consultant primary care physician
Don't be silly... you already have a GMC obligation to use NHS funds responsibly which entails not prescribing OTC meds in most circumstances. It is also something the RCGP requires all trainees to be taught, requiring the trainee to show responsible use of NHS funds. And if you read section 14 of the GMS contract correctly and carefully this does not breach our contract.
We provide same day appts for those who need it.
primary care consultant?
If I have a doubt I simply tick maybe fit for work then in the info box I say I am unable to give advice in the situation I suggest you, the dwp or employer, organise an occ health review.
takes away any stress and passes responsibility on.
A 2016 study of 8000 people in Crete showed that the mean level of Vitamin D in a normally distributed population was 48nmol/L in the summer. This is within the inadequacy range in the UK. Which suggests we need to reassess what we consider inadequate.
There is also no evidence of a causal link between fatigue or generalise pain and low levels of Vitamin D.
Katrinaka et al, Hormones 2016, 15(2), 205
difflam... no scrip,just directions to the chemist no scrip for otc meds for minor ailments...or there will be no resources left for when they get major ailment.
I was always told any member of the public can "certify" death. I always polite decline to visit and never have any problem. Another thing OOH doctors do which is unnecessary is to give scrips to people who have forgotten or lost their medication. All pharmacies have a contract to provide short term medicine until they can get to their own gp...so again I politely so no.
Practices have been offering private services to their own patients, like minor surgery, for several years and NHSE doesn't take any action... so a message is being sent out...
Dr Usher suggests a private consultation is possible. Under the GMS contract we cannot offer private services to patients on our lists either as a sole trader or through a separate organisation. we have to tell them to see another GP privately. practices have been served with breach of contract notices for this.
Already started.. no otc meds for minor ailments for the majority = responsible use of resources. Careful reading of the GMS contract shows we are not required to prescribe OTC for minor ailments. While GMC requires us to prescribe in a way that uses NHS resources responsibly. This will also lead to a reduction demand.
You have a duty to presrcibe using NHS resources responsibly.. this is a gmc and rcgp equirement and this means no OTC meds for minor ailments. It is the reason most doctros do not give paracetamol for children for a temperature. The GMS contract requires us to give advice on medication but not provide it on an FP10 if it is available otc.
the problem is nhsps does not respond tp our letters and emails. currently they are asking for payment for catering??!! and for our own reception staff as well as services charges. The amounts change with no explanation... requests for explanantions and meetings go unanswered.
it is to setup the nhs to fail and then dismantle it with impunity
There is no point in striking if you get paid. That is a holiday. If you wish to support the strikers then do what they did in the miners strike and pay the money into a support fund but if you pay a person they were not on strike.
In York the council who are now responsible for commissioning health checks has pulled the plug. More worryingly they have also stopped funding smoking cessation clinics.
I understand Boots doesn't pay any tax. We do.
We were asked to pay 8000 by MDU for ANP. They are high risk. You can't afford to pay PAs and ANP 50k then NI then pension then 8k MDU.....
MInd you with pregabalin I always argue it is for anxiety and it effect on neuropathic pain is secondary. So I have made no attempt to change patients over.
Our medicines management is very good and usually does any requested switches themselves once we have given them the authority.