I don't live/ work in Dorset, but if I did I think I would be preparing an email with a title of:
'Get your own doctors/ nurses'
In preparation for when the CCG/ NHS England or the other local health bodies inevitably ask for clinicians to redeploy.
Those in charge are going to need a lot of goodwill from clinicians. They should not be burning it away at the drop of a hat.
As per No - I think GPs want something more concrete:
It should be:
"Practices will get the higher amount of the ir current QOF achievement or their 2018/2019 achievement".
The problem is that GPs and in fact the entire health care workforce has such little trust in Whitehall, we feel that that they will just use it as an opportunity to save a few pennies.
LastManStanding - I'm worried that you might be giving them ideas. By this time next week we will all have been sent a 2 minute ventilation training video - and be expected to turn our waiting rooms in to mini-ITUs.
Protected for 20/21 only? really?
Need some urgent clarity on this as at the moment it seems that we should absolutely 100% be making sure all QOF for this year is done, because it will be worth double/ counted for next year as well!
I don't mean to be rude/ unfair and I am sure some of the recently retired doctors are excellent. But everyone will assume they are deficient/ not up to date when something goes wrong. Some will also indeed by out of date.
Stuff goes wrong all the time. All of us know that. And when something goes wrong, patients (understandably), lawyers and now the courts and GMC cannot be trusted to decide if it is reckless incompetence in keeping with manslaughter or understandable systemwide error.
I don't know why anyone would return to help with that particular Sword of Damocles hanging over their head. As we all know nobody will help by reenforcing that horses hair to protect you.
Then of course there is the much sharper sword which involves just dying of Coronavirus.
Does that mean we have to close for a fortnight for a deep clean after every hospital admission?
We probably admit a patient meeting that criteria every third day in our large practice. Particularly if you include children.
Try to actually ask people what is going on in the front line, rather than guessing from your ivory tower.
People are working part time because those in power have made it almost impossible to work 9 sessions or more.
Don’t just complain about the situation, do something about it. Perhaps a premium for working full time. Perhaps a commitment to pay all pension related tax from central government funds. Perhaps make working 5 days a week considerably less than 60 hours. Perhaps make it easier for small surgeries rather than massive groups.
And almost by definition PCNs are designed to reduce continuity of care.
I think everyone has been really unfair. Those poor people on the CQC are employed to do anything apart from clinical work. Right now - when the whole country is in dire need; if they cancelled inspections these people would actually, you know, need to see patients.
Is it also not appropriate that Babylon publishes, in an open way, all the testing it has done for it's AI bot. It seems mental that they challenge a whistleblower to reveal data that they are not willing to release themselves.
That is full disclosure of every test with all data available, not just the summary or final whitewashed summary.
Prashant - I don't see how it is spread between 3 people - have I missed something?
I personally think it will make a difference. For our practice the capital account per partner is about 20k. That is pretty difficult to find in year one, considering you haver to pay it out of income after tax. It is also a bit too small to take a loan out - unlike those who own their own building, buy in for 200k and pay it down over 20 years.
This 20k would have given me, enough money in year 1 to buy in to the practice.
And if it is made permanent over 5 years, the tax burden will only be about 2k per year - which is much more manageable than losing 30k of your profits from year one. (20k buy in and 10k tax).
You are not going to be going straight to the car dealership to pick up your Ferrari - but it makes joining.a partnership considerably easier than before.
People like to moan but it is certainly a step forward.
I am likely to be on the list when the time comes. I however feel it is totally unfair to pick out those of us who choose to work longer hours.
Why does a GP working 9 sessions and 2 out of hour sessions per week - making 155k / year have to end up on the list. But a second GP working 5 sessions per week earning 140k/ year not end up on the list.
If anything we should be in the process of encouraging people to work full time.
The domains must respect informed dissent as a positive outcome. Our job should be to make the vaccine available not coerce people in to having it.
I think everyone should get the MMR etc - but we should not punish practices just because their community has a lot or gullible anti-vax victims around.
I just don't understand why every year the government think what more can we put in to the contact.
It is blindingly obvious that if stuff is removed from the contract it will:
- encourage GPs not to immediately retire
- encourage GPs to move abroad less
- encourage GPs not to move to careers other than GP
- have more appointments available to deliver core care
- meaning fewer people going to hospital
- and fewer people dying
- saving billions of pounds.
Sometimes less is more. It takes a moron to not see that.
Are you saying that the conservative led department of health has pushed an online first model without proper trials to prove it is safe?
That does not sound like the Tories... no wait.
"we as a health community were prepared to take"
I'm pretty sure the health community includes the GPs.
And the GPs were not asked about being prepared to take on the increased risk or doing hospital work for free.
Was just grandstanding by the government. The health minister (or even better a random minister picked out of the hat) should personally have to pay all the costs involved, regardless of whether it was him/her personally who made the decision,
It doesn't matter if they are guilty or not of making a terrible decision, they should just have to pay anyway.
That is justice.
Are they really going to close 2 surgeries (main and branch) because they refuse to give name and addresses to the PCN? That is the only outcome that the CCG have from contract breeches, I don't think the practice have to accept a fine etc.
I don't know the finances of practice and neighbouring practices, but unless they are extremely high earning I would continue not to comply. And if I were a neighbouring practice, I might join them in solidarity.
@Neo - I don't think people think the hourly rate is too high (on here anyway). It is more that they were paid (whatever figure) to be there for 12 hours and saw 7 patients.
It is a vanity project - which should be slashed away with the funding directed to core GMS services.
For a few more add in:
-most the PCN nonsense
-NHS health checks
-anything to do with having a named GP
-Anything to do with dementia screening/ dementia numbers/ etc
-Any enhanced service that has tried (and failed) to reduce hospital admissions.
-Funding related to e-consultations.
-Having a dedicated phone line for care homes/ ambulance to use (do we still have to do that?)
etc etc - all that effort could have gone in to core funding and actually made a difference to GPs, GP workload, retention etc.
Would it encourage me to work longer (in comparison to the current rules)
Only completely abandoning the system would make me work longer.
@TruthFinder - although your sentiment is correct, your comparison is wrong. You are quoting the retail rate (i.e. the price when actually doing work) for the lawyer, compared to the salary rate of the doctor.
The retail rate of these Christmas Day doctors could be £2750 per hour (assuming 10 mins per patient), which is why running this service is ridiculous.