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Gold, incentives and meh

Krishna Kasaraneni

  • Fast-track training could salvage potential GPs 'lost to the profession' says GPC

    Krishna Kasaraneni's comment 09 May 2017 11:56am

    Colleagues, just to add, my position on the matter - you cannot take a diverse groups of trainees, put them through 'standard' training programs and assessments and expect them to hit the same standard at roughly the same time. Training needs to be personalised so that trainees are supported to meet the standards required to be an independently practicing GP. Secondly, failing an exam does not mean they are incompetent. It only means that on the day that trainee did not pass the exam. There can be many underlying reasons including issues like dyslexia which may never be overcome with certain types of assessments even if alterations were made. And targeted training initiative from HEE is not just about offering trainees who fail assessments previously another opportunity at training, it is about getting all the stakeholders to acknowledge that there were faults in the system previously and we need those addressed. Simon Gregory's quote sums up what the initiative is about 'increase flexibility while maintaining standards and also ensuring fairness'.

  • GP practices offered funding to employ pharmacists under £15m NHS England scheme

    Krishna Kasaraneni's comment 07 Jul 2015 5:32pm

    Dear All,

    This scheme is of course by no means the answer, but is part of a series of pilot initiatives (part of the 10 point plan) that we hope will ensure struggling practices get the sustained resources they need.

    The pilot will be comprehensively evaluated and will come with funding for three years with an expectation that practices will continue with the role into year four and beyond. NHS England will provide practices with match funding of 60% in the first year, 40% in the second year and 20% in the third year. This pilot should build on the success of those GP practices already employing pharmacists in patient-facing roles. The pilot proposal has two grades of clinical pharmacist working together. Experienced clinical pharmacists who will be prescribers or working towards to prescribing qualifications and who will begin to see patients immediately and less experienced clinical pharmacists will be employed as part of the same development programme, working with and mentored by the experienced pharmacists, developing their clinical skills in the context of general practice with the intention of taking on prescribing responsibilities in the course of the programme.

    In short, it is a funded pilot to see how pharmacists (who are trained to a high calibre and regulated) can be incorporated widely into patient facing roles in general practice.

    Krishna

  • GP practices will be paid £60 per home visit for out-of-area patients from January

    Krishna Kasaraneni's comment 12 Nov 2014 11:43am

    Can't do it - workload for my list of nearly 10,000 patients is already spiralling out of control. Workload needs to be controlled, not increased if the profession is expected to deliver high standards of care for an ageing population with increasing number of long term conditions.

  • Add your name to Pulse’s letter to NHS England over GP workload

    Krishna Kasaraneni's comment 12 Jun 2014 12:27pm

    Dr Krishna Kasaraneni
    Crown Street Surgery
    17 Crown Street
    Swinton
    Mexborough

  • GP practices to receive 0.28% funding uplift from April

    Krishna Kasaraneni's comment 13 Mar 2014 12:09pm

    Our practice had to let 4 sessional GPs go because we simply could not afford the costs. So, yes the staff costs did reduce, but the workload hasn't. The replacement is one GP partner. So, we replaced 3.5 sessional GPs with 1 GP and the government thinks that's a good thing? I wonder what the patients think.... I already know, they told me this morning!

  • Minister attacks talk of GP recruitment crisis as ’damagingly wrong'

    Krishna Kasaraneni's comment 17 Feb 2014 5:44pm

    I've figured it out finally! How to sort out GP workforce crisis? Answer: Say there isn't one and criticise anyone who disagrees with you. Done, ladies and gentlemen we no longer have a workforce crisis. What a load of nonsense.

  • Accountants advise GPs to reduce drawings by up to 10% to prepare for contract imposition

    Krishna Kasaraneni's comment 10 Jan 2013 10:18am

    As a trainee and someone looking forward to a career in GP I can't help but wonder about the direction GP is being pushed in. A looming workforce crisis, more work, less resources and a government that refuses to listen. There has to be a change in this approach from DH, surely...

  • Accountants advise GPs to reduce drawings by up to 10% to prepare for contract imposition

    Krishna Kasaraneni's comment 10 Jan 2013 10:18am

    As a trainee and someone looking forward to a career in GP I can't help but wonder about the direction GP is being pushed in. A looming workforce crisis, more work, less resources and a government that refuses to listen. There has to be a change in this approach from DH, surely...

  • GPs told to prepare for 'Tesco-style' seven-day opening

    Krishna Kasaraneni's comment 17 Dec 2012 4:20pm

    Will this mean I can get Tesco club card point every time I see my GP. Happy days!