Big and Small
Presumably they forgot the most important bit:
‘Supply and demand will be matched through an innovative system called ‘paying at the point of use’ that the RCGP have just discovered.
This kind of stuff ie making services accessible without a GP ‘blessing’ is fine until the provider realises it is spending too much, or has a recruitment crisis due to poor working environment and aggressive management, at which point scrutiny of the ever lengthening referral forms worsens and everything defaults back to the GP.
‘BBC’s Panorama is reporting Pulse's survey results and investigating patient safety, workload and GP recruitment in its film ‘GPs: Why Can’t I Get An Appointment?’ on BBC One, 7.30pm, 8th May.’
Just the time spent bouncing these letters is immense, as the risk should you not respond in a clinically appropriate way sits with us mug GPs in our messed up regulatory system.
The cohort of people who tick ‘medicine’ on their ucas form are unlikely to be found in nhs management if they choose a corporate career.
1. Cqc report is still the 2017 one Babylon tried to legally block as it said they were not meeting regulations
2. Swedish funding model (capitation fee follows individual patient risk) would resolve the inequities of this model immediately.
The Swedish system of individual risk based capitation fees would resolve this as well funding issues around the housebound, those in nursing homes and ‘patient drift’ of complex patients from poorly performing practices to their neighbours.
Perhaps it’s time to use the Stella Artois advertising slogan of ‘reassuringly expensive’!
Problem is not managing peaks and troughs it is a lack of total capacity due to the natural well demonstrate effects of communist economic models.
A plastic bag is cheaper at the point of use than GP time in the UK.
Day 10: Hancock instructed
Day 9: NHSE told
Day 8: NHS regional teams stipulated
Day 7: NHS regional Pharmacy teams requested
Day 6: STP pharmacy teams demanded
Day 5: CCGs charged
Day 4: Pharmacy Teams entreated
Day 3: Pharmacies commanded
Day 2: Suppliers implored
Day 1: Query folder for GP 'Not available, please suggest alternative'.
PS. all the best for the GP concerned. Hope he gets the support he needs and recovers fully.
'We can reassure the public that we have reminded the GP concerned that they still need to provide their contractual number of appointments and they have continued to see patients after the police left the building. The 3 patients whose appointments were cancelled whilst the GP was being stitched up in the minor surgery suite have been reassured 'their GP' will see them at the end of evening surgery today.'
... is something that someone from a CCG might probably have said somewhere possibly...
Perhaps if she paid you a fee at each visit you'd be happy no matter how trivial or serious the presentation was!
Swedish individual risk based primary care capitation would solve this, and many other problems, and would be an excellent use of technology.
Doctor in Training - the issue is the checking ALL inbound letters that might impact on firearm holding to see if that patient has a firearm code.
Remember the monitoring fee includes the need to check EVERY PATIENTS’ notes for the presence of a firearms tag every time you read a letter about a possible qualifying condition!
About £10k /license / year would cover that.
Presumably none of these patients will have been started on opiates in hospital clinics or wards.
The poor response of the faceless NHS bureaucrats who denied us permission to off list a patient, who had made threats against whilst seeing another nhs speciality, left a particular impression on me.
We told them we were not asking for permission and we would not see him pending their ‘blessing’ but it wasted a lot of administrative time and left a bitter taste in my mouth.
'The British and Irish Hypertension Society and Association of Anaesthetists of Great Britain and Ireland recently produced joint guidelines for pre-operative blood pressure care, which state that GPs should only refer patients for elective surgery with mean blood pressure readings in the past 12 months of less than 160/100mmHg '
I don't refer any patients for surgery.
I refer them to a specialist for assessment and treatment of a their symptoms, usually with a differential diagnosis, and sometimes for a condition where surgery is one of the treatment options!
I would prefer targeted support to offer patients the best medical care, which may at times include a hospital admission, perhaps one where relevant investigations are done before discharge whilst the patient is there on the ward!