Well said GP Monkey
Default NHS E GP's must be the worst as they are easiest to shift blame onto!
Keep this sort of crap coming it will really help both "talking up the GP job" and "staff retention"
Exqcty as said by Turn Out and Decorum
Yep very decisive Mr Hancock et al.
Bexit on the horizon and the Government close down and do SFA.
I doubt anyone from my era doesn't have a cunning plan and it 100% doesn't involve the NHS.
"significant further action" comes too f******g late.
Done the maths and 2 finger salute to you all in NHS E by 31/3/20
Entirely right and proper that he should apologize.
He ought to concentrate his efforts at getting a backbone so a) isn't seen slouching b) doing what he's paid for by you and I, namely sorting Brexit
Don't think a pathway for abnormal CXR has helped much, last 2 had hematology malignancy so later diagnosis and as smokers went down respiratory route first.
NICE has 3% PPV with around 8% national conversion rate of 2WW referrals. Average 12 cancers a year per GP so means I ought to make around 150 referrals as 2WW per annum.
Good news for secondary care capacity is I don't refer that much and they certainly don't go straight to Hospice when I do refer.
Interesting where these recruits will come from.
Even more interesting will be National Cancer Diagnosis Audit that is comparing date pre and post NG 12 release.
Less via emergency presentation now, change in PPV of symptoms from 5% to 3% results in more referrals with a lower conversion rate.
My money is NCDA data will show shift in bulk of delays in system to Secondary Care.
This returns us again to where are the relevant minions and capacity going to be magically found.
Usual load of bilge one comes to expect.
Keep saying it Mr H and somebody listening is bound to believe you.
They may have the intellectual capacity of a dead amoeba though!
I trust such shoddy mathematics doesn’t infest NHS Pensions, but it may be misplaced.
Being a "thicko" one assumes the person that has the message based conversation actually has a medical degree.
That being the case he's not seeing them face 2 face, unless of course he shoe horns the replies in during the time between calling the patient into the room and them actually entering the room, while on a toilet break etc
Perhaps the learned Dr Kanani fancies a trip to Grimsby: 1/2 Thursday for 25 years and last one I did (covering 3 GP's) I received precisely no calls, along with being unable to fill my late appointments before the PCN's and extended access took over!
No evidence on Friday AM of excessive OOH or A/E usage to boot.
Oh yea don't have PPG either as cant get patients to join/set one up.
While I'm waiting for the inevitable call as a consequence of above comments I'll take on aspects of cleaning duties and stick broom/mop up my "a**e"
Bloody hell only things it doesn't do is a) make me a cuppa b) mop my sweaty brow c) reduce the years required at Medical School
Call me old fashioned but I'll stick to the traditional ways, though will probably come unstuck when my own registered GP adopts this obvious game changer!
How much is Boris paying you?
I really don’t think so!
As I recall “shared care” can be refused and certainly not convinced by “modest”
Apart from the unlicensed issue and saving to secondary care eluded too.
That's it keep the sound bites coming and the spin doctors busy.
Meanwhile back at the coal face real people do real work 25/8 and get treated like s***e!
Shame that's all they've scrapped!
OK he "talks the talk" lets see if he "walks the walk"
Shame he didn't send some cash over our neck of the woods. Patient due for Hospital discharge to a Nursing home who suddenly change there mind and don't have a bed, so instantly becomes EOL (which isn't) and is transferred to Hospice. Week later sent to different Nursing Home which is miles away and more inconvenient to elderly wife!
Apart form clerking him in medical input nil; social input could do significantly better!
Just one of many reasons why I currently am embarrassed to work in NHS and cant wait to leave.
FFS a certificate for the practice encouraging patients to exercise!
I’ll do better than that, picture of me finishing first triathlon above desk.
If I can do it then any lard arse slothful patient can!
Best of luck in the rocky ride ahead.
I speak from experience of a separate practice loosing its NHS contract after 4 CQC inspections in our PFI building. The fall out was unpleasant to say the least both before and after the event.
One sort of bonus is, given that rating, I understand the CCG and possibly NHS E too is now mandated to help sort things out.
Nope he's far far to busy to worry about the NHS at the moment.
Apparently avoiding a no-deal is primarily down the the EU (according to Boris) but as I recall they've already said they wont re-negotiate!
Just totally surprise everyone and call a snap general election, I need a good laugh watching politicians squirming to avoiding tricky questions, being egged and the like as it means a) I don't have the worst possible job and b) helps alleviate mental anguish of working as a GP!
As above a somewhat predictable result. I even got a letter stating the online service had prescribed 100 DF118 for my 20 year old lady with back pain.
Nothing +ve about it as she had given false details all the way along including saying I was her GP who routinely gave her the same for her bad back!
The letter fortunately included the prescribers GMC number so it rapidly was forwarded to my Responsible Officer and CQC
Might also want to add Carl Beech as appears (according to BBC website) he worked for them inspecting hospitals too?
Given he is going to renegotiate Brexit when EU have said they aint going to renegotiate then pledges regarding GP appointments will be absolutely easy peasy to sort!
More verbage, bluster and bilge: the show goes on!