While we are at it, can we throw out last year’s changes on which we weren’t consulted and which pave the way for more work and service responsibility to be dumped on primary care?
Given my head in hands instinctive reaction to reading this, is there any evidence to support the claims made? What's wrong with referral letter and clinic letter containing the salient points?
No. We have no extra staff. None of this seems likely to reduce GP workload (indeed, quite the opposite) and NHSE has indicated clearly the micromanagement approach which it intends for the foreseeable.
Consultation seems open to anyone and does not request identification of role so not sure what use can be made of the responses
First question on the survey is asking what else should have been included; could they be further from GP reality?
I don't see how one can expect to "facilitate more patients being seen" by forcing remaining GPs to spend more time away from clinical practice doing things for which we aren't trained while increasing numbers walk away in the wake of the latest proposals (by those who can't possibly work as GPs) to redefine and micromanage primary care. Layer upon layer of complication with every change making conditions worse is no solution.
This is ridiculously onerous, time-consuming and would take GPs away from useful clinical care. Were any practising GPs involved in drafting the proposals? If so, can they please explain how they see it working in practice. if not, why not?
The system becomes unmanageable when abused. Home visits used to be requested for genuine clinical reasons only on the whole and with consideration for the doctor (so not the late Friday afternoon “like this all week” demand). Once you add in the requests on the grounds of no car/relatives too busy/don’t like to trouble them/it’s my right/it’s your job/it’s snowing etc. the stress about the wasted time mounts, I find. Perhaps an NHS taxi service would help (at a cost to patients).
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.