Canon fodder, under-investment, failing to take pandemic planning seriously, leaving Europe being a bigger priority, doctoring risk assessments, 'that'll do they will never notice'....slapped wrists and knighthoods all round OK?
That has probably saved £10,000,000 on a public enquiry
Royal College of Own Goals I think?
Perhaps a mindfulness colouring in book would come in handy right now for all the anxiety you have caused...
Practices have been through challenging times for years with no let up. Locums have largely been insulated and have done well relatively speaking over the last decade from the challenging position practices have found themselves in. I appreciate that this is a generalisation.
However, I don't think practices really 'owe it' to locums to suddenly look after their financial welfare. After all locums choose the freedom of being freelance precisely to de-couple themselves from the stresses and challenges of a practices.
The usual blank check for hospitals and thumbscrews for general practice. At least Kent CCGs are vaguely listening unlike Sussex CCGs.
Operation Cluster.... courtesy of NHSE.
NHSE/I - "Please order enough vaccines for the season"
GPs - "OK, tell us who we will be vaccinating this year?"
NHSE/I - "We'll let you know nearer the time - it could be everybody, it could be a few more target groups, but make sure you order enough"
NHSE/I - 'let's put the I into Incompetence'
So a new named GP when we have them already. The new NHSE Operating Framework for Primary care plumbs a new depth in non-reality. We're as busy as before COVID only now it takes twice a long to see patients. anyone thought of some practical advice and support for GPs? No not really. Just the usual unhelpful guff.
Typical lying government. "Do what you need to at any cost". Gov happy to wipe out hospital debts and cover all costs and pay upfront. As usual primary care treated like the proverbial. Why are we signing up to a hopeless DES when this lot cannot be trusted?
Please can Nikki, Ed and Amanda stop sending us nauseating thank you emails and send some genuine help - PPE, money....
Have the morons at NHSE/I lost the plot altogether? So we can do half as many blood tests due to social distancing and infection control measures. We have vital bloods to do for the built-up demand of necessary tests. And now the phones ring off their digital hooks with people requesting tests. Bonus = lab aren't even offering this and won't know when until next week.... Complete buffoonery
Our CCG automatically used the CCG Medical director's name as a lot of people frankly didn't bother with being part of a political circus. The homes in our area still get regular contact and care. I can't say that the medical director's name on a CCG return to NHSE has made any difference.
Things that those at the top of NHSE / PHE / CCG tree and their political masters should be ashamed of and held accountable for
1) poor pandemic planning over the last 10 years - money before people
2) being late at organising/purchasing PPE, COVID testing, tracking, tracing
3) delaying lockdown
4) avoidable deaths of so many health and care professionals
5) making frontline life harder not easier - flooding us with useless emails with unreliable information (PPE supply), ridiculous specs for services, not dropping or at least adapting this horrendous DES given the biggest problems for primary care are yet to come
5) complete lack of humility and acknowledgement of errors
things they can be proud of...…
I will be taking my practice out of the PCN DES. When will NHSE learn that if it motivates practices, resources them effectively and gives people a little time, they will develop services that work locally. It looked like they had heard about why the care home spec wouldn't work but they have been emboldened by the COVID crisis. Shamefuk way to treat a profession.
So GPs have to transform their service within days and now provide a care home service within a few weeks but it's OK for NHSE to wilfully put clinicians lives at risk by STILL NOT providing PPE 6-7 weeks down the line? Clowns. But dangerous ones.
This letter suggests a very practical sensible approach. How will the bureausphere (RCGP/GMC/HEE/NHSE) cope with that? No doubt several committees will need to be formed to explore the 13 reasons why a sensible practical approach just won't work!!!
What sort of bureaucartic hierarchy bends the rules, ignores evidence base or even the lack of evidence base and wilfully puts the workforce at risk to save face? The NHS.
Our PPE donated to us by local Homebase, a Tattoo Shop and school science Dept - thank you very kindly. NHS Supply chain told us to find our own
West Sussex CCG has vaguely commissioned some hubs. But little real support, no PPE, no IT and probably not enough takers. Wonder if the management would come and help out in hub under these conditions......
We were down to 3 kits. Official NHS hotline we were told to use told us to get our own. None to be found. Put the call out to local community. Homebase, a school science dept and a tattoo shop kindly donated some kit.
What a disgrace. No NHS manager has to put their wellbeing or even life on the line for the NHS right now.
We've had some surgical masks, aprons. No FFP3 or gowns. Apparently only for situations where aerosolisation is a risk. Thought that meant a cough.....?
When this disaster is over and the finger-pointing begins, good grounds to sue the NHS for putting us at risk. For those clinician who will sadly die, grounds for corporate manslaughter charges?
Underinvestment in all services coming home to roost. Simon Stevens very generous in protecting the meagre 'uplifts' for general practice whilst happily promising much much more to our clearly more deserving acute colleagues.
The root of the problem is the glaringly obvious long term under-investment in the GP contract. Workforce pipeline and perceived building ownership or lease risks are linked. Not only do GPs risk manage the health of their populations and the gateway to the rest of the NHS but they have risk managed a large chunk of NHS used estate. Make general practice a great place to be, rewarded well for what it does with visible future investment and many GPs could continue to manage the NHS's risks well and some may even be tempted to join and remain in the system. A cost neutral solution is no solution at all and simply emphasises the political double standard of investing massively in our hospital sector whilst neglecting primary care.