So about 150 ish new GPs from the GP tap dripping into the bath that is the current workpool of GPs. Meantime the huge maw of the plughole is sucking thousands out through age, pensions, despair, self preservation or just getting the hell out of Dodge.
Yes I can see that is working. /joke
Lady Double-Barrelled is suggesting taking a photo of the paper, or presumably computer notes, to take to the GP and Jaimie you're impressed? Dear me. It's a "Make Do and Mend" philosophy no more. It should not be necessary.
40 years ago the system got the letter to the GP in 3-4 days.
Here we are with the admindroids having cut support services to the bone whilst themselves proliferating, nay metastasising. And we can't get letters to the GP in almost any time?
I have had a couple of recent experiences as a patient in OPD. I watched as the doctor transferred my verbal history to a digital form. They then entered the examination, bloods, and treatment, again in the same manner.
So we have a digital record.
That record can be accessible by any number of means or even sent SMS, email, or snail mail.
It is not difficult. It requires a bit of thought. Perhaps the OPD session should not be paid by the CCG if the communication is not immediate? That should be an incentive.
Or should, when I next go to the OPD, take my Polaroid?
IDGAF Aaaah! Landolfi's sign! That would be Aortic regurg.
(Warning Daily Mail)
Agree, online consultations save no time for the doctor and are marginally less risky than phone consults.
Dictating a letter on a dictaphone or similar was routine in OPD in the early 1980s and the letter would be in your pigeon hole for signing and sending within 48 hours.
In today's hyperconnected world it just beggars belief that this schism is there at all let alone being tolerated, and work arounds being suggested, by the high and mighty.
Perhaps bring in people who deal with letters, timetables, patient/theatre lists, calenders, rotas and let's call them, I dunno, medical secretaries? Afford them by sacking a desk jockey, clip board wielding, admindroids.
Or perhaps a more techie AI medical dictation and printing service and into pigeon hole by 48hrs?
/too much to ask??
Looks like Thanet CCG has a forward thinking leader. Very forward thinking in that GPs (if they choose to go into GP AND stay in the area - a big ask) will not be available until 2030+ and then be as green as grass.
Several of those big practices in Ramsgate are lead by doctors close to or even well past retirement age. They'll be gone soon. Implosion of GP beckons.
COI ex Ramsgate GP of 34 years.
TC mate don't sweat the small stuff. "GP to contact" is in the same category as "GP ideally placed to". Non contractual and therefore Foxtrot Oscar.
As for the ambos coming up with the NEWS2 gambit. Come up with your own. Call it TOPCAT1 and state that it means it's a blue light get your arse here in as short a time as possible.
/Dusts hands off. And breathe.
Merkin = 'Little Jimmy' on her minnie.
Yeuk. I need brain soap.
Many years ago the named GP scheme was examined for 5 seconds by my practice and discarded with yesterday's chip paper.
We were single handed. It was utter bollux. People knew the doctor they had. But policy decided single handers were to be made extinct. And so it came to pass.
i will allow myself a wry smile.
This lesson should be compulsory reading for newbie or wanna be GPs. Look after number 1. Number one being you and your family.
It is but a job NOT a vocation. Don't sweat it if the system conspires to feck up patient care, as it seems to all too often.
Surely noww Dr Reshma Narayan should be interesting HMRC under the IR35 rules?
If not, why not?
Well roger me rigid. Postman Pat has left his black and white cat at home in Greendale and has deigned to pontificate about what GPs need to do to survive in thrall to the NHS.
Lady Double-Barrelled tried much the same and GP is still in the merde.
Might be better to have a rethink on this and start seriously supporting GPs rather than offering platitudes. If not slink off back to Jess (the cat) and your letter round.
"Dr Nikita Kanani, NHS England acting director of primary care, said the move to curb half-day closures is to free up ‘hundreds of thousands of appointments’ to patients."
Showing your ignorance of how Primary Care is run doc. Good job you're only 'acting' director of primary care. Might be a good idea to get back to politics, in which you are admirably suited.
Maybe we should have licensed "Shooting Galleries" which have been shown abroad in Denmark, Canada, Australia to reduce fatalities associated with drug taking.
As much as those supreme egotists, elected MPs, might think, in the main they are elected for their party, not their person. (You could put a gibbon up for election at Henley and as long as it had a blue rosette it would get a stonking majority)
My point in the preamble is that should you change parties then a by-election should become necessary. That it is not current law suggests an extreme arrogance on behalf of the law makers. No surprise there.
I have read and reread this and it makes me very uncomfortable. This is a FY1, a Houseplant, a gopher, a dogsbody and the lowest of the low on the medical scale. No doubt this advice is the council of perfection and medico-legally sound BUT my head is screaming that if the FY1 has noted the problem then others more senior will have too. Why are the seniors not dobbing this person in? Probably because they know that by adopting the three wise monkeys’ approach (see no evil, speak no evil, hear no evil) that they can keep their heads down and avoid the inevitable shit storm that will happen to whistleblowers. A FY1, or probably anyone, who acts like is suggested by bypassing lower managers and going up the feeding chain to achieve action will get action, against themselves, and find further progress along their career path is quietly blocked.
A cynical approach and, no doubt, some (hello GMC?) may feel that such thoughts heretical and actionable but I am long retired and happily stick deux digits up to the GMC. I am a pragmatist and suggest that doing your own job as well as you can and avoid being a proud upstanding nail (whistleblower) in the NHS as you’ll only get hammered.
King Wiff Waff of the Spaffer clan announces a grant of 2/6d for any intelligence, artificial or otherwise, to show itself in Whitehall.
We will wait in vain for the half crown to be claimed.
This is the trouble with BloJo. He'll have his wicked way with the country, then roll over and turn out the light.
Leaving the country f*cked.
No major hurdle for a determined GP. And it's just Australia. There's the rest of the english speaking world out there just waiting.
30% cut in QEF/LES equals 30% cut in that work done.
Note from moderator: Part of this comment has been removed.
Porcine aviation specialists in Whitehall announce their take off slots.
More likely than GP waiting times coming down.