National Hopeless Service
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.
Its just fascinating that 20% are into self flagellation.
We are our own worst enemy. In 2012 we were suppose to go on strike over pension changes. Most of the profession wimpered at the thought of this naughty deed and copped out. Well surprise surprise our pensions were further sh@t on because the government therefore knew we were a bunch of collective idiots.
And it needs to treat sick people not fungal toe nails, acne, ingrowing toe nails and the plethora of non threatening rubbish we are forced to see and treat daily.
I agree with the above. Pharmacist are delaying telling us they have given flu jabs so we are wasting valuable time chasing these patients up. We have also been told that one pharmacist allegedly is telling people they can have a 'free' NHS flu jab if they advise him they are a 'carer'. Surprisingly we seem to have far more carers than we knew!
Nonsense. We have absolutely no control over any aspect of the profession. The BMA/GPC has been totally impotent to do anything useful. Although Hunt was a vaguely good health minister he was totally constrained by the treasury. Hancock is totally clueless and totally constrained by the treasury and Boris will simply put our moans in his pocket.
and to what benefit?
Im with Shaba. We need a grown up conversation about what the NHS and healthcare is for.
Hancock on BBC radio 4 this morning: 'most home visits are undertaken by nurses'