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Diagnosis is not equivalent to impact assessment, As a GP diagnosing Angina does not make me responsible for the impact of that nor any therapeutic decisions made. Full assessment by the cardiologist covers this. Thus an assessment needs to be carried out by someone capable of performing such a multidimensional assessment.
In the main, this is more dumbing down, a direct consequence of underinvestment in the medical profession coupled with over investment and misplaced trust in NHS 111, Urgent care centres, nurses, pharmacists and paramedics interalia. The consequence of this bean counting approach is that the patient is surrounded by so much ersatz and quackery before getting to see someone who knows what they are doing, incurring much greater expense on the way
What is the cost to the UK Of NHS England? Has anyone ever seen or heard them doing anything useful? Are they not the greatest fraud within the NHS family? I realise there is much competition in that race to the bottom along with CQC, NICE, GMC etc.
And then to hire a shower of accountants whose only motive is to stuff their overfed mouths with taxpayers money. Is there any oversight of these shysters?
Another frankly stupid and mis directed initiative, which in the end will cost far more money than the few pennies they are trying to save. This has happened because we have devolved clinical decision making to "managers" directed by NHS England who in turn execute the whims of their political masters.
It wasn't one J Hunt by any chance?
Government policy has been to replace properly trained GPs with a cadre of individuals with inappropriate and inadequate training including NHS111, Paramedics, Nurse practitioners and pharmacists ( heaven help us!). This is done as they are perceived to be less expensive. Given the fact that they make so many mistakes and delay patients seeing someone who knows what they are doing, this state of affairs was entirely predictable. If our leaders, especially RCGP keep making politically correct noises instead of this idiocy the current rate in decline in medical care will accelerate.
Another great NHS initiative which creates new problems and anxieties at great expense while ignoring the real problems of the failing NHS
I am sorry for the poor student.
This sad case demonstrates how completely useless NICE guidelines. Predicting suicide is always very difficult as it is not always obvious, or things take a turn foe the worse with no clear warning obviating the ability to intervene
Maybe we need a Babylon app for politicians!
A pormise from our Prime Minister: really inspires confidence!!!
Would her attendance incur severe melting amongst the snowflakes who wish to ban free speech?
Doctors are supposed to professional, resilient and open minded. Opinions should be reached after not before a conversation.
Well done Prof Majeed to these undouded assertions by Hancock and his fellow conspirators looking to milk money from a failing NHS.
What any doctor can tell this numpty is that there are insufficient adequately trained health care professionals left to to the job. Clinical time is further wasted by CCG visits, CQC visits appraisal and revalidation, all of whichcould be removed increasing productivity by the value of some billions of pound while decreasing government spend.
To this bonfire of the vanities could be added NICE and NHS England ( in all it's guises)with great cost savings. The resulting chaos would be easier to manage than the chaos and inefficiency they have created.
Who would ever have thought that we could have had a worse health minister than Hunt!!
I would not disagree with Dr Holden's version of events or recommendations.
The Government and their associated agencies are not noted for their ability to recognise any given truth at any given time with truth being a flexible concept always bending to align with their current policies.
Thanks to Health Education England and other national bodies who have conspired to end primary care.
Yet another NHS money saving initiative ( farming out services to Capita) which ends in abject failure
One area of conflict here is the aim to get people to purchase their medications for hay fever and allergic rhinitis OTC. The evidence is very clear that the majority of those who see their GP do so because of failure of OTC medication be effective. There are numerous reasons for this, including the alternative diagnosis of non allergic rhinitis. The Practice which I attend has a notice virtually telling these people to go away. They are thus left to the tender
ministrations of pharmacists, who we must always remember are not clinicians.A recent study from Australia (where rhinitis is considered a pharmacy only disease) demonstrates poor patient outcomes.
The patient needs to be seen by a clinician to confirm diagnosis and to get a management plan. Once this has been done, and the medications needed are OTC then direct the patient to the pharmacist, but not the other way round. As a profession, we must not allow the CCGs or other bodies to dictate poor clinical practice which invariably leads to worse outcomes for our patients, delay in them receiving correct advice and prolonged periods of impaired quality of life.
These are solutions designed by accountants to enable politicians to gain even more control over the health care agenda. Bitter experience has demonstrated that none of their solutions has worked to date except in terms of enriching external consultancy advisors and spawning a mass of bureaucrats who have no understanding of the importance of the doctor/patient relationship in optimising patient outcomes. Poor (absent) manpower planning coupled with initiatives for "efficiency gains" have let us to where we are now: one of the worst health care systems in Europe, failing our patients with little or no chance of recovery.
CCGs working with NHS England: always inspires hope!!!The blind and deaf leading the blind and deaf