I am Professor of Primary Care and Head of the Department of Primary Care and Public Health at Imperial College London. I am also a GP Principal in Clapham, London.
Congratulations on your award Dr Modha.
Good discharge planning is essential for patients, carers and the NHS. This includes ensuring that discharge arrangements are discussed with patients, family members and carers; and that they are given a copy of the discharge summary. There should also be good coordination between the hospital, community health services, general practices, and the providers of social care services.
Patients at high risk of complications or readmission should be followed up to ensure that the discharge arrangements are working well. It’s also essential to ensure that that any outstanding test results at discharge are obtained and acted upon.
Congratulations Dr Hussain.
This article states that "The new rules also state that an MCCD can be issued by an ‘attending practitioner’ who has seen the deceased in the last 14 days of life or after death. Previous guidance said ‘and after death’"
This is wrong and should be corrected. The guidance on completing a Medical Certificate of Cause of Death (MCCD) has always stated that the deceased should have been seen by the certifying doctor either after death or within the 14 days before death.
NHS screening programmes such as bowel cancer and aortic aneurysm screening need to engage better with patients. GPs and their teams need to focus on their core work and are not in a position to take on the work of NHS screening services.
My name's not Rover | GP Partner/Principal 11 Oct 2019 4:24pm
I agree it would be better to release flu vaccines to practices now if there are any that are running out of supplies, rather than stockpiling them. One issue that may be causing pressure on supplies in some areas is that Public Health England has increased the number of eligible people to around 25 million this winter.
copernicus | GP Partner/Principal10 Oct 2019 9:16pm
Vinci Ho | GP Partner/Principal11 Oct 2019 6:14am
My own practice is well-supplied with both flu vaccines but I am aware that is not the case in all practices. I guess it may depend on what supplier you use.
It's very disappointing to see the recent decline in MMR vaccine coverage in children in England, which has fallen from a peak of 92.7% in 2013-14 to 90.3% in 2018-19. There is a lot of work to do to get coverage above the 95% WHO target.
It's illogical that hospitals can ask for proof of ID but not general practices. The rules should be the same for all NHS providers.
Good points Jaimie. The auditors need to supply real examples. List inflation is not 'fraud'. It is an issue with any capitation-based system of funding and is factored into the global sum. There is also the opposite problem of "list deflation". In my area of London, many people are not registered with a local GP but we still have to deal with them when they become ill.
Is it possible to add the link to the BJGP Open article?
Excellent work David.
Many congratulations Nikki.
Thanks. A very informative article on a topical area.
Thank you Dr Disney. Very informative.
Well done Mobasher.
Well done Zoe.
Well done Anthony.
Well done Preeti.