Be the Change
prashant, please credit Una Coales as the author of most of your post
can't remember seeing a Fran cartoon yet where the GP is female!
As pension is based on career average earnings it makes no sense that 2 people earning the same could have to pay vastly different sums in contributions for the same pension. There is no justification for annualising and it is solely punitive
Today I read that due to funding cuts our local sexual health service will no longer offer contraception to those over 25 unless they need a coil or implant, and that 4 local clinics will close with those patients expected to see their GPs. So when SH won't see them for nothing we have to! And failure to get an appointment for pill now GPs' fault.
Now extrapolate to every other service who sends their excess to us as said by hospital doctor above.
I don't get it. Insurers can also decline to pay out and often spend a lot of effort working out how to do so - modified car for example
my favourite: "how often do you use your blue inhaler?" "only when I need it"
Should prevent patients being discharged as 'much improved' when they told the consultant just the opposite. (something I'm seeing a lot of)
CT chest abdomen and pelvis. Next!
Requests for antidepressants are now coomonplace. Patients feel you're not taking their distress/sadness/stress/panic attacks seriously unless you issue a prescription. (cf antibiotics)
study shows people with CKD have higher rates of these illnesses but it cannot make any comment on the quality of care these patients received or state that 'better' care would have reduced incidence.
As with all the CR*P about apps and AI, the technology tail is wagging the dog. NHSE and HMG need to look at evidence alone and take less heed of lobbying (advertising) by IT companies
AI is based on so many fallacies that it should never replace humans. In the messy undifferentiated world of primary care symptoms a, b and c rarely equate to diagnosis x. and how does AI deal with an evolving problem or would it deal with each episode of contact in isolation?
Now challenge their management of our pension contributions and statements. This really is criminal.
3 million patients complain they did not get what they wanted/demanded/ deserved/were entitled to
Sally GP - but the half million people using the app are still registered with a GP and the service will only work while there is the back up of NHS GPs for the inevitable advice to 'see your own GP' when the consultation becomes complex or needs a physical examination.
some young patients nowadays are surprised and even disgruntled that you want to examine them. "I've googled all my symptoms and I've got lupus. What do you mean you need to see me. Can't you just give a prescription based on what I've just said"
The original decision made sense because he was late to reapply. He won his appeal because the court could rightly apply some common sense and over-rule the rigid application of the rules. ...but for the Home office to try to take this to a higher court is ridiculous.
before asking GPs to prescribe longer why not tell hospitals to issue enough after discharge or out patient appt. In my neck of the woods there are still a lot of 'suggestions' to prescribe in out patient letters where we don't know if the patient was given a rx or not
the 4 hour A&E target is a big cause of very short admissions.
the first number on each year's calculation should be the adjustment to be made to the previous year's when an intended 1% pay rise turns out to be a 2%pay decrease. Until this is done each pay award simply compounds the underfunding of expenses.