GP Partner, England
It says specifically primary care, optometry and dental don't need any mask!
Most dentists are shut as they are classed as high risk AGP? But also says in any setting we should be using FFP?
Another set of great/unclear guidance. Well done PHE
Do you trust the government when the new PPE guidance 2April, says primary care don't need to use surgical masks! Only for the extremely vulnerable who are being shielded??
You cannot be serious !
Common misconception, surgical face masks are NOT effective in protecting against infection, that is why they are not actually given an FFP rating (despite what some websites claim)
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What difference is a list going to make? What am I meant to do with it? Patients are now starting to receive letters, and are ringing worried about what it means the others are ringing worried about their health problems and they haven't had a letter? Yet another ill-thought out plan from NHSE !
Ive just gone through a very interesting COSH report from after the SARS outbreak looking at PPE for infective purposes.
This is what it says;
As surgical masks are not intended to offer protection against airborne particles, they are not designed to fit closely to the wearers face or designed to have the filtering efficiencies required for adequate respiratory protection. Furthermore, no protection factors are assigned to surgical masks, as they are not designed to offer respiratory protection. However, there is a common misperception that they will provide protection against aerosols.
We need proper fitted FFP masks!
This is cut+pasted direct from the GMC website:
Doctors working outside their normal field of practice
Doctors will play a vital role in helping to treat and contain coronavirus.
If the situation worsens, it’s likely that doctors will work outside their normal field of practice. This may include providing care to patients with coronavirus, or patients with other conditions.
Patients must not be exposed to unnecessary risk. Difficult decisions may need to be made quickly about what is the safest and best course of action at any given time.
When deciding the safest and best course of action in the circumstances, doctors should consider factors including:
•what is within their knowledge and skills
•what support other members of the healthcare team could offer
•what will be best for the individual patient given available options
•the protection and needs of all patients they have a responsibility towards
•minimising the risk of transmission and protecting their own health.
Doctors’ own health
We understand you may be concerned about the risks to your own health when treating patients with coronavirus. We don’t expect you to provide care without regard to the risk to yourself or others.
If you know or suspect you are infected, you should follow the current public health advice, including self-isolating.
I think the only solution is not to visit...
Thank you Pulse for keeping us updated, because I am getting precious little actual information from the NHS!
The PPE supplied by the NHS is inadequate given the advise we got 2 weeks ago? Plus we haven't had any training if how to properly apply and dispose of it.
The last email we received with actual advise was 10th March (apart from the one yesterday saying we are all in this together)
This is a really coordinated approach NOT !!
I contacted PHE 2 and half weeks ago for advise about possible contact and exposure and need to self-isolate. Still waiting for a response.....
I called our regional Public Health office for advice, as it seems NHS111 is giving out random advise to anyone who has travelled to Italy?, 3days later Im still waiting for a return call.
I don't think any of the services are in fit state to manage this!
It wasn't too bad this morning, but seriously poor performance this afternoons surgery. I feel like pulling the plug!
Just to confirm for everyone, the RCGP website currently states that the NEWS score 'has yet to be validated in primary care', so its use by use is meaning less at present.
The RCP website says it has be used in AED settings and by the ambulance service. The references again are AED, ITU, acute medical ward settings.
The NHS website, says NEWS2 is being used in 100% ambulance trusts but interestingly only 76% of AEDS?
Why let a good headline get in the way of real evidence!
Only surprise is this hasn't been spun the other way.. ie: GPs are missing referring in 20% of patients who have NEWS scores saying they need urgent assessment. I'll just have to wait for tomorrows head-line (or the Daily Wail)
Well that reassures me, the BMA are putting up a robust defence. I'll expect these new t+c's to be in our new contract from April then!
If practices run by a CQC chair cant jump through their own hoops and pass, god help the rest of us!
Screening is a public health issue and not part of core NHS work. Suggest we leave this to the relevant department, thought they do seem like hospitals all too ready to dump work like this into primary care.
We have emailed concerns to the coroner for the last year, and it is just another form (bureaucracy+). Now however they are being sent back saying they must all be signed as well, which means us then having to print off the form, sign and fax it. Though they wont accept faxed info in the first instance?
Truly joined up thinking here!
Under this Mazars advisor I still got hit with a 5 figure fine for paying into my pension!