yes moderation in all things... who is suggesting we screen the entire population? semantics not important... IFG/IGT / prediabetes.. early conversations with patients are!
no label = not important . we can have a balanced debate about this!
well done practice nurses!
lighthearted and funny!
correction above 30% failure rate! its early
That's a very good point , re repeat scripts! In addition, its worth remembering that the current NMP (non medical prescribing) qualification covers several disciplines. Pharmacists/Podiatrists/ Physios/nurses, all undertake take the same course at University, and are required to demonstrate the same level of knowledge and skills in terms of pharmacology and its application into clinical practice. WE all take the same pharmacology exams/ maths tests/ OSCE's/assignments. The course is designed to be complex and there is a approx 30% pass rate. Working and studying together across disciplines helps foster a better working relationship which each other, and I feel this will be beneficial to patients. upon completion we are IP's ( independent prescribers) + Supplementary prescribers. both models of prescribing can be adopted and used to benefit patients.
'anything that walks through the door' !! are you talking about patients? 'disease area' = Patients who have to life with impact of a long term condition or chronic health need.
Prescribing either GP or nurse is the endpoint.
There can be benefits for patients- still the most important point!
For some, LTC clinics are mainly been driven by QoF, financial incentives templates and tick boxes, none of which requires a registered nurse! let alone a nurse prescriber. In my area, the patient is at the heart of everything we do.
GP employers are vicariously liable for actions/ommissions of nurse employees regardless whether they prescribe or not. As none of your nurses have undertaken course, can assure you that there is plenty 'depth' complexitiy in terms of pharmacology/pharmacokinetics/safe prescribing. There is a body of evidence to suggest that NMP's are extremley safe/ competenent people and maintain exellent prescribing partnerships with their patients. - this is perhaps the most important point- and also how is nurse prescribing used in general practice - my point above - what about supplementary partnerships - PT/ GP/ Nurse would this facilitate better prescribing outcomes? in terms of PT ed/ concordance etc? GP/s PT/Nurses working together!!!
Is supplementary prescribing underused in general practice? Long term conditions? Tripartite agreement patient .GP. and nurse.
Have recently undertaken, I found the course extremely challenging in terms of pharmacology/ exams etc. One of our GP's said he did not think he could answer the exam questions!!! In my area most nurses use IP, out of interest how many nurses and GP's work within a supplementary prescribing context within general practice?
Vinci ho you are the voice of reason! everyone is entitled to their opinion, but please do not ridicule your colleagues, or make this a 'personal attack'.
'Named GP' plans thrown into disarray as minister suggests practices can devolve care coordination to district nurses
Well done to the GPs' that have put their name against their comments, and have openly supported nursing staff, their fellow colleagues. AS we know, this has a politically driven agenda,and having been a reader and a contributor to Pulse the last few years, it saddens me that some people feel a need to ridicule the good work and care undertaken by the majority.
Thanks Beverly for your support. lets have a bit of team spirit! GP's and nurses are working towards one common goal ... achieving the best care and outcomes we can.
To anonymous above! nursing is a vocation. If the nurses at your practice only spend 63% of their time with patient care, something is far wrong..... this is not a 'hard luck' story. This is reality... like many other public servants, times are difficult. nurses have had a hike in NMC fees RCN fees and pay cuts in real terms. Nurses are seeing more patients in general practice,( Not less!) and caring for more vulnerable complex patients. The nurses at your practice maybe letting our profession down!
you make some really good points regarding terminology, and yes we need national guidance and a leadership strategy for practice nursing... however disagree regarding the pay.. I am paid far less than my secondary care counterparts... and in addition to that, some terms and conditions in some practices can be less favourable ( annual leave) as example. Many nurses (LIKE GP's) working in GP practice settings, go way above and beyond the 9-5 contracted hrs!! I am lucky I work with a supportive team who value my contribution. Some nurses feel 'burnout' overwhelmed and undervalued.
totally agree! re the above
Excellent Work ! ( a practice nurse who wants to help!)
We need a national and local drive to promote pulmonary rehab, and uptake. evidence based intervention which produces good outcomes in terms of reducing exacerbation and promoting 'lung health'great for patients !
''Patients throughout the uk have treatment based on spirometry measures' '- Treatment should not be based on spirometry measures alone! spirometry confirms airflow limitation and is only part of the diagnostic process. 1/ patients with established COPD struggle to perform reproducible 'quality results' even when stable 2/ You can have a patient with an FEV1/FVC of say 36% who is an ex smoker physically active with minimal flare up / or a patient with fev1/fvc 68% who has frequent exacerbations poor quality of life/ and poor lung health. It would be more beneficial for GPSI to support and train practice nurses undertaking spirometry to be aware of differential diagnoses/ and to consider multiple comorbidities/ LVF etc ( practice nurse)