Just Your Average Joe
Home visits are only appropriate when clinically required - judgement call of GP.
Not a good use of time - and need to be removed from day to day workload to improve morale.
Time not to cause a political own goal to remove from core contract with all media negativity attached, but to use the lemons the DOH has thrown at us and make lemonade.
The PCN/federations where formed are political vehicles which could be devolved the role locally and take this workload off with visiting services set up, outside the practice workload.
With shared records a level of continuity of care can be maintained and no need to isolate those patients from the other benefits of GP care and the practice team.
Win/win for all involved.
1st sense out the RCGP for ages - we need more GPs as those coming through are only working part time at best.
With full time retiring GPs - it is not 1 out with 1 in. It will need almost 2 to 1 actually.
Yes it is a trojan horse.
Making primary care into larger bite sized chunks so private healthcare has more to bite into as smaller units not worth buying into.
Just in time for US trade deal and watch profiteering and cost rises as the NHS dies from this bullet to its heart.
Dr Prasad - Rest in peace.
GP hero remains in charge until his sad passing.
Where is the Daily Mail with this headline?
We need to massively increase medical student numbers immediately due to the delay in producing qualified doctors from scratch.
This needs to start now so shortages which are pending due to retirement of full time colleagues - and the influx of part time working in juniors. You need 2 new doctors to replace 1 retiring doctor in some specialities now, especially as retention is a huge problem.
Act now before it is too late.
In times of GP famine - the need to throw more good GP hours into another organisation - CCG, federation and now network meetings.
Will there be any left to see patients?
GMC - licence to print money.
Persecuting doctors, pandering to patients.
Time for the DOH to pay subscriptions as the GMC does nothing for me.
I trained and achieved my degree and all my efforts to remain educated and up to date my own.
The GMC takes my money to give me a certificate to practice which has no meaning, other than I paid my fee and they have introduced hoops of appraisal to please the politicians.
Scrap the GMC and let the DOH pay for the privilege of persecuting doctors themselves.
Maybe if the Government bothered to have accurate immigration checks with passport check in/out of country - they might actually know the right number of people in the UK.
No issue with freedom of movement - but anyone from EU coming should register as being UK resident and then get NHS and NI numbers etc. When they leave country they are checked out - if stay out for 1 yr then triggers deduction from the appropriate UK list.
Ghosts are actually real people and patients who may choose not to fill in the census 10 years ago! Accuracy of the census is so poor that it doesn't trump a real person who did come and register.
Capita have responsibility to switch registrations as people move and re-reg with new GPs.
There is enough fraud by the DOH on GP lists with several thousand real patients not being counted through financial fraud by NHS saying they pay according to weighted lists anyway.
The story is tragic, as are all unexpected deaths from self harm.
In an ideal coroner world - All suicidal patients should be admitted to a state of the art inpatient psychiatry service with immediate access to psychological therapies.
The realities of provision of services in a tight budget means, even those inpatients with lots of support can self harm and successfully kill themselves while in psychiatric units under close observation.
Checking in 7 days is fine, but a truly suicidal person may take their life at any time.
PCN forcing GPs to take on extended access and stretching already paper thin staff to work longer hours.
This is going to turn into an insurance policy for the DOH with PCN eventually having to mop up patients if practices within them close, as a duty of care to the patients within the network. Then the closing and failing practices will become the problem of the remaining practices.
The PCN is a trojan horse loaded with Sh!t disguised as extra funding to help us swallow it.
Please turn back this policy of preparing primary care into parcel sized portions ready for privatisation.
Hot off the press - CQC closed them down as they had pathology forms on the window sills, hot tea on the desk, and paper blue tacked to the walls.
The last straw was toys in the waiting room. Urgent closure of practice, to keep patients safe.
Knock on effect serious stress for all the practice, patients, and a reason for the CQC to exist.
Don't worry about the cancer diagnosis missed as cancelled appointments and now the patient would think to return until a few months down the line by which time it has spread.
CQC morale victory against lazy and dangerous GPs!
Poor Work force planning means there are more male full time GPs who were working 8+ sessions now being replaced by new GPs who assuming they actually stay to work for the NHS (Many are not), are only willing to work part time.
If you surveyed the GPs leaving VTS schemes you would be lucky to find half a Full time equivalent per GP leaving.
You don't need to be a genius to realise 1 out, half in and the tank will be empty soon.
Most want to work as part time locums, or in some sort of portfolio career.
