Surely GPs are "ideally placed" in the community to proide these servies 24/7 ??
But is the BMA ideally placed to ensure we are supported by other emergency services?
Clearly not, because they have a conflict of interest.
DecorumEst - What is pragmatic, in being lifesaving, IS professional, don;t worry!
Ambulance service needs more responsible management, who will own up to being short-staffed, and get funding increased; AND ALSO stop hospitals who muck up the system by refusing to unload 999 ambulances at the door, causing lost lives down the line.
Locums certainly work hard to be at least as safe as permanent staff : what IS harming patients is the management mentality in secondary care that it is OK to have a service run by occasional locum doctors with huge gaps and discontinuity between, such as the majority of mental health services, and several hospital specialties!
GPs are trying to pick up the pieces!
Somebody lied to MPs.
Doctors' refusal to prescribe a neurotoxic substance is not due to lack of knowledge and forced education will NOT persuade me to prescribe where I already know the risk of psychological harm is too great to outweigh any possible beenfits!
Consultants will have to issue the prescriptions AND DEAL WITH SIDE EFFECTS themselves!
They never come alone, patients only ever present genetic test results along with a significant anxiety: - hence we can refer them, since they have 2 problems now!
they never learn do they!
does the electorate realise how much they are being misled?
I think GMC says it is our duty to tell the truth - perhaps we should for once!
Epidemic of psychitic irrationality breaks out in sixth form colleges!
If they really wanted to be doctors they could buy degrees overseas.
who cares anyway?
Vaccinations season ended a week ago.
GPs won;t want much pneumovax until next October!
"What exactly is the reason this cant be rescheduled to be deliverd by schools themselves?"
well, they don't have any vaccine silly, so they offload the responsibility to those welcoming GPs, and when no vaccine arrives, but the kids get flu, then there is someone to blame other than those poor long-suffering fools at PHE!
Tony, I was only going to give you 4 stars, then I realised you were saving something back for next time:
What is this marvellous NHS constitution you rumour of???
Is it available to read, or only by appointment?
Clearly far too many drug pushers members of the scottish Drugs Forum!
You can't please everyone can you!
This practice has clearly stated it will work especially hard to improve the lives of addicts and reduce the risks to their health, and they are accused of 'discrimination' - dreadful!
"significant increase" in prescribing of Oxycodone is fuelled 100% by recommendations from Pain Sopecialists. They are meant to be experts, and ought to know better.
Overseas and UK medical graduates will have to pass this test..... but nit thise from Europe and Switzerland?
That is discrimination! and illegal
All very well, but the solution implies a need to immediately double the number of GPs existing in britain, and would cost twice as much as currently!
Can Government afford that???
Patients wishing to register with GPs should sign a contract promising to not die!
17% reduction in 5 years, so lets go for a further 15% reduction in the longest, stuffiest, most infectious month of the winter!
The only way to achieve this is to re-educate HOSPITAL doctors, nurses, and noctors about the proper use of antibiotics!!
"The increase in resources needed for this is likely to be offset by a reduction in the cost of treating asthma exacerbations."
This is category D- or E- based guidance : conjecture at the whim of a self-styled specialist who does not work in GP.
It is rubbish.
The supposed savings will not be in same budget as the additional costs, so cannot be 'offset' at all - ask a real accountant!
In fact the proposal is that GPs spend more time giving patients a 'self-management plan' which requires them to seek GP contact before trying anything else, like, maybe increasing their inhalers : and this will result in more of them being given soluble steroid tablets (expensive), super-duper extra inhalers or oral medications (expensive), and also more antibiotics (like other countries do), and in the meantime they will either use much more SABA, or go to A&E in addition for nebulising.
So where exactly will there be a saving?
not drugs, not GP time, not AE time, maybe in lives lost, hence costing the NHS less to keep them alive?
Until we know what competency is needed, NONE of our GPs can be certified to having it! therefore, no GP in NHS is actually competent, despite doing hours every year of meetings and sexting, etc
and what 'competency' do we actually need to demonstrate?
Hint : 6 hours every year is a time, not a competency, according to my primary school dictionery!
There is crass stupifity, and then there is NHS laughable nonsense!
GPs are not going to order flu jabs weekly : they ordered what was needed months ago, and still waiting for it;
vaccination season ends tomorrow;
4-10 year olds do NOT have a choice to present to GPs - we were told they would be done at school, and we did not order any supplies for them!
we can't give injections instead because :
1-it would waste their nasal dose when it later arrives;
2-we don't have any;
3-we did not order enough to have spares;
4-why should we pay extra for a DoH mess-up?
Heads should be rolling at DoH over this farce of a vaccination programme - why does the CqC not visit them????