Copperfield acted completely rationally. However I got fed up of the stress with sick notes. So I say it as it is. I write the the Patient tells me they have stress at work. Then tick maybe fit for work. Then write “ I am not able to assess please arrange anOH assessment. This is not an NHS service.” This way I act rationally and they get a slip of paper.
I suspect they closed as they couldn’t turn a profit. These organisations are not in it to provide a service to their community but to turn a profit so will shut it down without a second thought.
Retiring in a month aged 58. Then year in Australia working 30 hours a week for more money to top things up and travel. I used to be all for the NHS, as a patient I still am, but as a worker you do what is best for you. There is never any loyalty between employer and employee or contractor and contractee when the pressure is on. Either can walk away at any time.
We can drive down gun use by saying no to everyone. As anyone wanting a gun must be mad.
Did you see the Home office had to pay 50k compensation to a man it had been detained illegally for three months and separated from his child who was put into care. That is their level of incompetence. Incompetence that damages lives.
AI is more suited to hospital medicine than primary care medicine. In Primary care there is often no definitive diagnosis because the patient presents early in the history with undifferentiated symptoms. Then of course the patient really comes with a hidden agenda. They are not really their for their cough or their rash that was just an excuse to get through the door. It maybe helpful as a tool for inexperienced doctors or rare diseases. The irony is they are rolling it out for hard primary care problems when it would work better in secondary were the problems are easier. But I guess there is no market in secondary care.
There are ENT consultants and surgical consultants and respiratory consultants and GP consultants. Consultant just describes what you do... offer consultations to patients. The specialism is in the first bit. The same is true for the term doctor. People think it is a title but it just describes what you do.. same as Nurse Jones or Postman Pat or Constable Smith.
You can always get to speak to a doctor and if necessary see one in the UK as long as it is urgent. Everything else can wait a little while.
Any good references for this evidence base for ADHD treatment? I am skeptical but willing to check the papers for their results and the quality of their research.
Cassandra was right and Troy fell. I have nothing against econsults or telephone consults etc but there has to be a cost to the patient or demand will be driven up. I like the sit and waits as at least there is an opportunity cost of an hours wait. Telephone has no cost at all and so patient will ring for the most trivial query simply because they can and and it is too easy. You could put a phone in a room at the surgery and they had to come and queue outside it. That would introduce a cost.
Will just drive up demand another notch. There was a time when there were only f2f contacts and things worked well. But the more access you provide the more demand you will generate without an economic feedback of money or opportunity cost.
I wouldn’t be surprised if GPs get blamed for not achieving the 5000 target. Somehow it will be our fault for leaving the profession or not committing.
The contract doesn’t require you to prescribe on the NHS. Responsible use of NHS is a requirement of a doctor and that requires you to direct people to otc meds.
Don’t see the problem. Haven’t had any complaints and even if I did I would just say the NHS no longer provides prescriptions for this and shrug. Written complaints can have a form letter reply then ignore.
Human rights legislation makes it an offence to prevent you from earning your living. Is there a case?
I just say you can no longer get that on prescription from the NHS. You can buy it otc. Simples. Rarely have a problem. Any rare wingeing goes over my head. Be firm and there is no problem. (Of course this only applies to otc for short term self limiting problems and hay fever)
Anonymous3. It is a common misconception that GPS must give a FP10 or eps for necessary medication. In fact the contract only says IF you provide a script it must be on an approved form or eps. You are under no obligation to provide a script. This is why we can ask people to buy their own otc meds.
The GMC requires you to prescribe responsibly with a view to responsible use of NHS resources. So you will not be criticised by the GMC. Indeed you are acting irresponsibly if you do prescribe otc meds and always have been.
All pharmacies are contracted to provide an emergency supply to people who have lost medicines at weekends or forgot them on holiday. So seems silly to fund a parallel service. I guess the only difference is in the current contract the pharmacy can charge. But still seems like money spent by scheme to solve a non-problem.
I don't understand why this is not a GMC matter for the doctors involved.