National Hopeless Service
Soprobec should be available shortly
Its 'droplet' spread so if you haven't got symptoms then you are not infective. Not sure what the issue is here?
Clueless as to what our job involves and what risks we take by not seeing patients face to face. GPs need access to testing not ridiculous ideas.
I feel like a sitting target. The PPE we have received is laughable, two cheap ill fitting masks, aprons and a gloves all of which we had anyway.
111 is directing patients with very Corvid symptoms our way just because of the lack of geographic contact which I suspect is now flawed advice.
Bedfordshire CCG has just decommissioned theirs????
Good. I hope the NHS continues to implode. In many ways I hope that Coronavirus does come this way fully because it will totally expose what a broken beyond repair state the NHS is in.
This baffles me. Surely NHSPS and its predecessors rents out properties at the 'going rate' as covered by notional rent paid for by another branch of the NHS. So its an NHS intra-departmental problem not GPs???????
Ageing and its changes is a normal genetic process not an illness or disease.
There was discussion about this over a year ago so I did a retrospective review of 12 months of 8 week post natal check. All physical and mental pathology of both mum and babe had been picked up before 8 weeks through midwife, health visitor contact and prior GP appointments.
Dr de Giorgio who has campaigned about GP workload is pleased that we are going to continue doing something that has absolutely no proven value? I am happy to do things of clinical proven value but I am fed up of doing 'nice' 'friendly' things in my 10-12 hour days.
So friends and family will go?
So NHS choices will be shut down?
So annual GP survey will be abolished?
So patients writing any old defamatory nonsense on facebook will go?
My one session a week clinical pharmacist has so far reduced my workload by.....Zero. He has never seen an actual patient before so I am having to train him.... in my time. So that means I'm doing more work not less.
There is evidence that continuation of care from experienced GPs reduces emergency admissions. NHSE want a salaried service which is the polar opposite of this.
We are finding that employers are refusing to get involved or accept SC2 and so patients are demanding Med3 from day one. Attempts to refuse or offer private private sick notes resulted in so much abuse towards the reception staff that we just provide them. Thirty seconds of my time to not lose another receptionist who cant face more patient abuse is worth it.
Been doing it but there is not one ounce of evidence it serves any purpose
are we going to be responsible for ridiculous 111 decisions??
The level of continued ignorant detachment from the realities of coal face general practice from NHSE is outstanding. You can bleat on all day about improving patient care and outcomes but if there is no functional primary care doctoring you have uttrely failed from the outset. PCN were being sold as NHSE having an interest in trying to reduce GP workload but the reality behind the DES is the complete opposite. There is absolutely nothing in this contract/DES that will stop the attrition rate of partners. Without partners owning/leasing premises and being the employers of this 'army' of new staff (my half session primary care untrained pharmacist is proving more of a workload hindrance than a saviour) general practice will continue to die.
Do something useful with your time Nikki, totally rip this DES up and start helping not hindering the general practice that you allege to support. If you dont I like many GPs in their late 50s will just pack up and leave as we have just had enough.
Nature was brilliant and gave everyone nipples - so far my male ones have been useless.
There is no confusion. Developers have a contract with the district/borough council setting out clearly what Section 106 monies are for what. The confusion is that CCGs are hell bent on micro-managing GP to the point of obstruction. Unspent monies are given back to the developers after ten years.