NHS England covering itself in glory once again. Who actually appoints and employs these people? What other organisations have they worked and failed in? Is the NHSE a home for those who could not be employed elsewhere? When will it dawn on those in power that cost saving initiatives are rarely thought through and usually seem to end up incurring costs far in excess of any potential savings (although those costs are not necessarily borne by NHSE to enable them to declare "SUCCESS".)
Some of these targets are reasonable but the package as a whole stinks of an accountants solutions to improving health care. Investment needs to be made in stabilising practices to improve continuity of care concurrently investing in education, knowledge and skills training to improve diagnosis and management: The evidence for this approach is there from many countries, notably Finland. The evidence for what will turn out to be more cuts in services for patients and resources in practices will be a further erosion in the quality of primary care with little incentive for doctors to join or be retained in primary care.
I am not too sure that Dr Vautrey does not realise that CCGs have expertise in anything other than blocking innovation.
What a waste of space to state the obvious, something which was obvious for years and he believes that he has saved general practice. It is apparatchiks like him that caused me to leave. Who does the master of spin think he is fooling.
Was there a breach of confidentiality or misuse of confidentially held information in performing this review? Was the study subject to ethics committee review? Is the data freely available for external review and validation?
I suspect not.
Is it not time that NICE were held to account concerning their inaccurate and misleading recommendations across a range of conditions? Their reviews cost a fortune to perform, not infrequently causing confusion rather than lending clarity. Of course their remit is cost effectiveness and not clinical excellence so maybe they should just change their name.
Pharmacists show their true colours. How can we maximise profits and pretend we are taking the moral high ground at the same time. Certainly in respiratory disease it is highly irresponsible not to prescribe generically as formulations differ substantially as do devices.I would not trust a pharmacist to perform a generic substitution nor would I want to be held responsible for the lack of control which ensues when the device is changed and the patient loses control. In fact high street pharmacists should be phased out.
I pity the poor buggers he presides over next.
We all wished Hunt would go. Beware what you wish for! This guy is a cock alright!
This model is about making all GPs salaried, the end of the indepenant, free thinking, free spirited individual who acts as the patient's advocate. Don't go there!!
Agree with DrDr. It is often misleading. One patient in whom I did CRP (slightly above normal range) was off the scale when admitted to hospital some 12 hours later. Happily I had given that person appropriate antibiotics anyway. They have been doing this for years in Sweden in primary care: the evidence from there is not convincing with their antibiotic prescribing higher than in the UK. We should perhaps see what they are doing in the Netherlands where antibiotic prescribing and resistance is the lowest in the world. This is just another Public health England stunt which will have everyone following guidelines by using a tests which is not fit for purpose, not allowing doctors to use their professional discretion.
This is surely an opportunity for the new health minister to make a positive impact by cutting through all the bullshit
Would anyone believe a word from NHS England?
The GMC is in essence a QUANGO which enforces government policy by diktat. It is registered as a charity, maybe the only example of a charity which funds an arm of government. The profession hold no sway within the GMC, thus it is only logical that as turkeys we should not be paying for Christmas. We will be slaughtered no matter who pays.
The term "working with NHS England" never inspires confidence!
Entirely predictable: Bloody appraisals carried out by doctors still wet behind the ears ( better than seeing patients!!) were what caused me to give up.
What a surprise: another NICE guideline not fit for purpose. Their methodology, which they have created for themselves, is so good and helpful that it has not been adopted by anyone else. They are largely engineered by technocrats with little clinical experience. Any dissenters are removed from the guideline process. This organisation which costs some £70m per annum to run needs to be reformed so that it produces guidelines which reflect clinical reality and which are clinically useful and relevant.
The decline of primary care accelerates with this Babylon, hanging gardens for GPs. It is a short term fix to satisfy the "needs" of patients to who T Blair and his cronies promised you can every service you want all the time, not that the current lot of miscreants have done anything to preserve the jewel in the crown of the NHS. primary care.
It is clear that this is a get rich scheme to benefit it's creators with no thought for the consequences for the patients or those who are stupid enough to wok for them. One of the many slow train crashes occurring under our current, rudderless leadsers.
This initiative demonstrates clearly how our so called managers fail to understand the clinical environment which they purport to be managing. There has been a massive investment in management and management consultants the result of which is to have to slash clinical costs so that they may increase the power and influence of their own little empires. Slashing management would mean cost reduction which could be invested in clinical services obviating the need for a reduction in service provision. Furthermore, reducing management committees, which multiply like weeds, changes for the better might occur as decisions of value would be made. For this to happen, Doctors have to take over leadership; a managers job is to configure services according to clinical need, not to dictate to doctors what they can and cannot do.
I wouldn't trust those eejits any more than the current crew of feckless imbeciles. It was Milburn who started the rot with QOF and targets!!