Sure you mean, see patients remotely, Curious?
My practice standard operational procedures state that PHE guidance on Covid-19 is confusing and contradictory to governments advise and international experience. So we will see you- on webcam or (less likely) by triaged appointment. If you aren't doing same, you should be worried.
anonymouse3, you are spot on. Incompetence at the top is unbelievable. PHE have failed utterly. Criminal charges, nothing less (when we have time)
Can not trust guidance from NHSE or PHE- they are weeks behind reality. And in these circumstances GMC guidance is very nice, and I will read it when I have time... Look after yourselves, and by doing so you will be helping your patients. Get your own PPE, drugs to help the dying, oxygen etc, don't expect that regulators will produce adequate guidance in time.
I am putting a message on practice website, Facebook page, notice on front door etc saying that the statement of deputy chief medical officer is untrue. In reality we have no adequate PPE. And ask patients to write to their MPs or petition the cause by any other means. Public needs to know the truth. Maybe if we all did this, public and politicians will get it eventually.
We'll cough our way through this
Spent half a day this week managing QOF. If I don't do this, can't pay my staff. Suspend the bloody thing, pay based on previous years performance, that will "release capacity" in a blink.
Will CHMS look after suspected, not yet confirmed by tests, in self isolation?
still not sure what is wrong with "usual advice" (go home, its just a virus) plus/minus self isolate (or whatever PHE says on the day). It IS just a virus, with low mortality. Yes, the most vulnerable will die, like with any illness. From this virus or from something else couple of months later. Publicity disaster for the government, but hardly a threat to national security or nation's health in general.
Thanks for PPE. What exactly am I expected to do in return?
Last Man Standing, you are right, sure he knows this. And I think he has just shared with us his incredible skill in interpreting and applying it. We should all learn from the highest source 😁😢
That is exactly what I deal with many times every day
So very true- consultations are becoming more remote and number of patient contacts is rising. Intensity of work is increasing, in large part due to developments in technology, and so is our risk of overload and burnout. Those in favour of increasing "efficiency" will sooner or later learn that humans have limits and algorithms can only help with basics. To think of it....we are all doomed
Nikki, I am sorry to burst the bubble in which NHSE PCN directors live, but I don't think any of the specifications in the draft DES were offering "evidence based improvements". There isn't a single GP I know who is "broadly supportive of the aims" (of this wacky proposal).
Last sentence holds the anticipated punchline.
Other LMCs have now done own analysis and issued advice.
Essentially- don't sign up to this madness until negotiations have been completed.
In it's current form this DES is unworkable lunacy, as far from reality in England, planet Earth, as is the subject of this analogy, the moon.
This can not be accepted by any GP, even one session of patient facing activity per week "leader", or even half brain dead, traumatized, over worked worker-bee, no time for reading any bs proposals, let me just sign and get on with it- usual GP.
The future is bleak and uncertain under the rule of this delusion. We may get responsibility for OOH and God knows what else.
No- is the only answer I am prepared to offer.
This DES should be rejected until something meaningful is negotiated by GPC
"Finally, the pension tax paid by the few GPs who are still seeing patients will result in their being forced to sell their homes and move in with their children."- which might result in those pesky GPs actually living longer due to not suffering from effects of loneliness and social isolation. Something would need to be done about that!
In last two years I have given references to three GPs who have emigrated to Oz and Canada, and I personally know two more who have also done so. That's probably around a quarter of GPs I know personally or work with. Good luck to the rest of us who are still here for whatever reason
Should Carr-Hill formula include not only patient demographics, morbidity eyc, but also doctor's posh factor? What impact on funding should it have?
It's a very good and thought provoking article. But it takes us to questions with no answers
Great! I shall carry on with my usual practice, which is not to prescribe this bs pseudo-medicine, as per usual
Harry, thank you, for typical examples of reasons for (home visits) requests. Few years ago, we agreed a policy that in our practice reception and triage nurse discussed requests for visits with duty Dr before it was offered to patients. It has cut numbers of home visits by some 90%, just asking if patients are really housebound or had real medical need. Like someone said, grow a spine and decide where you are needed most...but work would be better if this unnecessary distraction (visits) was completely removed.