The CCG said the physician associates will not be able to prescribe but they ‘will be able to take on a substantial amount’ of clinical work now being done by GPs’. What planet????? And I presume the CCG is run by GPs too....Please tell me which bit of clinical work I do, that doesn't at some point involve prescribing??
Mr Hunt, I have the ability to look after these patients, what I don't have is "time". And I haven't read anything that says you are going to give me that "time".
As well as the equipment and consumables being refunded to the practices involved, will there be additional funding for the GPs involved in looking after patients more intensively at home? Or is this another way of expecting GPs to do more and more clinical work without the funding stream to ensure there is time and sufficient clinicians and additional nursing and other community support to safely manage patients at home.
Well done you!
PS. It isn't all one way too. No doubt there are things that we GPs do or don't do that doesn't help the current system. And then there is the "small" problem of IT systems that don't communicate with each other...despite the billions that have been spent over recent years.
It is not the "corner shop" model that is at fault. The "corner shops" are not appropriately funded for the care that they are now expected to provide. Communication from secondary care to primary care is generally late and often doesn't provide the information that is required. The ability to get patients seen quickly by secondary apart from in an emergency situation is limited. Waiting lists for secondary care services are too long. Out-patient appointments get re-scheduled over and over or at worse cancelled for no good reason. Not uncommonly patients admitted as emergencies do not get sorted out sufficiently and are dumped back into primary care unwell, resulting in re-admissions. Services for chronic conditions are being cut. Our dementia teams and social service support can't cope with the current patients they have on their books, let alone increasing the workload by finding more cases. I fully agree with better integration of services but that could be achieved with the present model if the issues raised above and others were sorted out.
Well said! I couldn't agree more.
Springfield Medical Practice
Dr Jonathan Pywell