Another photo of a doctor using a toy stethoscope, with a box of Lloyd George notes on the desk! Come on photo editor, you can do better
In the 2019/20 QOF there are 20 points available for carrying out an annual review on all the people with asthma on your list. That’s about £5:00 a head. Let’s be realistic about how much nurse and doctor time this buys after tax, pension, utilities, use of facilities, and admin time to arrange the appointment. Not enough to buy a coffee,
Add to this all the other pressures and demands so eloquently explored on these pages, and the constant pressure from CCGs to deprescribe expensive inhalers and therapies. Throw in some perverse incentives to increase coding of asthma, Chuck in some pollution and clouds of vape smoke and you’re done.
Having stuck my head above the parapets on a few occasions in the past I completely agree with Cobblers. Unless you are pretty sure of a nailed on post in GP you should keep your head right down while working in hospitals. Whistleblowing sucks in the NHS. I was told by three people that they would ‘end by career’ when I raised legitimate concerns as a junior doctor. luckily I was never planning the sort of ‘career’ that they meant as was heading for the sinking prison hulk of primary care.
If the AI is so clever, why doesn’t it ring the targeted patients itself rather than give the job to practice staff? Oh, because it’s BS
The cheerful guy in this photo has cropped up in a lot of other stories on Pulse. Perhaps he is not making progress in his career due to the toy stethoscope that he is still wearing.
The only thing that will stop some people missing appointments is a £200 fine
£20 to see a GP, and £50 when pitch up at A&E would be a good start. £200 for missed appointment
Another confounding factor is length of note. If I give 4 notes for 7 days each, rather than 1 note for 28 days my notes will go up by 400%
How do NHS Digital count the number of med3 issued? Could this just be switch from paper to computer generated notes?
Chuck a bit of money at marginal seats before the General Election. Eg Wirral West small majority, considered a ‘bellweather’. None of this money will reach GPs, except perhaps a few bungs to CCG worthies
Local lab here usually refuse to test anyway
11 grand is no deterrent. Less than a years tax on notional pension growth!
Have they heard of email?
Get over it. It really doesn’t matter what CQC say about you, no one is interested.
CQC now totally discredited by their relationship with Carl Beech
Well done for having a stab at explaining this! For the over 50’s who have worked FT there is little option but to get out of the scheme and accept that your eventual pension will be around 2/3 that of your older partners.
Good article, but what’s all this about delegating the management to the GP? If they do the test, they deal with the results.
This ignores the common situation that I face weekly when a patient comes to see me chasing the result of a scan done whilst in hospital or A&E, often not mentioned in discharge letter. Interrogating hospital system reveals unactioned incidentaloma
Title should read Time to scrap RCGP
I have worked for 25 years as a GP without ever becoming a member, my patients and colleagues haven’t been the least bit bothered. The Royal college is and always has been a complete irrelevance.
Same phenomenon as AKI. Hospital paid more if patient has sepsis recorded, therefore every admission initially coded as sepsis and diagnosis not retracted when blood cultures, xrays and scans fail to prove. It’s a game. QOF had the same effect on rates of chronic disease (only for much less money)
Very best wishes from a reader. Having lived through a serious illness myself, and having nursed a loved one, when I look back I wish that I had taken more time off work. No one thanks you for struggling on. Look after yourself. Regards Copernicus
We need a bit less optimism, forever hoping that things will get better, and a bit more realism and honesty. RCGP only has credibility among its gong-hunting buddies at the BMA and GMC echo-chambers