Chinese gov must have been monitoring pulse comments section as seems they took up my suggestion
could be the most boring TV ever
Trying to envisage how this hostage situation would end. None of our consulting rooms are lockable, and if they were I’m not sure it would be legal to detain someone like this for two hours while you wait for an ambulance (assuming you have popped back in to calculate the NEWS score!).
How about a little note given to everyone arriving from China: ‘if you are unwell, do not go and see your GP. Do not pitch up at A&E. Stay in your house and call NHS111’. Better still, suspend flights from affected area, much easier to contain then, and puts far fewer people at risk.
Reminds me of the my school reports. Cut and paste job, generic phrases and comments, with the odd barbed jibe
Could do better. Copernicus thinks he is Ken Dodd, but in reality he is not funny
At this point in time, my practice of 12,000 has around 200 patients scattered across 24 NH/RH (a common scenario in seaside retirement towns).
However, over the course of 12 months we look after around 450 different people in those 200 beds because of respites, TR's, end-of-life care. Many of these need repeated visits as they have complex and unstable health problems. For some we receive no funding at all (as they are TR, or are not alive at the end of the quarter when capitation is paid, and most will not be around on 31st March to quality for any QOF payment)
The workload is immense already, and just to try and negotiate a paltry fee to provide weekly visits of dubious clinical value, fails to recognise the real problems pushing general practice towards an imminent extinction event. These folk are not even the ones most in need - it's the 200 or so 85+ year olds, still living in their own homes that generate most of the home visits we do at the moment.
We currently deliver over 100 home visits a week, and the PCN DES specs would have us increase that to 300 visits a week (the 100 we already do, plus the 200 care home residents). The money 'on offer' is a tiny fraction of that needed to cover costs and backfill a fulltime GP and paramedic to deliver the service.
BMA needs to say no. Just no.
Ooh, NHSE will be quaking at the threat of another meeting.
Just what the NHS needs, the return of the failed marmalade salesman. We need more landed gentry telling us what to do, what a silly idea to have a GP chairing the hhealth committee!
Where are the 5000 GP's you promised us Jeremy?
Well I’m glad that we’ve got earache sorted out. That’s the workload problem almost solved. Well done Matt
David Banner 2:41....
but after pension (27.88%) tax and NI
GP 10 sessions takes home £50,369 @£5037/sess/year
GP 6 sessions takes home £33,371 @£5562/sess/year
just remind me which one is earning the most now?
diluted apple juice
We are quitting PCN. The money on offer is less than 1/10 of that required to deliver all these new services.
If everyone else shows some steel and refuses to play this Russian roulette game then NHSE cannot proceed.
Look at the media and number 10, already briefing against greedy parttime GPs
BMA I have been paying you for 30 years. Now is the time for you to return the favour and actually do something to support me. Reject these proposals in their entirety
Hardly news. These sort of IT failures are daily events. Recently waited 2 days for BT to replace our router, during which time everything was out except for a couple of ipads
Could be worse. Could be 80 retirement flats with 160 frail multimorbid semihousebound patients. That’s business as usual for developers around here.
This would make an excellent series. Next week Georgina finds that all the 'womens problems' are being booked in with her as the male doctors don't examine ladies below the neck. More learning opportunities
Paperless pipedream. GP2GP fails more often than it works, and when it does half the 'summaries' are bloated with trivia. Hospitals and Primary Care still using incompatible IT systems. Extended hours docs sending tasks to daytime GP to arrange blood tests and xrays as they cannot order tests or make referrals.
£2 per patient? BIG DEAL
'The UK has made great progress in flu prevention recently by implementing and expanding immunisation programmes and adopting pharmacy-led initiatives'
Is there evidence for this statement? My own experience has been that since immunisation was offered out to pharmacies the programme has become fragmented, inefficient and less inclusive. The supply chain has become unreliable as manufacturers are supplying pharmacy chains first, who immunise the ambulant low risk, at the expense of the small practices who immunise the multi-morbid, high risk and housebound. Our population immunisation rates locally have fallen, not increased.
Gongs all round
I'm struggling with this...
you presumably get paid your salary while you are completing safeguarding reports whether your employing practice is remunerated for the work or not? It's not about getting rich, it's making sure there is enough money coming into keep the lights on
Did GPs do anything good this year? We should be told