Someone remind me why we order flu vaccines early?
Oh I remember because it takes time to produce the product!
Change rules on Monday doesn’t mean it’s sorted on Tuesday.
Can I request a change of leaders?
Sorry but interpretation and management of FIT results in NG12 and DG30 cohort are entirely different.
Churlish to suggest this piece of work gets secondary care out a hole and dumps legal/clinical consequences with primary care; I shall choose to wait for national guidance.
That’s about 18 months and a second wave away.
Probably daft question but has the projected recovery time made some allowances for second wave or localised lockdown??
Better than that in our area Roy; even suggested we do FIT in NG-12 suitable cases that include rectal bleeding symptoms to help stratification.
Agree FIT may be useful/helpful in relevant cases but locally mandated changes to national guidance made “on the hoof” due to virus issues and in advance of updated national guidance (guesstimated next year) is never going to end well.
Here’s a wild idea; if secondary care want Pre-investigations undertaking before accepting a 2WW that’s pretty much against a lot of NG-12 so inkling of a research project?
Not seen any published work on high-risk patients
and FIT test and certainly a -ve FIT doesn’t exclude cancer just helps decide investigation options (Nottingham used this to help decide colonoscopy or CT)
Suggest use Covid-19 extra monies to fund “Pilot” of pathways that aren’t NG-12 compliant and if improve conversation then we change the system if not go back to original
Forgot rumours are 2nd wave Covid by Xmas so the CQC inquisitors really need to get cracking!
Hurray so pleased to here this, those poor unemployed GP Spa
While on infection control issue may I suggest the self isolation protocol from NHS E and endoscopic procedure?
14 days self isolation for the team pre inspection and if coming to Humberside can I also suggest the abandoned war time forts in the estuary as suitable?
Yep that will stop a virus (any virus come to think ) in it’s steps!
Should be absolute breeze, no appraisal means plenty of free time to do this, catch up on all the 2WW stuff that's been waiting and all ludicrous referral request like "Can you refer me for my THR now to beat the rush!"
Missed this yesterday as back on planet earth actually seeing patients F2F.
At least I started the day with f******g good laugh!
Can we have a book of best NHS E quotes please.
Sorry obviously didn’t go to NHS E school of obfuscation and attend Mr Cumming lecture on double dealing regarding when is a DES not a DES!
Keep them coming please I love to hear reasons why I’m leaving at earliest personal convenience and not the NHS convenience.
Just had stiff coffee and realised its a reincarnation of Reggie Perrin GROT shop, I’m so honoured to be led by staff of this quality and acumen.
Off to do some medicine and rejoin the human race.
So ludicrously stupid I’m lost for words, even after pinching myself really hard more than once.
NHSE you have surpassed yourself!
I fear the most unbelievable comment starts around open for routine care and Covid care.
Must have missed all those think tanks and a local trust exec who said will take months to sort and assumes no second wave.
How pray do we get aerosol generating procedures being done again at pre Covid-19 levels?
Suggest first call should be to 111 sent 3 directly to us yesterday and suspect colleagues have similar tales?
Yep pilling up the +ve for employer of the year. Our hospital trust along with others have attempted to reduced BAME exposure risk.
One assumes since it’s under GMS contract refusal gets you to the GMC and risk of death doesn’t need consideration?
I nominate NHS E for employer of the year. Clearly not grasped the concept regarding differences between a carrot and a stick.
Do they not listen to those at coal face and various think tanks that have pointed out changing direction does take time and also hinges on the fact we don’t get a second wave?
Hooray, another excellent piece of work. 5 PCN’s and numerous care homes in our area.
Who does care home respond to if patient is registered with different GP/PCN? What if advice is confusing/contradictory?
Quicker my AW8 is finalised the better!
Absolutely Cobblers: see it and will believe it.
As Grinding Premolars says "like the olden days"
Not quite as far back as Spanish Flu may be Swine Flu??
Could add no CQC and allowed to practice medicine without massive interference/dictats from micro-managers!
Please NHS E keep this bilge coming it does nothing but confirm the correctness of my AW8 submission.
Can I ask 2 things though a) why can’t NHS Pensions have same response time to e mails. b) Appraisals due are currently suspended so what happens to the lucky few who managed to get signed off before this advice? Hint if the answer is you will still be Appraised as normal next February I suspect you will have a disgruntled cohort to deal with