How many masks?
Our lab still doesn't have the capacity for antibody-testing of patients. Roll on, roll out, roll over.
Swab testing in general practice? Ok, with goggles, gowns, visors and minimum fpp2 masks. The 11R masks we have ride down off the nose when you talk. Mask-handling must ensue.
Thoughtlessly stupid cost-cutting, changing policy to suit, lying to cover incompetence and failures. All of this directly puts us at increased risk.
We are led by donkeys.
I support ManU.
I've been advising patients for at least two months, if they have new onset of anosmia to self-isolate.
Thanks to out of touch command centre, no testing of these people has been possible.
So late to the party, why did PHE bother coming?
From where I am standing, govt diktat - based on denial, reputation management, and misinformation - has seriously hindered our ability to manage this pandemic effectively.
Odd one for NHSE to pick a fight over, but as is their wont.
If Covid has taught us anything, it's that we do know how to do Medicine and NHSE don't.
As we are about to be forced rapidly into post-Covid PCN and ICS transformation (still?again?) -see Sloman - I think we need to call a halt.
You had one job...an easy one - a simple data exercise - you gave it to yourselves. It's now the middle of May, some way past the peak. Says it all.
Predictably ill-judged and unhelpful from NHSE. No idea, or rather a delusional belief in their own managerial omnipotence.
I will assess CCAS referrals as appropriate, thanks.
We will drop like flies going into patients' homes - we need: full gowns, FPP3, wipes, alcohol gel, mobilisation of new district nurses (from where?), immediately devolved budgets for hiring home care teams, services for food delivery and befriending. And immediate PCR testing on request.... these are my reasonable demands, to actually be in a position to do this. Can I see the planning, then we'll talk? You've got about two weeks. Yours truly.
Oh dear, get a grip on your purpose.
Charges deter poor people from seeking healthcare, irrespective of need.
Charges do nothing to deter wealthier people from seeking healthcare - indeed, charges embolden their sense of entitlement.
Stop taking advice from David Prior and Kate Andrews.
"...it is the government which is blocking the domestic training of new staff — holding, as it does, the purse strings for education and training." (- Lifted from HSJ)
Pure and simple.
I agree with Katie. Ho and his alter ego clearly hate the NHS and the principles it is founded on. Incontrovertibly, the NHS is the most cost-efficient health system, which is why even small amounts of underfunding make a huge impact, let alone a planned £30bn 10-year funding gap - and that's where we are now.
Good ideas Katie and a relevant parallel with Matt-the-Free-Trader's attitude to his beloved tech startups eg Babylon's likely benefit from NHSD's £250m fund, in addition to £500m investment from the Saudis.
We've all seen how this ideologically-driven govt plough on regardless of facts and harmful consequences. Because they've "had enough" of experts and, perversely, put commercial interests paramount.
This is a re-run of tactics used to get GPs to sign up to the 2004 contract. The extra money was all clawed back in subsequent years and so it will be again.
The structure of this contract is the problem for general practice. It is but the beginning.
We cannot engage with this hasty managed transformation. We need a moratorium on transformation until core general practice is stable, and any new plans must be directed solely to support core general practice.
Knowing what is likely to follow in the next few years, it's still a 'No' from me.
Personally, I don't think this is enough. I think we will need a full year to get the staff and processes in place, to pilot the running, and to re-negogiate the use, types, and linkage to income
of the Spec's dubious initial sample of metrics. The Spec is still overkill despite being the bottom of a steep slope upwards.
I urge GPC to remind themselves of the huge increase in GP remuneration in the 2004 contract, only to have it pretty much all clawed back in subsequent years - although this time, thanks to the add-on clause in the PCN DES, we'll also be left with Out of Hours care.
It's time to take back control, to coin a phrase.
Complete outage. Emis wouldn't load. Back to pen and paper. Makes you think...
Ministers' 'hands-off' approach to the NHS is really 'brains off'.
Couldn't get any further behind the curve.
Dr Hi wants freedom *to* pay for your own health care: the political philosophy behind the American system.
I want freedom *from* the effects of not being able to: the political philosophy behind the NHS.
The long view is one of managed care: metric-driven and process-led. 'Empowerment' doesn't figure.
NHSE will do the least revision necessary to get GPs to sign up, but it's already clear what's to come once on board.
Is PCN DES what GPs need to rescue/restore/support general practice? Sorry but, no.
I'm sorry, but we have reached the point where this cannot be allowed to continue. Not "Hancock must go", but an unequivocal full stop.
My statement only updated to 2014/15.
PCSE wrongly blamed my employer, but all forms and payments have been correctly submitted to date.
BMA should take PCSE to court, but it is NHSE who have expediently failed to hold PCSE to account.
It shouldn't come as NEWS to NHSE that reducing good Medicine to a simplistic set of numbers is foolish, but it hasn't stopped them. The PCN spec is similarly flawed, but the intention to manage us by numbers is clear.
NHSE have now overridden the judgement of NICE, hospital a+e clinicians, ambulance crews, GPs' clinical function in diagnosis, referral and treatment, and much more. How are they in a position to do so much with so little evidence or collaboration - while leaving it to other interested parties to evaluate and challenge their mistakes: policies which in fact, unsurprisingly, achieve the opposite of their stated intention?
The people in charge are not doctors but they act as if they are.
PCNs will further erode GPs ability to manage their own workload as trained professionals. Perhaps that's the idea, in which case we can look forward to NHSE shutting the cage door in April.