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  • GPs set to diagnose Covid-19 face to face in 'hot hubs'

    DT's comment 02 Apr 2020 10:23am

    Woolly and dangerous thinking from the armchair generals.
    At best, a distraction from what we need to be preparing.
    Let us have the resources - including WHO standard PPE - that we need and get out of the way. Let us do what we do best.

  • NHS confirms first death of a UK doctor due to coronavirus

    DT's comment 30 Mar 2020 11:02am

    Actually I understand he was the third.
    Another ENT doctor died in London last week, and an Essex GP over the weekend.
    Meantime PHE downgrades PPE from WHO standards, and rather than giving us the best available they argue to give us the least they can get away with.
    The staff in supermarkets have better PPE than we do.
    Same goes for our hospital Colleagues, our nursing colleagues and our social care colleagues: nobody has the equipment we need to minimise personal risk.
    The Supermarkets clearly value their staff more than the NHS and government value us.
    It is a national disgrace.

  • GPs set to care for patients ‘urgently’ discharged from hospital

    DT's comment 18 Mar 2020 12:45pm

    This is basically a massive problem dump.
    ‘We haven’t sorted it out even though we have had decent funding and a number of years, so now we are going to dump it on horribly underfunded social care, community care and general practice to take responsibility.’
    This is the chickens coming home to roost.

  • Majority of GPs do not have sufficient coronavirus protective equipment

    DT's comment 12 Mar 2020 6:38pm

    None here either.
    The ‘fancy dress doctor’ outfit on amazon looks like it would be much more effective though.

  • GP practices advised to triage all online bookings remotely due to coronavirus

    DT's comment 06 Mar 2020 1:51pm

    It seems a weird compromise: presumably the 'online access' agenda is still more important to NK and NHSE than staff and patient safety.
    Operationally it is a dumb solution and difficult to implement.
    Temporary switch off is very clearly the obvious sensible solution.
    Lots of practices have already taken this step, and we have done it today. Be interesting to see how many breach notices are served, given the political sensitivity and the fact it is so obviously the right thing to do, I suspect... none.

  • GP practices must prepare isolation spaces for coronavirus, says NHS England

    DT's comment 29 Feb 2020 2:22pm

    Before we discuss that, NHSE, shall we discuss where our PPE kit is? Once you have bought and supplied us with enough kit for ourselves and our staff, we will consider your request.

  • RCGP urges patients not to contact GPs for coronavirus 'holiday cancellation' letters

    DT's comment 27 Feb 2020 8:46pm

    And yet Dr Rosemary Leonard suggested on 'BBC Breakfast' this morning (to a much wider audience than the RCGP will reach) that patients could visit their GP who would sign their travel insurance forms citing 'anxiety' as their reason for not travelling...
    The confusion and incoherence of the public messages being given out are unbelievable.
    People just seem to feel they can make stuff up on the spot. Words fail me.

  • Para-doctors will not save the day

    DT's comment 07 Feb 2020 7:48am

    Or... they could just fund the service properly, rather than blowing all their money in inefficient ways in hospitals.

  • NHS Property Services on why ‘a clean slate’ isn't the answer

    DT's comment 06 Feb 2020 2:34pm

    The point is that the time spent reclaiming money will cost you more than you will raise.
    Also, that the historical costs you are trying to make people pay are unjustifiable and largely made up - and GPs shouldn't and won't pay for services that haven't been delivered. My surgery was given a charge for 'gardening' when we don't have a garden.
    NHS Estates were, and largely remain, a mess. I sympathise with the problem you have inherited, but the solutions are simple.
    - forget unjustifiable past service charges, and compromise, perhaps by looking at historical charges before you started making things up
    - put in place reasonable agreements going forward
    - understand that the completely unreasonable massive hike in services charges wasn't just a way of making NHPropco break even, but a way of making it attractive for Privatisation
    - accept that modern service charges need to be individualised to practices and matched to actual real service delivery
    - then the NHS needs to pick up 100% of all service charges: otherwise every increase is just another enormous tax on being a GP, and will drive us all out of business

  • Health minister claims PCN service specification ‘will reduce GP workload’

    DT's comment 06 Feb 2020 10:59am

    This is all really quite deranged, or possibly hallucinatory: they are completely detached from reality. We have to stop enabling this by going along with any nonsense they throw at us. GPC are meeting this morning - let's see if they have discovered some courage or conscience.

