Who are the 20% and what meds are they on!?
We try to provide enough on the day availability but as the f2f numbers hit twenty (or look like they will) we set a cap for extras. Twenty was set as the absolute maximum by the BMA
The scale and size of funding is not enough to create real change in communities of 50k. They will only scratch the surface of the work that they could do. Again, real investment is lacking, and we will be flogged for our missing of targets. It’s not on.
Then we shall make no concessions to them?
To assess capacity, where as a matter of fact, it will vary day to day, you are asking the GP to take on risk without payment. This is not about diagnosis. It’s not about a one off assessment either. It’s nonsense. Refer psychiatry
Stop the press! Simple administrative task doesn’t result in massive improvements to patient care! Could have told you that years ago. It needs a properly funded primary care for continuity to truly work.
Great piece Pete. In agreement.
Influential certainly. It seems odd that you can tweet incessantly (and respond contemporaneously to the first 30 responses) about your ‘good GP deeds’ (or whatever) and this can land you a place in the top 50.
I’m not sure I’d have time.
Too busy going the day job. You know, seeing patients?
At the end of the day, when some non clinical Scrooge blocks my referral for a patient with clinical need, it can be their responsibility to instruct the patient of such a decision, and at the same time, take on all the clinical responsibilities that I carry with me all the time.
I shall continue with what I did before, thanks.
Wow. More layers please.
Agree, nothing I’ve seen so far looks at improving continuity which we know actually keeps patients away from secondary care. It’s just a vehicle for funding new staff in primary care that will work across networks. Cheaper alternatives toGPs which no one can get for love nor money.
Yep. That sounds about Right!
Do these folks get the payment for participation too then? I dont really fully understand. Optometrists. Do they have lists? How will they contribute? The PCNs go live very shortly. We haven’t had any representatives from these professions in our meetings as yet. Why weren’t we told about this a ‘long’ time ago? How can we plan properly when we just get drip Fed Info?
So many questions.
Surely they have cut more than it would have ordinarily cost to fund the indemnity!? What a joke. A complete joke.
Still can’t quite find the evidence to suggest these networks will actually work (for the patient and clinician, no one else).
Im 35 this month. I became a GP partner 6 months ago. Things that would make me stay.
1. Contract - just pay for what you get. All you can eat buffet doesn’t work on 150 quid a year. Ship messsing around with various funding streams.
2. Bolster community care - don’t just say it, actually do it. Provide the funding for a proper community care team with the money to pay the staff on a recurrent basis.
3. Scrap CQC.
4. Scrap revalidation.
5. Make appraisal more light touch. (MUCH more).
6. Sort pensions. It’s crazy that some GPs even as young as I am are looking at restricting work as doing the extra simply doesn’t pay after all the tax and tax on extra pension contributions. It’s a no brainer. This may help retain some more experienced doctors too.
7. Stop reorganising.
8. ‘Rebrand’ as primary cate consultants on a par as specialists with our secondary care colleagues.
9. Promote general practice in universities and foundation schemes by making primary care the place to be, ending the intolerable derision we seem to get from colleagues in the hospitals and universities.
10. Offer protection for the ‘last man standing’ situation that can occur in practices where a max exodus of GPs can leave one GP dealing with all the financial handles at the end. We have to make the partnership role the pinnacle of our profession again. It’s time and time again the view that this role offers the best bang for buck in terms of efficient care in the NHS.
The BMA provide template letters for all use kind of issues. The change in the hospital contract means that these tests results and follow ups and onward referral or discharge letters should be dealt with by the hospital, contractually. It’s not our job. I’ve been sending these letters for two years now. They go to the CCG and to the LMC. Admittedly the requests still come and I’ve not heard of any action being taken.
Upgrade what we have. What we have works. It’ll be a waste of money to overhaul. But maybe that’s the point? He wants to overhaul to ‘waste’ money in a certain direction? Just a thought. Won’t hekp health and social care to constantly overhaul. Please. Let’s not overhaul again.
St least he’s Sukh something and showing signs of listening. More than what the other chap did.