£120 = £4 per fortnightly visit
What about those poor PA’s????
They did those intense 4 year course (similar to medical school).
They were trained to be prescribers, but the Government never passed the Act that allows them to be regulated.
Are we now leaving this ready made mini-doctor workforce without fully regulating them, in favour of a new project?
The big question is:
Can apps, manage the ever increasing demand safely.
If the answer is yes, then we should be ok with fewer GPs in the future.
But if these apps, are not able to safely manage a good proportion of the demand, then we are bug**** without those extra 6000 GPs.
The other question is, which of the above scenarios is the government betting on?!
This is all a game.
NHSE put out an impossible spec.
NHSE water down the Spec to something slightly less impossible
LMCs pat themselves on the back for the “victory”
NHSE get more for less, which was the plan anyway
GPs get scr**** as usual
Negotiating round over
Smart card access to Babylon via EMIS!
Where is the Opt out button?!
“That’s great! So if I vote for the Conservatives, my GP will send me even more annoying Texts messages, chasing me for things that I can’t take time off work to get to”
The only ones generating revenue from PCNs are Lawyers and Accountants.
PCNs have introduced a the notion of VAT into NHS GP Service Delivery where it has never existed.
With practices closing due to cost pressures everyday, Item of Service Style Payments will allow practices to allocate more resource to revenue generating activities...
No one wants to hear "the money is in your GMS contract" so do it, for free.
As GPs we do need to evolve.
The 10 minutes face to face is becoming obsolete, not least because we can’t afford the infinite amounts of this, that patients demand.
Some colleagues have embraced telephone and online consultations but others have buried their heads in the sand, siting “safety risks”.
Unless we can evolve as a profession, we will be left behind...
In London, Coroners have a policy of no more phone calls
Brexit = Printer Paper running out?!
This is a real issue
Ambulance Call Centres downgrade the urgency of Blue light calls if they are from a GP Practice.
The GPC needs to raise this as national issue.
We had issues in NW London too
No wonder UCCs are reporting the 15% increase in patient attendance was on 111 advice!
CCGs have been praying that the Clinical input along the 111 pathway would redirect the demand to self care, but clearly not there yet.
How can we get our hands on ADA????
Agreed, the EU never provide free heath care to UK citizens.
The E111 has never worked for me...
This is only going to get worse until a brave (suicidal) politician undoes what Blair did, and tells the public they are NOT NHS CONSUMERS with rights.
The NHS has always had a limited, rationed funding formula, so it is impossible to provide unlimited capacity to a public that has unlimited demand.
The algorithms may need significant enhancements.
But without a cheap AI way of managing 65% of demand into self care options, the system is going to collapse.
Other system clinicians should be supported to pick up another 20% of the demand.
The final 15% can be seen by our dwindling GP workforce.
We all need to innovate our parts of the system so this can work, for all of our sakes....
The gift that keeps on giving...
So imagine in 5 year, 25% of UK patients could be registered with them...
What would the rest of Primary Care looks like?
I would love it if these “features could be replicated” more widely.
A level playing field would be nice...