FFS, other commentators on this website have said their practice did do regular visits to Nursing Homes and found it to be a pointless useless exercise with no benefit to admissions, one even commented it resulted in the demise of his partnership.
As an aside patients in Nursing Homes already have a service from (trained??)staff, what about the frail elderly still living at home under the radar!
Also 100% agree with "fed-up" where are the staff to do this please??
Suggest BMA and NHS E start again with what they actually have and can actually manage to provide with the same.
The airy fairy bollocks can wait over delivering the basics
I second all those words, in cycling terms “chapeau”
Perhaps our leaders (both medical and political) should take see note of this and other comments regarding recent articles.
Then again, I doubt it.
Welcome to the new improved NHS where we do things by threats/enforcement/mandate not because they are evidenced sensible and achievable.
2 words should swiftly follow: one to do with copulation and the other with travel.
Nearly another week closer!
Best of luck on this one, better make sure you have a policy on who to divert to WiC as no doubt CQC will want to see and ensure its safe!
Joking apart; If its a blanket transfer pathway to WiC then it wont go down well and to top it off now you've owned up to this pressure issue they'll definitely be popping over to help smooth over/resolve the issues
Far too little far too late and suspect a similar perspective from my colleagues.
Started as GP 8/92 and stayed with same small practice with personal lists through thick and thin but the last few days are absolute comedy gold.
Just reinforced my thinking regarding already made right decision and in 90 minutes time will be 1 week more ticked off!
Come on guys; the persons that wrote this are someone’s children! Yes, they probably have a good line in carpet slippers, cardigans, rose tinted spectacles and need a cappuccino between seeing each patient.
Mind you it could be worse and it get imposed!
But then again how do you impose a contract on a non-existent workforce?
Call me cynical but basis for negotiation means basically bugger all unless it’s actually dealt with or resolved
I have no confidence and suspect my colleagues will be shafted with another baseless useless job(s) that will do nothing for retention and work load
Agree total garbage and little to no evidence it would help anything. As I recall reviewing all cancer Dx at PCN level when already should be doing at GP level is another classic hidden in the depths of the document that was quite deliberately sent out pre-Xmas with a short response time.
Downside is if get this removed the muppets will no doubt find something marginally less polarizing/useful/evidenced to do.
Note this from someone who visited patient at 07:30 on way to work after helpful nursing home told relatives I refused to visit Friday 17:00 for 6 months history of poor appetite/intake and Wt loss in patient with Vascular Dementia, best part was I spotted her before staff and she recognized I was her GP before commenting nothing wrong, confirmed by examination too.
10 weeks left and feel sorry for the poor bastards left
What a load of bullshit as ever.
NHS E seem to have forgotten that Primary Care safety netting of 2WW referrals was actually already in their Achieving World Class Cancer Services plan 2015-2020.
Having Cancer Care Lead in each PCN will really help too just more GP time taken away from front line service and fragment delivery when no one can agree!
No disrespect to Nick M but I think that paraphrased comment may more accurately be ascribed to Dr Twomey in NHS E, followed by rapid backtrack from NHS E saying its wasn't "policy."
Our practice will soon regrettably join them, and I'm looking at another career/ early retirement has heartily f****d off with the NHS.
Downside is I'll have to be treated by the "numpties"
To Sceptic, my guess would be at the feedback part of the inspection after you've had a lovely day with them all, peering into every nook and cranny, failing that to the lead Inspector whose e-mail you likely have.
Personal experience however tells me its easier to find rocking horse shit and/or get an Inspection rating changed!
So can someone explain the fiscal/business model here of an increasing hefty loss making company allowed to expand some more?
Could try Grimsby as premises are cheaper?
D in Vader has it 100% , zero tolerance and zero access to NHS
As I recall usual political verbage a few years ago promised stiffer sentences and more backbone against this sort of unacceptable behaviour. As regards backup I know of one local example where the patient always superceeds common sense.
Almost worthy of an ignoble!
CQC must be on a roll this week.
I feel for the other practices though, how will they cope with the influx of work that just doesn't diminish??
I'm sure Mr Hancock will have a nice +ve spin on this and thus make us honoured to work in such a hallowed institution that is the NHS.
83 days left, not that I'm counting you understand.
Interesting but shall probably politely store this and keep buggering on as just got my preliminary National Cancer Diagnosis Audit report.
First presentation of symptoms 81% GP cf 65% National
Number of consultations before 2WW referral GP same National
Emergency admission Dx as Cancer GP 9% National 13%
Safety netting referral much much better than National
Cancer Stage Early GP 72% National 45%
Cancer Stage late GP 27% National 37%
Note this is if face of time delays to diagnosis ie capacity (Secondary care note) GP 51 days cf National 35 days
Finally given the above can someone explain to me how an RDC or more referals would help lack of capacity?
I regret to say the words politicians and truth don't belong in the same sentence.
Tired of hearing the same unbelievable promises.
Gave up on my local MP years ago when he viewed G+T was a justifiable refundable expense from the public accounts
100% agree my PCN Extended Access slots work on 50% no show, and never see my own patients its the others who struggle with capacity.
However not a vote winner, Politicians telling Dr's to buck up and work harder for less is interpreted as the Party are totally about supporting Saving/Caring for the NHS
What a joke, "operational necessity" and scheme could be potential tax avoidance.
Well my operational necessity is to go ASAP
Nothing like this hair brained, off the cuff, not fully thought through scheme will save me or I suspect a large cohort of my colleagues.
AW8P already left my workplace.