Hyperinflation by 2025
The Swedish ACG adjusted primary care funding model would love this and many other problems.
Lol and in other news King Canute’s advisors have decided to ‘allow’ the tide to come in.
In my head this translates to 'GP to sort out package of care'!
Hope they address the issue of PMS and GMS contracts having to be held in Victorian Full Liability Partnerships.
Opportunity cost is massive for this vanity project.
We would be able to buy 50% more in hours appointments, perhaps with a regular sessional GP, than we can get for unpopular extended hours shifts.
This is a scandalous waste or resources, yet the alternative is accepting no extra funding, further stressing our appointment capacity.
If the government want our elderly patients to see tired GPs at 7:30pm, so be it.
Emergency c sections are the one of the scariest emergency operations imho.
Never mind the decision making as to when this intervention might be necessary.
The issue isn’t with the tech. The issue is that it is a proxy for segregating cheap patients from expensive ones.
We should follow the Swedish model where ACG scores determine each individual patient’s capitated primary care budget - it has led to increased primary care setting up in areas that serve the most complex patients and would render the Gp At Hand financial model obsolete.
Don’t over react! This is obviously a case where commissioners have been told they must suggest proposals, so that all options can be seen to have been considered when facing the local MPs and press, who always oppose amalgamating units, despite this being necessary to manage complicated cases safely.
No one is expecting this to be implemented, rather the author of the paper has succeeded in causing an uproar that confirms why the unit can’t stay open!
Quite clever really.
About 50% of my GP workload is due to external derived inefficiencies or poor practice that, due to the UK legal, funding, cqc and gmc regulatory system, I cannot ignore and have to deal with once I know about it.
I suspect some GPs are concerned if they answer 36 hours of work for NHSE and describe 6 sessions of clinical work to their indemnity organisation, given the later is apparently meant to describe 24 hours of work.
'The health of other patients and the GP can form part of this justification. '
Since when do the GMC and the courts take that into account when forensically interrogating the care of a single patient?
This is commissioning by medico legal jeopardy which, in a state controlled system, is the logical and cheapest short - medium term solution prior to the long term collapse.
All the extra money could have commissioned 50% more appointments if it wasn't earmarked for late night and weekend vanity project non urgent appointments.
I have staff who would happily do an extra session in between school hours but quite rightly decline this work at the margins for late night clinics.
Working for the NHS is not 'pure' either. There is a third person in the room - SOS for health - in each consult. Remember the person who pays is the customer, not the patient.
I had a nice liason psych letter whose main plan for a patient the complex depression team has finished with was ‘GP to see patient weekly’, presumably in perpetuity.
'Patient confidence in GPs has remained high with nearly 96% of patients saying they trust their GP'
This is very bad news as it will motivate jealous politicians and journalists, who compete to have the lowest trust ratings, to bash us more.
“He gazed up at the enormous face. Forty years it had taken him to learn what kind of smile was hidden beneath the dark moustache. O cruel, needless misunderstanding! O stubborn, self-willed exile from the loving breast! Two gin-scented tears trickled down the sides of his nose. But it was all right, everything was all right, the struggle was finished. He had won the victory over himself. He loved Big Brother”
― George Orwell, 1984
'Who the hell would want to work in a practice run by and to the rules of an NHS trust?'
Lol agreed. 'Sorry did we forget to pay you again? Did we pay you less than usual? What's that - no I don't know why our mistakes only lead to you being paid less and never more - besides payroll is closed until next month now. Yes you may have to get a loan, try Dwolla....'
Why are the BMA opining on this?
I would answer this just so I could write ‘0/10 please write 1000x ‘GPS are not insurances companies’ ‘in red ink on the request!