"Social prescribing" - a very annoying term for signposting cheap education and excercise - needs careful handling. If oversold it may be perceived by patients as patronizing and infantilizing.
Agree. Looks and smells like fraud. Interesting to see if NHSE and the media scrum will redirect the canon.
The adversarial criminal court seems to be incapable of offering refined judgement required in complex cases of professional error; it’s odd that the GMC express such blind faith in our flawed jury system as a basis on which to distribute shame. We are right to remain anxious.
A tad hypocritical of our servants in government. Re. Capita:
"In August 2016 a survey of GPs found 85% were missing records of recently registered patients, 65% had experienced shortages of clinical supplies or delays in deliveries, and 32% had suffered from missed or delayed payments." That's it right there?
Yep. Beware of legal advice. That profession is in worse shape than we are! (Try reading " The Secret Barrister" by Jack Hawkins. Excellent and very worrying). This conviction looks like one of the many recorded failures in our justice system. The GMC had better be pretty anxious about going there again.
Agree with 'Porridge earlier. We now have more reliable wrist BP devices making a comeback (detail withheld to avoid advertising) . People will be able to apply a wrist band, get the basic set of obs and be directed to 111/999 or routine care earlier. More efficient than a triage/visiting service or a Cat 2 ambulance.
Yep .... 4 hours untenable now due in large part to “austerity” ..... 10-15pc cuts in council funding
since 2010 effectively converts A and E into a care home.
We certainly do have a conflict of interest Ivan ... you’re indirectly incentivised by QoF to produce a left shift in population blood pressure. Thus we may perhaps nuance our advice to individuals in terms of not ever actually revealing the unimpressive NNT? Just saying, truly informed choice is pretty rare. Should we instead spend the inevitable new pharma bonanza on education, gyms and healthy food outlets ?
Sorry numbers not mumblers :-)
Thanks Pointless for those mumblers (see earlier) . So it's confirmed. Seven sessions is now the full time commitment.
"Mojo Bojo" would know all about that wouldn't he.....
Agreed on that! All the professions are suffocating with stultifying bureaucracy. The direct consequence of our comfortable "meeting" culture". Reckon that we can count on that continuing after Brexit sadly. The civil service mindset.
No NHS eh? "People will alwats be sick" but if I was earning less than 27.5k (average UK wage) I wouldn't bother with preventive medicine or dentistry. On that basis which 25pc of UK doctors do you think should be fired if we privatise?
Went through the whole AF /OAC farrago with a senior scientist with postgrad stats qualifications. 30 mins. He then smiled shrugged and said “ What would you do”?”
Thanks Neil. Do the records still “belong” to the Secretary of State?
Humanitarian? Difficult to share and learn from errors in the face of “ a crackdown” as we all know ... and if we’re really going to reduce fatigue errors give us 5 quid per patient and we’ll hire a couple of pharmacists to do the repeats. (Interesting then to test the absolute impact of that, could be disappointing).
Common sense pioneered by the college for decades. No time to do it though ... the current NHS structure depends on GPs moving at 10 minute intervals all day. Pinning hopes on " Transformation Groups " showering us with physicians' assistants and residential home pharmacists. Takes cash a lot of cash. Need to change mono- disease ( BP) guidelines too to unfreeze nervous prescribers.
Oh dear ... diminishing returns again. I
shall be " signposting" patients to the NNT
website. Might preserve some primary care
appointments in the face of the coming
Interesting. I think patients who
prefer to abdicate responsibility will
ignore the cards or will possibly feel
patronised. ( Might use one for my
auto - electrician though)