"pharmacists on the high street are being asked to use their clinical skills"
What clinical skills are those? And could someone explain how and where pharmacists record their clinical advice - you know, for medicolegal reasons?
HSJ is reporting NHS England are suggesting removal of anticipatory care, personal care, and weakening the nursing home visits components of the DES.
The DES still looks terrible from here...
Why would any GP do ANYTHING for £1.xx ?
Totally bizarre and a sign of how the NHS values us.
How much do you think a blood test costs privately?
I would also add that the reason that we are in this situation is that nearly every practice saw the tiny up-front bung and signed up to something that was completely undefined - a blank cheque.
No business person in their right mind would sign up to something like this - so you are reaping what you sow.
The only way to combat this is a mass resignation from PCNs, but it's clear that most GPs have Stockholm syndrome so this won't happen.
"Let's be clear, we had no choice"
I'm sorry but is utter bollocks. We didn't sign up, and er, we're not signed up.
And the latest specs do NOT place an obligation on non-PCN practices to do anything. The onus is on PCNs to engage with practices (including 3.6,4) but we won't be doing anything.
GPs who joined PCNs should have known this was coming. There's no point moaning about this now!
In case that doesn't work the document can also be ready at :
Will apparently there's no new money for the new PCN deliverables that include:
Structured medicines review and optimisation (from 2020/21)
Enhanced health in care homes (from 2020/21)
Anticipatory care (from 2020/21)
Personalised care (from 2020/21)
Supporting early cancer diagnosis (from 2020/21)
Good luck with that guys!
Well GP is on black alert 6.
And that's when 5 is the maximum.
Therefore patients shouldn't bother going calling the GP and should go straight to hospital.
We need to stop defining FT / PT by session count.
Many many "PT" GPs work more than 37.5 hours.
I hope none of the other practices have their cqc inspections coming up - they might be closed for not being able to cope with the other closures....and so on....
Wow. That's really going to tip the scales.
I wonder if it will help with those 7 new targets from next year. I hear there's no new funding planned for those....
GMC: we will use 'all our...powers to support doctors and medical students'"
That's a bit like someone shooting you in the stomach and then kindly offering to take you to the hospital.
General Practice is exciting in the same way that getting chased by a rabid dog is exciting.
What's the point of spreading it out?
The most efficient approach is to use up all of the vaccine that you can get immediately and then call people in as stocks arrive.
I think "forced marriage" would be more appropriate.
No doubt the BMA will still manage to negotiate a pay cut
Yes, or to secure defeat from the jaws of victory.
MDU reduced subs soon after the scene was announced, whereas those of us on other organisations continued to pay the higher rate until the government's scheme actually started.
We had the choice of moving over but didn't as we knew this around happen. The solution, simply, is to claw this back from MDU members through slightly higher subs for a while.
Surely the CQC should be making conclusions within the context of the prevailing healthcare environment. What is the point in downgrading services for not having enough GPs when there aren't any?
Any why is the CQC the most opaque and unaccountable organisation ever? Disagree with our rating, sir? No problem, we'll re-inspect you!
The premise was that PCNs could pay for 70% of staff that you had never wanted in the first place, but now even that will be difficult to achieve.
So what is the point?
Oh, wait. There are all of those other requirements that you'll have to deliver from year 2 - but you won't have the extra staff.
Better that the GP surgeries do it, you're all ideally placed etc...