@Alan- pls see this websites
@Alan- I have no payments from any pharmacy company, I don’t own any shares in any cannabis company, I have not received any payments regarding cannabis prescription or use, I have no financial incentives to give the response that I have written previously . We are physicians and we can be civil. I just shared from my personal experience. In a matter of few weeks to months- doctors would be allowed to prescribe after requesting a licence in the UK. UK has been behind regarding this aspect of care. Countries in Europe and also Canada have allows medical Cannabis and even US which is very restrictive has allowed it for certain seizures in children. NICE will come up with guidelines for cannabis. No doctor will be forced to prescribe it. Physicians are only allowed to prescribe within what they a comfortable with.
It is safer than opioids and is of extreme value to tackle the opiate crisis being experienced in US/Canada. I have patients on medical marijuana and all of them have been able to cut down or stop morphine/benzodiazepines that they had been on chronically. I understand the fear to prescribe this because marijuana has been stigmatized by the legal system and politicians for years. What we should clamour for evidenced based, clear prescribing guidelines from NICE and good post- prescribing data and side effect monitoring.
Cannabis is a good drug for specific disorders like
pain and muscle spasms or cramps associated with multiple sclerosis or spinal cord damage;
chronic neuropathic pain (mainly pain associated with the nervous system, e.g. caused by a damaged nerve, phantom pain, facial neuralgia or chronic pain which remains after the recovery from shingles);
nausea, loss of appetite, weight loss and debilitation due to cancer or AIDS;
nausea and vomiting associated with chemotherapy or radiotherapy used in the treatment of cancer, hepatitis C or HIV infection and AIDS;
Gilles de la Tourette syndrome;
I agree with you John. This case made frontline national news. Now that he has been cleared of hiring a ‘hitman’, there is practically no national news reporting this.
Read the tribunal information. The doctors knowledge and judgement in treating acutely ill patient was poor- he needed information and training not punishment- that’s why he is still a training . But to use this to strike him off the list is shocking. It’s like someone caught for speeding and sent to life in prison. One of the main problems with the GMC is proportionality with punishment. They had already decided they had reached their minimal threshold to strip his licence of him and had no hesitation to suppress whatever information that would counter this. Think twice about staying in the UK because the system is definitely there to get you.
A system has to be fundamentally fair- otherwise it will cause harm. You have a society/politicians that expects more from its health service and yet wants to pay less for it. You have a system that criminalizes doctors for doing their job and yet expects them to be open when they make mistakes. You have have a minister that promises to recruit more doctors but won’t address why doctors are leaving.
This blanket letter based on prescribing rates is unfair. Variations exist in prescribing and could be due reasons such as chance, patient demographics , epidemics , type of work (emerg/urgent care/ clinic). Sending this letter is clearly and over-reach. If they actually cared about antibiotic prescribing they would offer family physicians near point testing for lactate/neutrophil count . That way we can be sure we are not missing sepsis and be willing not to prescribe antibiotics.
Bye bye reflection. GMC in one swoop managed to undermine the one thing that they were task to do- further patient safety. Now doctors will not communicate, will not reflect, will not share information and will practice defensive medicine. More doctors will stop working in under- resourced environments because they now know that if things go wrong- then for sure they will be held criminally responsible for systemic problems.
Pouring water into a seive and hoping the water will be held in it. Just does not make sense. Keep recruiting as many GPs as you can - it won't stop the dams that have been broken by chronic underinvestment. Politicians and the public are afraid to do what needs to be done. Pay GPs a decent wage, improve their working conditions, stop the rise of indemnity costs to GP, reduce stresss for doctors and watch the numbers of GPs rise. Anything short of this is doomed to fail.
Response- that's fine . Please go to the reception to book to see the GP of you choice. Then first opportunity you get move to Rural Australia or Canada and when you get asked the same question- say that's fine I am the only doctor in this 2 hour radius, you can head to the next clinic 2 hours that way and book to see the GP of you choice.