Hyperinflation by 2025
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.
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.