makes a change from her blaming the tories.....
essentiality it's a contract against the very nature of general practice- sign up to lose independent control of staff, resources. Lose control of what to spend funding on. Managed and controlled at a distance.
fair enough- be most GPs would. The limiting factor often is patients who are unable or unwilling to recognise that they have an eating disorder.
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pfizer should perhaps realise that when you're in a hole you should stop digging.
June Andrews makes several unsubstantiated or inflammatory statements in a letter and seems surprised that GPs react negatively to them. e.g.
"Significant financial and emotional damage, and unnecessary disability can be avoided if you are told what’s wrong at the earliest opportunity and then take action to slow the progress of the disease."
In the case of dementia, harm could be caused by the trauma of living with a diagnosis for longer, or by being given a putative diagnosis of dementia which turns out not to be the case. There is little that could be done to slow the disease progress.
hang on now- are you treating the patients or treating the targets? Are you doing your patients any favours by referral to reflexology and osteopathy? if there is a long waiting list for appropriate care should you not be campaigning to get the service improved, not meekly accepting this? Good on the locums who you offensively describe as 'millitant' for not making targets the aim. The moral is as you point out that while you tried to play the target game all you get is another harder target.