You couldn’t make this up
This organisation has no credibility yet holds the rest of us to account!
Maybe there will be a GP living in one of the houses
Anybody who is using F2F pharmacy time to deliver this kind of care rather than a mix of HCA and IT is probably doing it very expensively regardless of these small improvements
This should probably be more but this is a good precedent to have set for us
12 visit requests today. 9 of them in a Nursing Home.
Fix this and my job is infinitely better tomorrow not some vague time in the future
This morning a patient telephoned for advice re D and V. Directed to NHS website by our sensible receptionist (as per NHS strategy)
She rang 111 (another NHS saving strategy). They told her she needed a GP appointment within 6 hours so she rang us again even more upset. I managed her over the phone in 5 minutes (agenda she was 10w pregnant and worried about the effects)
The strategies funded by our masters certainly work! Long live apps and IT
How have we and our leaders allowed the job to deteriorate that this is the result
All my friends outside of medicine work Monday to Friday with no days off unless they choose to work part time
We are admitting it is impossible to have a career in full time GP land
We have to have a new meaningful contract in April that delivers a workload reduction on the day it is implemented not sometime in the future
As we struggle to find something tangible we can take out of our day that will make a difference removing home visits is an obvious choice as everyone immediately knows they would have a much shorter working day.
No other proposed plan over the last 5 years has shown any evidence of doing the same.
I would rather retain the variety of the job which includes home visits and have time limited surgeries but it appears impossible to do this.
Maybe we could offer to take them back when the 6000 extra GPs are in post-that would be a government incentive!
Removing home visit by GPs to care homes may be a compromise as it is possible to commission models around this.
Nothing in the answers to this interview to suggest there is any short term plan to change and reduce current workload and intensity
It is impossible to be a full time patient facing GP for a whole career. All my friends in other jobs work 5 days a week but we have allowed our job to become impossible to do this.
Who would actually sign up for that!
We do need to accept we may need to break some of the sacred cows of general practice to survive
PCNs will not deliver anything short term. We have employed PAs, physios and any time savings are dwarfed by the supervision time of the roles
The additional staff are now holding out for salaries well above that which is reimbursed with protected terms and conditions and a cap on workload (why wouldn’t you). This is called supply my and demand!
Good to know a proportion a primary care staff are fortunate to have this kind of role
Everyone in the diminishing pool of staff have seen this coming for years and there is probably not a huge amount that will stop it
Even if you gave our practice more money today we have no staff we can employ and everyone is already working flat out
We need to withdraw some ‘preventative’ work that is being done in primary care to try and free up some time
What does ‘monitor’ mean?
Unworkable advice without tools to assess risk incorporating these findings.
We shouldn’t be surprised that patients anxious for results default to the earliest opportunity to get them and context is key
This can happen whithin our own practice where a GP can end up passing results on if the patient can’t see the GP that ordered them
Hospitals could be more efficient if they rang patients with results rather than organising an OPD
This would help
This PCN contract just gets worse and worse. Did the BMA not see this sort of thing coming?
I am used to being called work shy, inflexible, backward, overpaid, failing patients but to start to insinuate we are fraudulent crooks is unacceptable when we partners are holding the system together
It is beyond doubt that prescription of addictive drugs including opiates is driven by multiple factors well outside the control of general practice.
However it is true that their is a difference in ability of individual GPs even within the same local systems to decline to prescribe.
It is akin to antibiotic prescribing rates.
Rather than just ranking and blaming we need to learn the consulting skills that the low prescribers have to lower overall rates.
There are many good MSK courses that can help with this.
Primary care doesn’t include GPs
This is a reminder of how good the job can be if we had a reasonable and controlled workload.
Withdrawal of labour via refusal to do additional sessions in secondary care won’t take long to change the pensions issues.
What have the BMA and RCGP done to us?