Fed up doc
To be honest if I saved 10% of my time the NHS would see no benefit at all. I would simply go home at 18.30 instead of 20.30 daily and my family would benefit and maybe I wouldn’t burn out ...... but the NHS would get no more of me as there is no more to give
Maybe his pay should be performance linked with this as a QOF point - sorry- KPI?????
Isn’t this exactly the same as our Consultant colleagues? The cover we will require is exactly the same as them and as such I would expect the fees to be the same too. In the region of £80 per month rather than at least £800 ????
Once someone has defended themselves in court demonstrating that a Skype examination is as safe as a F2F exam then I'm in .... until then I'm afraid it's F2F for me
Sorry - fee
Surely if a few GP’s want the money from this time hey can set themselves up as ‘firearms Doctors’ ( like for diving medicals) probably with higher indemnity fees and charging a fair whack to perform this function. If not core or commissioned then clearly there has to be few for it
Until someone proves in court that ‘I Skyped the patient your Honour’ is a valid examination I’ll be sticking to the old fashioned F2F way thanks very much
I have one of these. really useful for patients with palpitations who say they have them right now in the consultation - you can demonstrate sinus rhythm right there and then
not using it as an AF screening tool though!
To be fair DrWho even the chair bound make it to hospital appointments and often to the supermarket. They too should be coming to us - assuming of course we are all in fit for purpose, easilydisabled access premises!
We have a great Paramedic who’s previous job was admission avoidance who does about 80% of our visits after we’ve triaged them. The patients love her, she takes the time to do a really thorough job and we couldn’t function without her now.
It's already too late - my appraisal was yesterday and I was criticised for candour in reflecting on a poor patient outcome ( in fact, was criticised for being compassionate , really). The damage is done
We were doing this over a decade ago. Whilst it's 'cosy' to have lunch with your colleagues and go through referrals there is always a reason why a patient is referred - social context etc or sometimes just that 'nagging worry' when - as an experienced dlinician - you know that something is not right. It may not fit the referral criteria but we've been highly trained to manage uncertainty and sometimes that looks like a referral. A GP Update (Red whale) cancer update 18 months ago talked specificially about that "nagging feeling" and encouraged referral.
Total waste of time and money in my experience - referral always still goes off