@ Geepjul : so the expertsa at NICE often get it wrong then, and nobody has changed them for new ones?
And wehre are we supposed to get 1% peroxide?
And can we use it on patients????
What about skin discolouration??
Nobody is stopping Dentists, Vets, Farmers, Hospital doctors, all kinds of Noctors!
GPs are expected to sign off prescriptions for nurses, midwives, AE, OPD, ward discharges, etc etc etc, and it does nothing to reduce patient expectations; hospitals are fuelling them, and media campaigns make it invariably worse.
Surely the protocols and guidelines for when we can and can't request FC tests are too complex for a mere GP to negotiate?
NHS still trying to stifle REAL intelligence, then.....
'Twould be ideal if no abortions were necessary.
'Twoud be ideal if any that were, could be done before 8-10 weeks.
Contrary to David, I do feel a cooling off period is good : Many women do re-think things once the pressure to get refferred is taken off.
We have a local cooling off period anyway, imposed by administrative and organisational factors! but not so long as 10 days- that is too long.
I don't know Nadine Dorries, but the fact she will initiate discussion of these matters might be a good thing. once discussion started, things could go either way, depending on other MPs representation of their constituents views!
Is there a degree of resemblance in that photo to a certain Gestapo agent who was occasioanlly seen at Renee's Cafe?
Microtest was awarded contract in January 2018, not 2019, and before they had a system ready to deploy as demonstration.
Vision was also unable to beat the current offering from EMIS at the time.
EMIS were probably more honest up-front during the negotiations, about what computers (and software interacting across the ancient NHSwales systems) could actually do to meet the 'criteria', whereas other companies seem to have made rash promisses that they clearly could not keep.
They were supposed to have everyone migrated before 1st April 2019!!!
EMIS is still better. The current Vision system cannot handle drug allergies safely, for a start.
will it really happen this time?
Dare I say, though, I do not think the most urgent need is for the 'trans community in wales'.
The most desperate need is for those suffering in the early stages of gender dysphoria, who cannot access assessment and counselling to help them overcome the dysphoria, and not necessarily to fund or arrange access to hormone prescriptions or operations. NOT ALL disturbed teens need to change their gender! Some need counselling to help them decide what they actually need, not what they, without knowledge, think they want.
Similar to the antibiotics for coughs and colds situation really, and look how they pour funds into that campaign.
We are creating a generation of people unable to cope with the fact we do not always get our ideal, but need to learn to cope with what we are born with to get along and improve ourselves towards our aims.
Was going to comment myself, but... Strongly agree all above comments!
GMC should have been advised to protect image of profesion by ensuring the initial High Court manslaughter case had appropriate input from lawyers and Jurors with sufficient Medico-legal understanding to see how good was Dr Bawaw-Garba's insight into the true causes of the sad, but Inevitable fatality of a boy doomed from birth to die young. Court lacked that knowledge due to inaction by GMC, and that was wrong.
If Pharmacists are allowed to send us finger-signals, are we allowed to return them??
Will the juniors now be sanctioned for failing to take sufficient breaks?
Surely it is obvious if you have taken a break or not? - why did anyone need to estimate it with software???
how can something that is not available be effective?
Oh, Privately, I see!
Dear Dr Roger,
Why you looking for information about funding?
Cannot you find your pocket?
What about CMHT services that routinely commence patients on inappropriate addictive drugs without teling them they are addictive, and do not write to GPs, except, perhaps late, to say "we have commenced 4 addictive drugs, and now discharge the patient as they are not fitting the criteria for drug serrvices"
At least these 2 GPs prescribed to patient already addicted!
So, basically, the RACGP no longer has any trust in the value of the MRCGP (UK), and does not respect the RCGP (UK).
So, should we????
Dear Dr Green,
Firstly, liothyronine is NOT a 'routinely prescribed item' in primary care! it is, amd should remain, an exceptional item for prescription by Consultants only.
Secondly, patients CAN, and DO, use private medical opinions to presurise GPs. We can only overcome this by education and guidelines and compulsory messages to the CONSULTANTS.
@ Paul Cundy : NHS regulations requires us to prescribe dioralyte, on pain of striking off!
But at £14 for 10 minutes, even without sales kickbacks, it would appear they will earn more than me!
That was the directive from DoH wan't it - to increase this diagnosis??
Who are they kidding? GPs will be held liable
All those pre-2016 that do not have records flags - GP failed to notify and someone was shot.
Fees - there has always been a fee, UNTIL 2016!!!! when BMA abolished it!!
1) as ObiOne says, scrap Capita and get the NHSPS information fixed, so that information is available to us;
2) get rid of whoever produced that ridiculous consultation document - it is overly complicated and confusing, with much duplication and reducdancy, and serves only to prove that the writer does NOT UNDERSTAND the scheme themselves, using misleading statistics and has not even a grasp of the difference between Officer and Employee Schemes (GPs are completely different to Consultants, and the Annual Allowance tax charge CANNOT be estimated UNTIL the growth rate has been arbitrarily decided some years AFTER the payments are due.
Scheme pays is a horrendous extra charge which MUST be avoided.
When do we even get a valid 2011 Choice??