Yes, the DNA. He telephones at 18. 25 and somehow reception put him through to you. He says he is feeling suicidal and he is asking for a home visit. He has already spoken to mental health crisis team, who advised that he needs to see his GP today. He says he will not see anyone but yourself.
two weeks later you hear that patient 1 was admitted with steroid induced stomach ulcer. then your ear irrigation device breaks down and since there is no funding for this service, partnership decides not to replace/repair it. patient 3 walks out of the door and writes a complaint that their concerns were not taken seriously and they should have been offered urgent MRI angyogram as was their aunt who lives in USA.
sorry... I am also having a great day
The (long term economic) Tory plan working
Vote of no confidence in RCGP long overdue
"While this study is undoubtedly incredibly informative and illuminating in highlighting correlation that exists between animal ownership and levels of physical activity, it doesn't consider long term environmental sustainability of such recommendations (of animal ownership). We believe that more research is needed in order to address this issue."
RCGP lead GP of environment&sustainability responded
First we need a guideline on how to estimate likelihood of patient cleaning after their dog's done a cqc in the middle of a pavement. Not being able to do so would put public at risk.
Eh.. maybe NICE can work out how to incentivise GPs to carry on working?
Surely they will find a GP somewhere to blame for not referring/ not acting on a fire safety concerns. Just wait.
this is unbelievable and probably unprecedented, but it would appear that RCGP got this one right. certainly sense of listening to grass-roots as opposed to autistic mantra of previous leadership ("never been better time" etc)
Last year we lost one of the partners in our three partner practice. He was exactly what's described- experienced and working 10 sessions a week. We now have 3 part-time GPs and an ANP, some of whom are also very experienced, to replace him and they are not covering neither his clinical nor administrative workload and that is at considerably higher cost to the practice. The net result was that we, remaining two partners, had free up time to cover (and try to stay sane), which essentially means cutting our own clinical sessions. So when Copernicus says it would take three to replace him, I agree completely. I've seen it.
agree, not fit for purpose. huge subconscious bias in CSA
I completely agree with physiological basis of this recommendation.
A bit uncomfortable with word PRESCRIBE. A patronizing and not sufficiently supportive verb, that doesn't empower patient to take control. Instead we should PROVIDE (low carb diet)- source, cook, serve and clean after and patents will reward us with positive FFT and MSF. Don't forget to leave a pack of Amoxicillin, Citalopram or Atorvastatin in the cupboard. Better safe than sorry. Surely big part of government's anti-obesity strategy.
Can't imagine how it's possible to blame our so called "leaders" for anything. They have zero influence and due to huge diversity of ways of working and regional and practice circumstances they represent no one other than own practices. Who ever cared what RCGP had to say or about their so called standards that only work inside the minds of few cardigans doing 2-4 sessions a week? And as for GPC- they are against powerful machinery of DOH and NHSE and in real world Goliath usually wins. As stated in previous blog- what do we want?...
Sorry won't be able to memorize referral criteria. Still trying to learn how to do boiler checks
It amazes me that there are doctors here who appear, at least from their comments, to be in favour of using homeopathy and even describe it as "natural" and "recommended". Not talking about using as placebo, but actually believing that homeopathy works. Really surprised by this. I do hope no one still practices blood-letting or healing with crystals, or adjusting energy/vital force circuits in primary care on NHS.
But then MPs apparently urge us to prescribe poetry, so why not spiritual healing?
Young ones, I speak truth. Yes,
working in general practice is pretty horrendous, but so is working in secondary care. It's just different aspects of work/pay/life-ballance that NHSE/societal expectations/line management screw you over. In summary, if you want to be a doctor in the UK, you're screwed. Better to realise it early and, if you still want this, get on with it.
If you have a non medical spouse and family, try to educate them early. So you have a chance to be understood.
6 months sentence reduced to 4 months because he pleaded guilty. I wander if a more cost effective approach would be to just let him go if he pleaded to really meaning to flatpack the whole lot of them and to reflect in his e-portfolio.
Here's an idea on guidelines improvement- get rid of guidelines!
Sorry, won't be signing up to this forum. Too much work, too little time.
A five page online form that crashes half of the times? Wouldn't be my problem. One try and I am dictating a letter where I outline my concerns and ask them to put it on any form they like using this time of year or get on with the job. Having said that, I do have some sympathy for their position which is not so dissimilar to ours. Essentially, ever rising expectations and ever shrinking resources.
IDGAF- you are spot on. Personal credit banking- loans, mortgages etc- isn't based on actual funds that lender possesses (unless if I'm not mistaken it's Islamic banking). This concept of actual money or funds becomes even less relevant in cases of governments issuing bonds, which is how they borrow. When you are sovereign controller of a currency, there is nothing stopping you from borrowing as much or as little as you want, other then your own sensitivity to markets reactions and perceptions of your creditworthiness and reliability. Which is what makes Tories position so specially miserable and pathetic. They could choose to fund healthcare, police, fire services, education etc adequately. But instead they prefer the mantra of no magic money tree.. shrink the state...and watch people die.