A really useful summary and some good news too!
Why, oh why? This is what doctors do anyway, minus the bureaucracy. As the first commentator said "So several things that are now voluntary and we get paid for doing, become a contract requirement that we don't get paid for. " It' s almost impossible to get paid for this DES and it's bringing us to breaking point.
Busy trying to work out what's wrong with my IGSoC submission. I thought it was all done and dusted but I keep getting incomprehensible emails to say there are problems with it; they don't say what the problems are! The local IGSoC lead doesn't know. I can't make any changes to it as it's published. I've emailed the helpdesk and am crossing my fingers. Will keep ploughing through today's emails.
Just finished a delightful hour or so inducting our new GP Assistant. She was first based in the practice as an F2 and is wonderful that she wanted to return. The Pre-employment checks are increasingly complex but I've ticked all the boxes and checked her right to work in the UK. We were interrupted by our senior practice nurse who has found some deals with an equipment supplier so we agreed to buy a new ear syringing tank, a bp machine to use for patients requiring dopplers and some resus masks. Following our tour of the building, enhanced to accommodate additional Trainees, we had a significant event reported to us. This was a case of mistaken identity - one patient booked in under the name of another and the subsequent blood tests recorded in the wrong patinet's records. It will require some unpicking. The new doctor has gone for our weekly MDT and I'm off to check where the scaffolding will go when our roof repairs are carried out tomorrow. Lunch anyone?
I hope NHS England can be persuaded to suspend this until agreement has been reached with the LMC about a reasonable methodology and timescale. The letter has come out of the blue at a time when general practice is already suffering cashflow issues due to problems with remuneration from NHS England the the CCGs. It also comes at a time when we 'd like to be building positive relationships with NHS England.
I couldn't agree more with Tony. The capacity just isn't there in general practice. What we need to do is create alterative 'care pathways' for patients to divert them away from general practice so that we see those who really need a GP or PN. Other services have introduced demand redirection strategies and general practice needs to follow suit; this will require investment in establishing administrative triage and alternative pathways.