Look at it the other way though .... if you were one of the other practices about to be overwhelmed and further destabilized you would want to close your list without penalty?
.... maybe allow them to move to Babylon?
That's less than 1 session a week?
2 sessions a week for 20 weeks
4 sessions for 10 weeks
3 sessions for 13 weeks + 1 more
5 sessions for 8 weeks
6 sessions for 7 weeks
7 sessions for 6 weeks
8 sessions for 5 weeks
Sorry just working out what I need to do to avoid the extra paperwork!
.... but why make hurdles when you already have a recruitment and retention problem
...unless of course you need to maintain the battlements on your ivory tower?
I worked in NZ recently in a rural practice - real issues about continuity of care as the place survives on locums - co payments are 18$ = 10 pounds approx. as they are lower in the rural areas. 15 minute appointments are pleasant but there is more in some than others just as in the UK. ACC is a lottery and the NZ Government are struggling to fund it so rationing and excluding more [sound familiar?]. The Medtech system is clunky and being generous just about makes it into the 21st century. Oh for EMIS web. Nurses are very variable - in some practices - Prime Contract - they are "it" and do pretty much everything - in others the level of responsibility taken is low - especially around repeat prescribing - where they do less than well trained admin staff in the UK ...I think this may be more evident in the DHB [= PCT] run practices - again does that sound familiar?
Don't get steamed up - they are dissatisfied with the service - not you.
The service is funding and resource dependent - that's not in your gift!
Throw the blame back up the line and RCGP and BMA should be doing the same
Devil's Advocate ...there is good evidence your abilities tail off rapidly after 2 to 2 and a half hours of surgery ..... and seeing a kid with a sore throat .... who probably didn't need seeing will just stoke demand...but an upfront fee may moderate some of the demand?
There will be losers and bigger losers in reality...
...more importantly we must not have infighting as that is what the likes of Jeremy hUnt want.
£750 million divided by say 30 thousand GPs
.....thats £250 [one off] to not be able to spend the weekends with your families.....
I'm not going back to that....ever
We are having our say by proxy - retirement , locuming and emigrating ....but nobody is listening and as ALDI says "when its gone its gone"
...then they will miss us.
You get the OOH service you pay for-
- perhaps Circle want to take it on .....
.... then stop 2 years into a deal because they cannot profit from it and still maintain a decent service?
JUST WHAT WE NEED - MORE MONEY WASTED REORGANISING RATHER THAN EVOLVING. LABOUR/TORY/LIBERAL - JUST CAN'T STOP THEMSELVES FROM DOING IT.
28 years of practice previously envisaging working onto 60 and then probably going part time - because I enjoyed the job and patients.
If I could leave tomorrow I would - I still like the patient contacts - but the demand has become overwhelming - more the "I want " than need - with raised expectations but with fewer resources and more hoop jumping to get back a bit of money that was filched by the NHSEngland .Recruitment is a disaster.
Government policy/ NHSEngland is akin to deck chair arranging.... whilst divesting themselves of responsibility.
Just to say hello - long time passing since surgical Housejobs in Kingston!