All the PCN moneys can do is stabilise GP within existing workload. The proposed extra work has no GPs to do it. Social prescribers and pharmacists are not freeing up GPs. Trouble recruiting nurses, paramedics and GPs. Only excess is pharmacists. And they seem to have trouble with basic dispensing.
If this stays as is PCNs will mostly close.
Difficult for NHSE to simply withdraw without egg on their face, as they elected to go to public consultation: not a great option for complex technical negotations such as this.
NHSE will have to withdraw this or many PCNs will simply close. Awkward to have gone for a public negotiation before any GPC negotiation. I wonder how they will save face?
Who still believes the change from Criminal to to Civil standard of proof in GMC hearings had no effect? Or was sensible?
Don't worry there aren't any out there to recruit. (except pharmacists, whose useful roles are pretty saturated already).
There are ideas, we all have some, that would be constructive. And for each there are ways of sabotaging them. e.g. MDT: In-house small MDTs can be focussed and productive. MDTs for 50,000 town populations tend to be a monumental waste of time!
If it is to work we need to be allowed to focus on productive work. And it will be hard, given all the reforms, workload and workforce issues already on our plate. Any distraction, adjustment, new 'initiative', additional requirement and each change will waste energy and damage trust.
If someone wants can they can lay off or re-employ their receptionists and just use 111? I shudder at the thought!
Giving 111 access to an e-consult triage slot may be one more workable option?
1.4% global sum uplift
£1.92 EH old
£1.45 EH new
Long list of imposed unfunded obligations...
Someone show me the upside!
Oh yes, acute physio assessment is nice to have but routine physio is now a 6 month wait! Remember in a system working beyond capacity, any change is at the cost of something else....
We use paramedics and nurse led triage and home visiting. We have minor illness hubs and minor injuries units, we have OOH GP and 111. We have community pharmacists. The only easily recruitable AHP are pharmacists and we don't need any more of them. Networks in our areas will have negligible effect, except to suck up more headspace and distract already over burdened key clinicians. Anyone want to bet another topdown revolutionary reform with be here in 12-18 months?
I wonder is NHS really keen to have a OOH 111-like telephone support? This seems funded to about that level, (not clinical F2F!) but duplicating 111 or MIU seems pointless
Been trying to get a pension statement in vain since 2017. NHSBSA say PCSE still not updated 2015. PCSE say all up to date (eg Mar 2017). So round and round we go. ICO/FOI, Pension ombudsman and Pension regulator involved now but not yet helped.... and as the NNHSBSA/PCSE usual process is to close complaints and requests unanswered... which camouflages the situation for them
Await impact on fees of 20/3/19 DoH statement that any cover will be discretionary... GPC a reaction please?
Another new kick in the pants. Almost as though the SoS has just realised the cost of the scheme and is now trying to find a fig leaf for a U-turn? Will the GPC go back to the negotiating table for the whole new contract and network deal??
EH is a deal breaker. 8-8, 7/7 is madness on steroids, and proof that the top down agenda trumps coal face efficacy and patient benefit
We have some very non conforming PCN proposals already... no value whatever as no overlap with any other community services. Almost proves futility of the concept. I wonder if topdown diktat will now follow. There are ways to make this work but it'll be hard work. We'd need trust and grassroots primacy... neither of which we have (nor are likely to get).
2019 and NHSE is still pushing for scares capacity to be deployed to cover minor illness sunday capcity - so less complex chronic stuff can be seen... weird logic!
Cuts but not from hospitals?
2019: lets now offer £1.45?!? How does that compute? And how do we also manage to cut hospital beds too?
Sounds like budget is decided then decisions are made and evidence to support it found. Good Strategic Review to associate expectations with budgets is needed! The current divorse may protect politicians for a while, but the reality will be more and more apparent with time.