GP. National Chairman of Family Doctor Association.
CQC inspection this morning. I will leave Kailash's headline on my right hand computer screen when they come in to see me and, as always, ask for evidence of their effectiveness, usefulness etc. They managed to register "Better Health Partnership" in Swindon - the group of 5 IMH practices (including what was mine) as an entity a month before they became a legal entity. Quite an achievement.
so, 7-23% of antibiotic prescriptions are not needed. The art, of course, is working out which 7-23% you are in... and to fail to prescribe when you should risks the patient, increases the risk of scarlet fever etc etc. We are already doing better than any other sector of the health economy at prescribing well. Stop blaming GPs and try to attack the hospital sector, where they (presumably) see their inpatients every day...???
Careful here - this was announced a few days ago. The cover is valid if you retire AT YOUR NORMAL PENSION AGE. For members of the 2015 scheme, that could mean you have to work to 68 to be safe or pay 7 years' run-off cover premium. How many of us will stay in this job until the age of 68???
DrDr quite correct. Time for others to fit in with us rather than dictating what we should do. This is intended to be a GP led initiative, whatever you may think of "working at scale"! Look out for Family Doctor Association factsheet series coming to your practice manager's inbox shortly to give you the rules, untainted!
1. Show me the regulation on which you are relying to say that I must produce a Brexit plan. The government has failed to do so in 2.5 years. I plan to take the same time to produce one.
2. Convince me that the world will fall apart with a No Deal - or WTO-rules - Brexit
3. Remember the Millenium, when all the great and good went and hid in bunkers expecting civil disturbance (GOK why) and all computers were expected to fail? I worked the night, had little to do and enjoyed the fireworks.
4. Don't waste time on this when we should be concentrating on forming Primary care Networks to bring more money into our practices and improve patient care.
What a fudge! Do I need a letter of comfort? I've not been accused of a criminal offence! We either prescribe to all or refuse to all - leaving us to decide if someone can't afford it is really unacceptable. We will always get the "entitled Grauniad reader" patient who insists on a script and has the time to make life miserable as the complaint process (usually direct to NHSE thus involving the PAC) grinds through. Let's just get the clarity of NHS prescribable or not.
Just for once this is not something to get all worried about but a mechanism for getting money into groups of practices. The redevelopment of the Primary Care Team as a Multidisciplinary Team at PCN level is very welcome and will reduce silo working where we are working against district nurses etc instead of with them.
So delighted to see Dr Hendow win. Shows how good a small practice can be with a devoted, vocational GP at the centre of the practice. As one of the judging panel, I was highly impressed with the quality of entries - most of whom would be deserving winners any other year,
I would do a "routine" referral to the podiatry clinic for patient 3. Worded to make it sound urgent to the lay reader and give the appropriate messaging to the provider.
ScottyDog - we only have collective bargaining power if the troops will down tools to fight the government's choices in resource allocation. We had our bluff called over pensions...
"To encourage, foster and maintain the highest possible standards in general medical practice"
Seriously? Where in the governance does political posturing come into it? Do they know that the overwhelming majority of their members are Remainers? Even then, it ill behoves them to nail their colours to a transient political mast. I think that they are well-meaning but seriously misguided. They are also fighting against a majority democratically achieved referendum vote. Or do we have to do as the EU would like and keep on voting until we come up with the "right" answer?
I'm still waiting for the High Trust Low Bureaucracy Contract we accepted in 2004......
I'm sure he means well. Andrew Lansley meant well and was very pro-GP. We had some GPs back then.... And Mr Hunt said (repeatedly) that he was the most pro-GP Health Secretary there had ever been. With his diplomatic skills, watch out for WW3!
So what is the NNT and NNH? These are the essentials we need so that we can adequately advise our patients. Statins are not beautiful, side-effect-free drugs. I have no problem in using for secondary prevention, but patients often choose not to take for primary prevention when given the statistics.
Zoe doesn't expect me to agree. I don't. Personal relationship continuity in medicine has proven benefits to reduction in morbidity. Yes, we have the data, it's incontrovertible. If you need the full story, contact the Family Doctor Association office. It's not just about the fuzzy feelgood factor. It is truly appreciated by patients who indeed do not have to start from scratch each time and hear yet another differing opinion on their management - please don't say we all do the same thing - we don't.
Could those going to the LMC Conference please consider sending motion 303 as a chosen motion? Conference is far too dull - this may help! Has to be in by end of weekend so please have a look today!
one problem is that the GP training environment has NO useful training on the business of general practice, which is a fundamental flaw whether you are going to be a partner, salaried or locum doctor. So there is little help to make an informed choice
the "wet signature" bit is nonsensical. Electronic signing is much more secure!
anonymous salaried! - you're not being the Devil's Advocate, are you?!
I think the answer is venlafaxine. Doesn't matter what the question is.
Or some very nasty and toxic atypical antipsychotic (should they still be called atypical when they are now typical?).
Reading the referral letter seems beyond some. Asking for specific medication advice? See para 1.
Where are the wonderful shrinks who would cheerfully embark on some unconventional mixture of Marplan and Mianserin to cure the really difficul depressives???