Raised TSH is an acute phase response to various ills that cause TATT. If T4 is normal, they are not likely to benefit. Low T4 and symptoms indicate need to treat, and obviously do respond symptomatically. If not, reconsider the cause and management!
This is why we need T4 results from labs as well as TSH.
Sounds fair to me.
It is a complex issue needing legal deliberation.
Then the £5,000 fee must be divided equally between all GP members, so, on balance, it costs us only about £ 20 per practice.
Now that is good value!
Patients DO come to harm - we see it weekly.
Why does it take 3 -4 months for a set of patient notes to travel half a mile between Practices when the patient moves?
(We know it takes only a week at most for old practice to bundle up and post them too!!!)
agree with lifeboat:- this is an opportunity for GPs to educate the broadcaster in question, but not sure the same could be saud for the health minister!
And it depends how you define:
Binge drinking is consuming rather less than your weekly allowand in one night, because you only have one 'work-free' night in which to consume your weekly heart-friendly allowance!
Does this tax only apply to doctors?
If it affects others, how do other professions get around it?
You hear nothing about solicitors being hit by this tax!
yet another Public Health function neglected?
OK, I know that the GMC can hardly enfire it's ultimate sanction of removing registration from a non-doctor who is not registered to start with, but it's the principle that matters.
(such prescribers may have committed fraud too).
LETs get the termonology right first: Online Pharmacies do NOT prescribe. Only Doctors prescribe. Pharmacies supply drugs or fill prescriptions. Patients should not get drugs unless doctor issues prescription! Back to basics guys! GPhC is right, nothing should be issued unless prescribed by someone 'practising Medicine', and if that someone does not have an appropriate registration, they should be reported to GMC for 'practising medicine' without a license!
A mention in international media of the revolutionary improvement in GP pay and working conditions in Britain would be a massive free recruitment tool, yet all NHSE can come up with is bribind and 'approving' recruitment agencies with the money instead.....
9ers often have no choice.
BUT, what about the 10ers?
doing 5 full days 8am to 18:30 officially, but more likely much more, due to lack of available help?
Required opening hours are 52.5 per week, which is time and a half, at least, but usually results in evening work after hours at least.
but they manage spin and misrepresentation again: Salaried GPs are only part of the picture, and often end up doing more hours than contract states, partly in compulsory education, etc.
Why choose to leave out the partners who are more likely working 50+ hours, and as already stated, NHSE's 'hours' are misleading, as 26 is really full time (19half time), and extras are compulsory. They are counting falsely.
The lower daily consulting rates in Scotland and Wales are due to spending more time driving about the rural countryside between home visits, not actually relaxing free time!
11 hour days? Oh come on! that is only half an hour beyond standard opening times! As a Partner I did 7am to 9pm often, and saw others doing this to (not counting outside evening events like Rep meetings!)
i think the answer is 'no'.
The RCGP promotes too many policies that GPs do not wish to support financialy, and not enough that benefit ordinary GPs in the provinces.
i would rather work for an honest oractice than one that offers better hours, but turns out diferent!
Unfortunately, Pembroke is a little too far from home at the moment, but good luck to you. You will get better candidates for being honest.
Clearly BMA and RCGP were shown the letter wording and did not object:- in my mind that would be 'approval' too, so DWP appears correct, although possibly not transparent.
surely there IS no need to issue sick notes for a patient appealing - their lawyers can handle it, not their GP, who has already been over-ruled by a specialist assessor.
Is Dr Hall sure it is GP prescriptions that initiate the problem?
I don't work with any GPs who prescribe these drugs for chronic pain or anxiety (excepting neuropathic pain, and then Gabapentin second to a TCAD).
I come across a lot of patients initiated by Specialists for 'anxiety' and 'depression', which I am not sure is appropriate or licensed, but they are specialists, so they know better, and presumably take all necessary measures to prevent addiction.......
unecessary confusion here: where 'independent' provider means private care, the provider does not need access to NHS referrals system, because private providers must refer privately; jumping the queue is not allowed in nHS?