Most do not want to be salaried as doesn't pay enough for them, and almost all don't want the limitless pit of work that partnership is, as they think they can earn as a locum, without the headaches and workload.
The GP 5yr deal is a waste of time and paper. Forcing GPs into PCNs is simply stretching GPs even thinner, with CCGs and federations already sucking them into meetings and non clinical roles.
Then forcing GPs into extended hours at threat of ex-communication from PCN, and any hope of extra finances, when there are not enough to cover day time hours is ludicrous.
We need new medical schools immediately set up, with the whole cohort destined to be GPs from day 1, with that as the end goal of training for that new intake.
Recruit for resilience and make the NHS and saving it core to the beliefs being taught and embed it.
We need to return primary care to a vocation not a job, and at the same time the DOH and government need to back partnerships with real money and support via contractual changes to make it the best way to work as a GP.
Then maybe the NHS and primary care has a future.
31 million to treat 47000 patients makes GP at hand look like it cost £659 a patient a year to run - if you assume the deficit is purely down to the change in service provision.
Even the hub and walk in service was expensive but not such poor value.
Robbing GP core services of funding - to pay for the worried well in either type of service is management allowing common sense to be sacrificed at the alter of demand.
Not a single actually genuinely sick patient will be dealt with successfully by phone - as all you can do for those is signpost to another more appropriate service, where the costs are duplicated.
If they were seen there without the original costs - savings would be made.
The NHS should be free at the point of need, not free at the point of convenience.
If services like GP at hand are allowed - it should be private only at the cost and convenience of those who pay.
Core GP services should be returned to the Primary care base - where real patients are physically based, so funding is not jeopardised for the rest of the population.
Its no problem - they pay them more than the normal going rate for GMS and they get that advantage.
They then run it at a loss and get bailed out with GP funding which is taken from other patients share of funding.
Huge success of joint working -
Ready to sell onto the US market as soon as those pesky Brexit talks finish and the UK can negotiate a trade agreement allowing the US insurance giants to swoop in and take over.
GMC - Pandering to patients, while persecuting doctors.
You pay to be tormented and tortured by them.
Free at the point of service - should be tax payer funded as they do nothing to help doctors, and run by DOH appointed crony C Massey.
How is he still in a job, how do we vote him out if the GMC is meant to represent the profession?
Record 3500 trained - due to part time work and leakage from profession - you will be lucky to have 1800 Full time equivalents who will not fill the gap of retiring full time male GPs.
2 in needed to replace 1 out - due to social and political factors meaning most now want to take breaks, part time locum/salaried/portfolio jobs, and very few full time partners.
Locally only 1-2 interested in partnership in group of 17!
Politicians, BMA, RCGP and Medical Schools need to look sat who is going in, and how many of those are staying in medicine, and working full time.
Even if 20 GPs leave VTS schemes - allowing for those going abroad, quitting, on extended maternity and childcare leave, and portfolio work, you will be lucky to have even half as Full Time Equivalent overall.
So 20 GPs qualifying will not replace 10 Full time retiring GPs - so even if the numbers training match those retiring there will be a massive deficit waiting to hit home sooner or later.
This imbalance in numbers needs a review in those accepted for training in medical schools and beyond, GP only medical schools, and some sort of golden handcuffs for training medicals students and GP trainees to keep them within the NHS as part of the contract to be accepted.
If not started soon, there will be no NHS GPs to look after the Ivory Tower collective when they retire, though they probably have private cover and don't care.
We Need Mr Barnier to come negotiate our next contract as he has this government by the throat - No deal is better than this deal the BMA has negotiated.
Quarter the price per patient paid to online registrations, and recycle the saving into the helping practices loosing core funding which balanced their books.
The work left behind by Baylon is all the patients with complex medical needs, the elderly and house bound.
The 75% not paid should fund a service to help the housebound and elderly - taking some of this workload away from practices, which will otherwise be unable to function.
The surgeries which lose the fit and young patients will slowly be destabilised and not be able to pay staff/locums and then won't have the resources to provide core functions.
First get enough doctors into the system to allow it to run smoothly.
New medical students will take 10 years to reach the front line, and yes there was a small increase, but the numbers needed don't match those being trained.
Nor does it cover those training and leaving, and the large numbers choosing to work part time.
Stop finding even more ways to take GP's away from front line patient work.
Rearranging deck chairs on the titanic sounds about right for most other plans which don't address workforce/workload issues.