Really good article. I think the demise of the clinical assistant/hospital practitioner posts has not helped. When I was in post both I and my consultant found it an invaluable way of learning from each other and understanding our individual challenges and barriers
There are really serious issues here in regarding to the pressures on OOHs but the headline does not help the cause. It will give the impression to the naive that almost a third of the year is not covered by the OOHs. Statistics are wonderful things but dangerous in the wrong hands.
That was a joke about renaming the OOHs the Green Light Service, wasn't it? The RCGP would not be silent on the OOHs for ages and then say something truly asinine, would they? Because they haven't said stupid thing in the p.....silly me, so they have.
Now that is an advert for general practice.
In the name of everything that is holy, pure and akin to Olivia Newton John, please, please give us back the old format. It was clearer, you knew where things where and didnt make my eyes water.
In my day if it worked you didnt mess with it. I don't know what the world is coming to...... I blame all that flower power and listening to The Doors.
I do wish people would use the term 'existential' correctly, even though there is no real definition in a positive sense of existentialism more what it isnt...........I know.......I need to get out more......I'll get my coat then.........
Fascinating reasoning behind all this. One of the main reasons behind the setting of fees for Out of Hours work has been the inherent risk of not knowing the patient and not having full access to the records. Many of the 7 day week pilots are shared ones based on sharing of records and I guessing from this , the indemnifiers will not be putting OOH rates onto those doctors even though they may not be from the same practice. How is it then in areas where there is full sharing of records indemnifiers are classing that as out of hours work despite the 'inherent risk' being diminished through full access to patient records?
Pev, get better soon and then get out.
Balint groups? Ah, isnt it cute that some people still believe it can cure all the ills in the world.
An aside to Pulse..this really is the time to restrict this to health care porfessionals after some of the strnage bordering on sociopathic reponses listed above.
Oh please tell me you all realise this is an April Fool's joke.
Thanks a lot. That is not fair on the RCGP. The concept of satire is lost on them. Making fun of them is liking shooting fish in a barrel. They will think this is a great idea and take it up. Next thing you know the whole of the RCGP will move to Australia and leave us alone and...........wait a mo, actually thats not a bad idea. Anyone for a petition to adopt this policy by the RCGP? Need another office site though.... now where do they test those big bombs?
Vinci, there are but they are mainly used in monitoring Barrett's and their value in heartburn is unclear.
Just a point of information, I am not a committee member of the PCSG.
The major question is why when there is perfectly clear advice from PHE. I only hope it doesnt give conflicting advice.
As a GP gastroenterologist, I feel pressurred to state that he may have a point. It is now clear to me that constipation is mainly caused by planets occluding Uranus.
The people of Bosworth must be so proud of this beacon of scientific thought. I say make him Secretary of State!
Am I getting old but what is new about this reseach? Iremember getting taught this in the 1980's? 0.25 cm is a 'major concern'! What do they class repeated infections, exacerbations and admissions as? Because that is what will happen once the Press twist this bit of research.
..........Just in case, anyone want to do some research, what is that hot thing that seems to go down in the west at night?
This is very depressing. From an OOH point of view, we already have problems with rising defence fees, changes in the make up of the workforce and driving down of costs from CCGs I am not usually so pessimistic as I have tended to scoff at previous 'the end is nigh statements' but I think we will look back on the last year as the beginning of the end of GP led primary care.
The consequences are immense. I have just got back from a conference of European OOHs organisations and the Danes were telling me that in Copenhagen (as opposed to the rest of the country) they have bypassed GPs in OOHs and have nurse triage with hospital care. No surprise ... rising costs, more admission, overinvestigations and reduced patient satisfaction and a government desperate to back track. Will our leaders ever learn?
Just to add a bit more.
My big concerns are that we are not learning from the mistakes of last year. The places where NHS 111 have worked have been either where they have been integrated into the OOH services or where extensive and ongoing training in Pathways has been a priority.
The main problem is that the primary care workforce is increasingly being stretched to paper thin with more services asking for more GPs. In one way it is a recognition of the importance of primary care but I share some concerns here that , unless we get a major rise in active GP numbers, then many of these schemes will fail.
You have let the world know my method of remembering names by calling everyone my son's name.......it had been a long day.............
Regarding your revelation that OOH is fast becoming a out of medication service, I am grateful that you have brought this to general attention. Those of us in the OOH service would also like to let people know that we no longer need to have a gentleman waving a flag in front of cars anymore and that Reggie Bosanquet doesn't read the news anymore.
David you need to get out more often. We already are being tough as we can and, wow, do we pay a price sometimes for being so tough! Until we did flex our muscles , we getting 40% of our calls on Saturday between 10 and 12 repeat med related.
The original Punch cartoon relates to a curate having an egg that was off and trying to be polite saying it was good in parts. In reality, even if the egg is partly off, it still ruins the whole egg....................yes, I know, I'll get my coat then.........