Why did we even bother with all that Shielding List work on Easter Friday???
@DT don’t forget to mention that her other role is to persuade Practices to spend extra money on extra Covid work, that they will never be able to reclaim.
If the whole “Shielding” process could any more complicated!!
Don’t worry tho, you will be expected to understand, convey and evidence every single aspect of Shielding at your friendly Emergency Support Framework CQC telephone interview.
If not, then they will pop over for a Friendly Supportive CQC visit...
Now the calls and emails will be coming in.
“My App isn’t working and I was told my GP could fix it”
Neil Ferguson gave us those White Elephant Nightingales.
Thanks to that “computer modelling” Primary Care became worse off than it already was....
Now we have Care Home responsibility for free, and no Bank Holidays to show for it...
I respect your column.
But it feels like that the “GP Survival” group have gone off half cocked, and entered a political area that would definitely not help our collective “GP Survival”.
We need all the friends we can get....
300 GPs should have asked for PPE!!
Get back to your day jobs!!
So it’s ok for locum rates to up when there is high demand.
But not come down, when there is low demand?
Let’s take your £100 rate as an example.
The average weight adjusted marginal income per patient is £68 per year.
At 6 appointments per hour, thats a locum cost of £16.6 per appointment.
The £68 a practice gets has to pay for Utility Bills, Receptionists, Telephones, Lights, CQC work, HR, Indemnities....
The minimum appointments practices have been told to offer is 72 appointments per 1000 per week.
This equates to 4.75 appointments per patient per year.
But at your £100, the practice can afford the 4 appointments per year, and would not be able to pay for any of the above bills I have just touched on....
So if everyone got £100 per hour, there would be no General Practice.
Even in this tight market, practices pick and choose Locums, they keep.
Practices have of lots non-patient facing non-income generating activity they have to do, that includes work towards CQC like clinical meetings.
It is conceivable that Locums that have been more flexible, accepted a wide range of tasks, didn’t “refuse” “Unpaid” “Clinical Meetings” would have a more loyal a resilient relationship with their practices.
Another benefit of a flexible approach would be for the prices to drop to reflect the over supply, until the demand picks up in a few weeks...
I also foresee a consolidation in the Agency Market, those unscrupulous agents bombarding practice inboxes so they can charge 30% fees
It was Market Forces that pushed up locum prices, especially in London, especially from the agencies that charge 30% fees.
No the market might be pointing in another direction....
Where was the CQC "Support" when NHSE delivered all of that out of date PPE???
The only Health inequality, is that Hospital are 80% closed on 100% pay...
When they do open up, we will be back to 5 year waiting lists for Hip Operations...
All we get all day long is emails from patients asking for Shielding letters, because they knows someone, who knows someone, who is shielding...
“I am not Medically Accountable” said the Scapegoat!
We are coming to see you with a “Supportive” visit, because you shared too much honesty on our “Supportive” call...
@john graham munro
Was the patient called Mr NHS, by any chance?
When Gaynor Evans does a video of her seeing patients face to face, with no PPE, and only hand washing to protect her.
Then we will take her views
5000 new GPs - where are they?
6000 new GPs - where are they?
22,000 new health workers, where are they?
Covid fund, where is it?
All those Outpatient appointments, where did they go?
All those operations, where did they go?
Care Home Ward Rounds in October, No by the end of the week!
NHSE will pay for Bank Holidays, where is the money?
Great we will just pay our Locums the same IOUs Nikki has been promising us...
Let’s see how many sessions they keep doing.