District nurses prescribing dressings would be a useful start
Best wishes, David
79% satisfied with our appointment times this year when we offered extended hours cf 86% last year when we didn’t. Normal surgery times did not change. Go figure.
The responsibility lies with NHSE, HEE and the DoH. We are doing the same job we ever did -looking after patients on our list- but the conditions in which we have to work are increasingly dictated from outside.
Sadly unless we refuse en masse, declining to opt in only risks isolating practices from any support and not all of us feel that robust at the moment.
I see many negatives in contract and DES. Extra risk and admin + pay cut to employ additional staff we wouldn't necessarily choose as priority, extra non-clinical work for GPs, additional legal fees, extended hours and subsequently improved access responsibility devolved (try dropping those when DES finishes), end of opt-out for contraceptive services (does that herald the phasing out of community clinics so all work back to us?).
Only useful positive would be if my work conditions improve and I have more time for clinical care without loss of income; I don't see that happening any time soon.
Oh please do (vote to withdraw it). We should have some say in our terms of employment other than sign it or close and there is so much in this latest rehash causing concern.
And who, exactly, will be doing the day job while we take on all this additional work, stress and responsibility?
Perhaps patients should be encouraged to prioritise their health. It’s only once every 3-5 years after all.
So the aspiration of 5000 more GPs by 2020 is now 5000 doctors “working in general practice” equivalent to 1000 if they just do one day a week as a GP. Why not address recruitment and retention difficulties by listening to actual front line GPs then fix some of the problems?
Take it out of GPs’ ever expanding workload. Concentrate expertise and invest in family planning/sexual health/community gynae clinics freeing up GP time to spend on provision of general medical services.
Inclusive unless we don’t like what you say. Is that the RCGP position?
I just see extra work, more time spent in meetings, more management plus a quiet redefining of certain services as essential instead of additional (and so optional).
The cost should be the same whichever medical professional is responsible. In the interests of patient safety, funding, resources and choice must accompany any proposed work transfer.
It’s Friday and I’m tired but they seem to be arguing that as we care for our patients and work hard anyway, we don’t need to be paid but merely pitted against each other in order to obtain more work out of us for nothing. I know they are “academics” but really.....?
Is this really the intervention we need now? What proof can he offer for "much more secure and miles more effective"? If they were not useful and had no advantages over email, we'd have stopped using them naturally. The fact that he thinks he needs to impose a ban (or try to) speaks for itself.
In order to manage workload, I’d rather keep the clinical stuff in its infinite variety and drop the non-clinical extraneous stuff being piled upon us that others more suitably minded and trained could handle.
No additional funding for practices here and no funding for the locally arranged Winter pressures clinics so there won't be any this year. Everything to extended access centres and protected learning time cancelled for the next three months. Not impressed.
Make it possible for practices to state when they are full and allow them to continue with same income and services without penalties, then see how many close their lists.