Commissioners even have a name for this "you do it often enough so you should do it for free". It's called "business as usual" and it seems once they decide the activity is in catagory, they don't have to pay for it.
As already mentioned, CQC will not be giving up the idea. So welcome to doing more work for less.
Last Man Standing | GP Partner/Principal03 May 2018 11:42am
Don't worry, I've already heard us mention in list of people to blame for this on radio this morning.
So, given number of graduates are finite, will this not simply mean less locums/partners/salaried in an area that's currently managing? Sounds like robbing peter to pay paul, whilst spending 20K a pop.....
Its a pitty NICE has come to this. When it started, it was best in the world on balancing clinical evidence against resources of the country. In the last 5 years, it has become a mouth piece for political medics who has little care or understanding of what can be delivered within the current constraints.
NICE should state "primary care" rather then "GP". It will then become commissioning issue for NHSE/CCG rather then individual GPs being held to fault for not being able to do 200% more than what we were originally commissioned to provide.
GPC should grow a pair too - they need to flag up the need for increased funding or termination of other services everytime a new "GP should do...." is introduced by NICE. There are no other union in the country who idly sit and watch whilst their members are being told to do extra work with no recompensation or work plan
We need to acknowledge there is a gap in provision which leads to these kind of services being popular.
Our patients needs to understand it may however have unintended consequences as the market forces will dictate i.e. fall of traditional free at point of delivery general practice.
This is something I'm sure politicians are all very aware - and probably looking at it with smiles bigger than cheshire cat's, paving way for privatisation of NHS
This isn't about retaining status for GPs. It's about what a "partner" can do.
I can see patient, do management and take final responsibility on all activities for my practice.
I'm happy for anyone who can do the same and give up their employee rights and pay 14% more on pension with just 100K/year to become a partner. Doubt I'll find anyone stupid enough though
Be careful what you wish for.
New regulation from NHSE:
Each doctor must not spend more then 8 hours/day
However, there must be minimum of 90 F2F appointments/1000 patient
No uplift in GMS/PMS contract value.
Result? Partners will go bankrupt as we need to suddenly fund twice the number of clinicians at same funding (i.e. 1/2 our income)
Well done for taking the step!
The only problem is, it doesn't matter if GMC looses - none of the managers and GMC clinicians who made the decision will personally pay for it. The award will have to be compensated by - guess who - us! So effectively, not only are we paying to be prosecuted, but we are also subsiising their incompetence.
I thought the problem was not enough clinicians and too many managers.
A scheme to make more managers will save general practice? They must be genius......
I enjoy visiting those that are truly in need of help and has no other means of getting that help other then a visit. It's a privilege to have all the trust in the world place upon me (patient has no other choice, can't exactly ask for second opinion home visit!).
Unfortunately the definition of "truly in need" seems to have been diluted down, both by patients and the regulators. Now, we do visits when we know patients can come to the surgery if their extremely concerned "mom need immediate visit" daughter could be assed to take 1/2 a day off work to bring her here.
As such home visits are no longer privilege or enjoyable. It is now an irritation which takes away service from those that are willing to make the effort.
?MPIG has nothing to do with who is in the practice. It's calculated on patient population demographics etc.
Editor - are you sure the number is correct?
26,000,000/75,000 x 12 (months) x 2 (years) = £14/appointment.
If it's the right number, I'd have to applaud London's CCG for the deal
Umm on how much more money?
I'd applaud the scheme for making a very modest improvent (still, better then none) if it was done on parity to other areas.
If they've done it with £X million more for vanguard schemes, it's disingenuous to claim success without RoI being analysed
I don't mind doing early visits - so long as I can turn off the request for visits by 10am.
No? thought so. Can I see 12 patients less/day to accommodate the loss in time then? No to that too? Then I'm afraid this idea is a pie in the sky.
I might recommend Professor Benger experience real world medicine at some point? Lack of O2 in the Ivory tower isn't helping his thoughts!
I must say I don't recognise average consultation being 9.2min. Wasn't there a BMA study prior to this which showed average was around 11min?
I bet this study have included telephone consultations and/or app which has been triaged e.g. Doctor First system where 1/2 of the consultation has been done on phone prior to appointment, thus making F2F shorter
I agree with Mark above. Unfortunately the paragraph is open to interpretation and hence many are cautious.
It's not beyond an imagination of a man to change GMC guidance (I believe it's not a law) and contract variation (which is what NHSE do every year) to stop them from being prescribed except in an emergency.
But alas, BMA nor NHSE have imagination. Or rather, lacks the will to make any changes which might land the hot potatoe in their hands.......
Cobblers | Locum GP | Kent03 Nov 2017 11:01am
A west country GP @£47 per hour.
Undersell yourself or what!
The admindroids must be hugging themslevs with glee at getting GPs to work for that.
Whilst I agree, bare in mind most GP partners earn less then 50quid/hr. In fact, most I know are round 40quids/hr when you take out the cost of being a contractor.
This is the real bit that needs sorting. If the partners are earning 80quids/hr, we'll have enough trainees wanting to be a partner (the most efficient part of NHS provision!)
Whats the chance if the $hit hits the fan, likes of Dr Robert Varnam will say "GP choose not to prescribe".
It's the right concept but with no show of confidence from the this lot, it's not going to change the culture until current system of blaming everything on clinician stops
Anonymous 4 | Locum GP19 Oct 2017 11:52am
Umm, which part of "you take all the hit and no one else makes concession whilst I boost my political career" is a pragmatic solution??? May be you have been everyone else's shoewipe for the 30 years which might explained the predicament our profession has fallen into?
I'm surprised Wessex GPs are taking this. They should demand an explanation from their LMC and if inadequate withdraw from paying LMC levies in the spirit of their secretary's "free work" ethos.
semiretired | Locum GP03 Oct 2017 4:55pm
No need. just reword the letter from the good coppa and send it to CQC and GMC. Sit back and enjoy the (predictable) response