Hyperinflation by 2025
Northwestdoc is entirely correct.
Re #mefirst wait till you have a family to support and want them to have music lessons or even access to decent schools then you can give up on ‘Me’!
Isn’t this what practices do anyway? Why make life difficult.
Universal basic income or negative income tax would be the biggest social intervention to clear my waiting room.
IAPT teams in some areas are touting for patients. I have received several flyers through my home letterbox encouraging me to contact IAPT for anything that might not feel quite right, and I don't think I've been targeted because I'm a GP!
Perhaps some of these patients aren't really that invested in IAPT treatment, having only contacted them on a whim after some target driven advertising.
'GP is fantastic as you can chose to do less of it!'
seems to be the message of this article!
Hospitals save millions by sacking all their secretaries and getting patient to see the GP to find out what’s going on with their test results/lack of follow up/abnormal scans etc.
Unfortunately that initiative has already been rolled out to all trusts.
Recently a patient made threats against me. The nhse/ pcs attempts to hamper our emergency delisting of the patient were by far the most distressing part of this experience.
'You are an indemnity provider medical advisor and the number of queries allocated to you doubles. This requires twice as much work to do safely but your employer is refusing to pay you for this.
1. Do your best for the doctors and do double the workload for a 'little bit' until your polite emails lead to your employer paying you for your work
2. Tell your employer you can only safely do so much work in your allocated time and it's their responsibility to find someone to do the extra work.'
Whilst the Gp is listening to Dr Brar's advice and is setting up a bespoke MRSA testing, result checking and result sending service for this hospital patient, a poorly controlled asthmatic can't get an appointment to review their preventers and decides to leave it until after Christmas to see the GP...
There are alternatives to urgent appointments at GP - ooh, wic, self help, A&E. Routine appointments however often have to be with GP as we are the only ones who can investigate and refer. Black alert therefore just pushes work down the road heaping more pressure on the GPS.
So in perpetual crisis the answer should be to only see follow ups and those who have already see an urgent care service!
Oh and never mind the 30-50% of work sorting out the medicolegal ‘bombs’ buried in hospital discharge / ‘handovers’!
This is Nobel prize level research! Who said there are too many universities!
‘Proposed a locus cap’
Lol classic communist playbook.
Dead cat bounce?
Love the Friedman link!
Agree that electronic signature is more secure, more auditable, and the script doesn't get left on the bus! (although the meds often do apparently)
Free us from the tyranny of 'eligibility'!
UBI is actually more free than many socialist policies, as it refuses to empower the state to 'judge' who should receive benefits.
It is not 'progressive' but for many that is actually a good thing!
Consider funding it partly through a Land Value Tax (tax on unimproved land value / LVT) to mitigate the wealth destroying effects of tax on consumption or production.
‘the Government outlined new measures to improve cyber security across the health and care system.’
Sophisticated measures such as ‘not using obsolete operating systens’.
But I thought 'ONLY GPS' can do the 1000s of referrals every Tom, Dick and Harry from social services, community nursing, occupational therapy, physio and specialist nursing regularly ask me to do?
Am I doing it wrong?
Seems very sensible. Paper scripts are probably the most hazardous option for patients on controlled drugs.
'Human Factors' to GMC means 'which Human can we blame'!