What benefit will this give to the management of the patient in primary care? None.
It’s a no from me.
What PCN functions?
A sure sign that things are getting quiet in CQC towers.
Can we politely decline?
I’m referring as per guidance. Unless they would rather receive a mountain of referrals all in one go? Up to them.
I was told that they’re not that great at protecting you from someone who is coughing in front of you and may be more helpful if the patient wore it instead. So we started asking any patients who presented at the surgery last week (before we went full on telephone triage) to wear them. Where would we stand asking patients to wear expired medical products?
Very worrying. Goes against guidance. Appalling. Make up your own rules. Protect yourself and your patients the best you can.
The many have spoken. Long live the many!
Does this mean have no appointments, do them all by phone/video? That’s freeing up the time!
How is this going to keep the most experienced GPs in the game longer?
These are the ones we need while we boost the ones coming through. Short sighted at best. Lots of extra work still. When will we get a contract that just gives us a boost in the right direction without having multiple strings attached?
NHSE is creating an industry in itself of data management for CCGs. Constantly new figures, new initiates, new unfounded activities, with no actual benchmark. There’s never a benchmark, as the initiative benefit makes it 24 months as the funding is so poor, so you can’t even compare year on year.
It’s a shambles.
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.