5 sessions is the new 10
Unless your plan is to allow a worse cheaper service for the masses which, given the triple legal/regulatory jeopardy doctors face, is only possible by using new staff and judging them by their own training and peers, rather than by what they are replacing!
Crikey! The evidence suggests that GP triage deals with a 1/3 of calls but doesn’t help overall workload,
What mystical skills do these pharmacy genies have that they can confidently deal with punters on the phone?
Or are they ignorant of their unknowns, sowing the seeds for a future disaster?
The ongoing monitoring is the massive risk.
7 months to get my pension estimate and still waiting..
I want to leave the nhs scheme but I’ve been chasing a statement for 7 months and now I’ve been told I have to wait until end of August!
Timing of appointments or telephone systems are not the problem - capacity in a communist funding system is.
It is particularly nihilistic to work a job where the aim is to stop people from coming to see you!
In the rest of society, outside of Venezuela, North Korea, and Cuba, resources are allocated by the dynamic interface of ‘supply’ and ‘demand’. In the absence of a price mechanism for the customer and supplier, time (waiting times or lack of appointments) are used, ensuring no extra resources can be brought in unless the wise daddy government extends its benign gifts of fresh minted money from its central command bunkers.
Somewhere in NHSE someone is patting him/herself on the back about being brave enough to inform those ignorant GPs of the ‘burning platform’ driving ‘change’. This afternoon they will spend 2 hours putting this onto a PowerPoint slide.
Real docs for the rich, robots and a few named blame sinks for the poor.
Swedish primary care funding model would resolve inverse care provision of primary care in the UK.
Fine to miss 15/100 cancers, infections etc then as long as we refer to twr clinic on a 3% threshold!
In other news, the Inquisition reports written confession rates are down - now accepting verbal admissions of guilt.
I look up Boomla’s work on GP consulting by deprivation and the Swedish system of capitation by individual risk scores, which led to more GPs choosing to work in deprived areas.
The data and tools are there for a better system; the political (including BMA) will is not.
He made a significant error. Should he be suspended from his post for a year or barred from ever working in health again?
Understaffing + under paying + not even rostering some shifts = profit ££££
The bureaucracy believe subject matter expertise is unnecessary for chief executives of powerful organisations.
If Charlie Massey makes mistakes whilst learning his job he gets to announce platitudes about improving the culture HE presided over.
If a doctor makes an error whilst learning the job however, they lose their livelihood, are castigated in the press and are at risk of going to prison.
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.