For us it is all about 1 trust which incidently isnt the 1 my patients use!
Someone needs remind them of the Berwick report and the letter he sent after mid staffs..." make safety your number 1 priority..." It was Darzi that said you need do safety efficiency and patient choice in that order.....tbh if they all continue to decline registrations aa per contract nhse will have a bigger headache.
Fewer emergency referrals means more elective referrals..opposite true?
Ah yes...Dr Hall works in Guildford....Surrey has the 4 of 5 least deprived ccgs in the country
cant have convinience and continuity - just not possible...and if we had the budget trusts have got then we may choose to do things differntly...besides looking retrospectively at whether something could be done in GP let alone the contractual position isnt good reflection
If patient complains GP has no leg to stand on contract says you must issue and ccgs and nhse wont back you
Now all I have to do is link higher prescribing rates to lower numbers of GPs :)
It all means more work...full stop
Arent we all GPs with extended roles these days? - Oh but not outisde our practices...so it's ok to be a geriatrician or cardiologist or manage anticoagulation without accreditation in Gp but not out of GP...
Only if GPs are commisioned to provide such service
Refuse and let BMA argue in court...or get regs changed!
I never wanted to do it - since it's non contractual it is NHSE problem to sort and employ people to do it
So if payment is local then cant be in contract....and therefore can be refused
No appointments as dont deal with them like that
You need premises to be able to upgrade..as ever new builds arent happening