  • The GP workforce's faulty production line

    DT's comment 04 Feb 2020 12:08pm

    Except... they don't really want or expect to get 6 000 new GPs. The failure to deliver this is aprt of the plan to say 'it's not our fault, then model has failed' and replace us with Apps and call centres and hospital-run primary care ('PCNs').

  • Jeremy Hunt appointed chair of the health and social care committee

    DT's comment 30 Jan 2020 11:50am

    So, we are expecting the man who promised 5000 new GPs and delivered a net loss of around 1000, to hold to account a man who is promising 6000 new GPs, without any credible plan for delivering them?
    JH’s failure to deliver on his promise should have excluded him from further health and social care roles - is there no accountability anymore?

  • Out-of-hours service suspended across city again due to GP shortages

    DT's comment 24 Jan 2020 12:36pm

    well done, Lostthewilltolive and all the other Glasgow GPs who have chosen not to continue to prop up a dangerous service. No doubt it is a combination of underfunding and poor management. But what is happening there quickly is just happening to the rest of us slowly.
    Proper funding would solve all of these problems - it's just that HMG don't understand or value general practice and OOh and will sit back and watch it collapse.

  • GPs to share video consultations with hospitals under Babylon partnership

    DT's comment 23 Jan 2020 3:05pm

    An absolute nightmare, a glimpse of the future, and the beginning of the end.

  • BMA and NHS in talks over funding for networks with multiple care homes

    DT's comment 20 Jan 2020 10:55am

    Strip all the Specs out of the PCN DES - including extended hours - and make them all separate DESs, all funded with real not imaginary money. Make the PCN DES only about collaborative working.

  • GP practice threatened with breach notice for failing to cooperate with PCN

    DT's comment 17 Jan 2020 10:47am

    Our contractual ‘duty to cooperate’ conflicts directly with our Data Protection responsibilities. Who will share personal information with us, knowing that an untrained unregulated social prescriber they have never met has pretty much open access to their medical record? Or any other member of the future PCN? In Germany the patient record is still Sacrosanct, a fundamental pillar of trust between patient and GP - and it should be here as well.
    I bet the Queen’s NHS medical Record isn’t being shared like this, or Boris’...

  • LMC advises GP practices not to sign network contract

    DT's comment 09 Jan 2020 11:48pm

    GPC: get yourself priorities straight.
    Ditch PCNs and insist on negotiating more money into the core contract - but for no more workload. Core contract is woefully underfunded and that needs sorting out. Tell NHSE if they don’t agree we will all work to safe numbers of appointments, and send everyone else to A&E.
    Sort out reimbursement for unsustainable rises in service charges; sort out estates generally.
    Tell NHSE that only when they find 10k more front line WTE GPs can we talk about extended work roles like PCNs, and will be willing to negotiate more funding for more work.

  • GP concerns over network DES will form ‘basis’ of talks with NHSE, says BMA

    DT's comment 09 Jan 2020 12:44pm

    PCNs are a five year plan to end the Partnership Model and replace it with a Hospital-led PCN system.
    NHSE's vision of the future is an obligatory AI front end, an options for Babylon-like video, and a trip to hospital as the only three options for care.
    GPC have negotiated a 'duty to co-operate' with our own demise.
    First thing they will come after - the LCS money.

  • Millions of patients wait more than three weeks for GP appointment

    DT's comment 06 Jan 2020 11:17am

    ‘While the creation of primary care networks should facilitate more patients being seen...’ - what nonsense, will barely make any impression; our leaders have to stop spouting this nonsense as it raises expectations that can’t be met. PCNs are not the solution - better investment in the core contract is. The only way we are going to recruit 6k more GPs is by improving the terms and conditions we work under - and that means a large investment in the core contract and better paid and supported GPs.

  • GPs to visit care home patients fortnightly under network requirements

    DT's comment 02 Jan 2020 2:17pm

    This isn’t what GPC promised. They said the specs would require no more extra work.
    This is unmanageable: there isn’t anywhere near enough resource in the PCN DES, and there isn’t the workforce.
    GPC must take aN immediate and very public stand; individual LMCs must stand up and be counted - and if there isn’t an immediate retraction and redrafting of the specs into a radically improved form, they must advise all practices to step away from the PCN contract until it is made fit for purpose.
    Fight back, for heavens’ sake, before you take down general practice and the NHS with it.
    Chaand, Richard, Krish - this is what we pay you for.