I am glad this is turning into a sort of a good debate. I still remember writing, however, that I shred discharge summaries (with mostly stupid requests within them) after I've read them, not before (although, maybe should reconsider)'
Now that I think about the issue... here we are lucky if we get any discharge summary at all. They've been replaced by discharge medications summaries that contain no useful information about why patient was admitted, and where, and under who's care, and what was found etc. CCG had no interest in influencing this nasty habit to change, by the way. Maybe that's the reason why seeing a discharge summary (with inevitably unworkable/unrealistic/unnecessary recommendations) is sort of a novelty, so I read them
many thanks to the previous comment author for sharing your wisdom with us. unfortunately I see very little value in being smug about that not so elegantly worded example of picking up some rare pathology of indeterminate significance. Haemolytic anemias due to inherited membrane defects are mostly mild and require no treatment or a little folate, or if not mild- will be picked up anyway.
I am sorry to hear that you also seem to need to focus hard to see "hospital clinicans reasoning", so that you can carry on with doing.. "due diligence". So I'll explain. Vast majority of their requests for referrals to other specialties/more tests/GP follow up are due to:
a. them not knowing the patient
b. not knowing condition/not being comfortable with managing anything outside their specialty (examples- GP to refer to gastro for management of reflux, refer to ENT for chronic perennial rhinitis, refer gynae for irregular periods, refer dying patient for CPAP or respiratory rehab)
c. not having time or resources to deal themselves.
Because of this last point I still have sympathy with the stupidity of most requests on discharge summaries that come to me and give them consideration they deserve (usually means shred them AFTER I've red them).
Should read: 2 in 5 have admitted experiencing mental health problems. 3 in 5 haven't admitted yet, or have no insight (yet)
Ok. sounds like they think they could ensure continuous supply of meds. But should we be stockpiling GPs and nurses?
I think Francesca is spot on right. Mental health services have been underfunded into nearly non existence. I see no point in referring any more. Those who "meet criteria" find their way in themselves.
As GPs what should we do about it?- tell patients how it is.
So you wish to be referred a specialist service that can diagnose, advise on treatment, care etc? Eh... you see, in reality, you will fail to answer phone within one beep and will be triaged green/silver/whatever and discharged. At best you will be seen by a social worker or a psychology graduate, who will have no idea about questions in my referral. Consider saying that you want to kill yourself, or somebody else, this might get you further. Sorry, but we are all in it together. Next!
we need a minister of health app
Ha ha ha ha
When I die, my plans are to continue to remain dead (if that's ok with you of cause).
Btw, with all that grand vision of bigger picture that you've got, what are yours?
And I also call on all portfolio and media GPs to take a similar stance and .. implement policies(But as it stands I can't get them to even start paying attention to QOF alerts or to stop sending everyone for a test they don't need and "see your regular GP if your cold is not better in 24 hours")
I say, give them jobs that pay well and workplaces devoid of discrimination. Give them well built and insulated houses and help them find spouses that don't abuse them. Give their children schools with outstanding performance and free of bullying and any other form of abuse. Give them income that makes decent living and stop building unrealistic expectations through do-gooder charities and commercial interests campaigns... and they just might like the reality they live in and stop trying to augment it biochemically. Which might mean stopping using local GP as drug dealer..
He is not. But he follows HSL laments about loneliness and holistic care... do you not get a sense that you're just never going to be good enough? That customer might just need more of your time?
And plenty of other reasons to cancel RCGP membership any day.
This is such an emotive issue simply because this is all about control... over our lives. Will workload be dictated by the "specialists" from ivory towers, or will we be able to have any say.
Thanks RCGP, another stab in the back.
Shamefully had to join in order to play the game and get training practice approval. Cancelling membership on Monday.
No winners here. Will they ever learn to listen to the grassroots? Doubt it. Massively inflated sense of self-importance will always stand in the way.
Maybe I am missing something...and, ok, some people like motorcycling. But how is this role different to being a paramedic?
RCGP urges RSPCA to add GPs to endangered species list.
GP should ask the elderly if they would like visits from (their) grandchildren, and if so GP should arrange them.
If their grandchildren don't want to visit, it is GPs responsibility to source some other sustainably and responsibly produced grandchildren suitable for such visits.
bet they can
can NICE sink any lower?
Good point, Doc mcdoc face. And media could help by stopping promoting awareness of unhappiness, oh...sorry..., technical term is "mental illness".
Who needs enemies when you have "promoters" like Steve Fields?
we've got a nice theme going here!
can I share my own little contribution to modern English? its a verb.
"To cameron" or "to do a cameron"- means to make a bold and ambitious statement or proposal, but without full knowledge or understanding of facts or circumstances, that leads to great calamity or to loosing one's cause. A synonymous phrase is "to stick your neck out (and loose)"
"prescription-happy protocolariat"... love it..