I don't understand your point ?
If you understood General practice then you could see that a 48 hour target will come at the price of waiting to see your GP!
£100m. Only funds 1 gp for about 60000 patients
not enough to make it possible to see all patients in 48 hours and your own Gp when you want after 48 hours!
If any gp can do then why is the ooh service not stemming the flow in to A and E?
Continuity is the Key..
But this costs .... Ever increasing demand
And falling resources has made the situation
Untenable ... When that happens. People "belly ache"
Then finally they take action.
GP salary 75k add on employers pension costs and cost of employment and holidays
The final cost is around 100k
100million will fund 1000 GPs
That's one gp per sixty thousands patients.
That's not enough just ever increasing demand
And wanting GPs to take more out of hospitals ect ect
Will absorb this.
Time for Strong proposals from our leaders
And strong support from grass roots.
48 hours is the usual pre election bribe ..
We have to make sure it is payed for in full!!
If not ... Tine for a new model of practice
We already charge
Parking in hospitals
So why not?
There is a funding gap between demand
And what is an acceptable level of service.
So either accept longer waiting
Shorter consults ect
Or bridge the funding gap
? Change taxation priority
Or look at charging
Charging is the only one that can affect behaviour
Before the trolls shout about waste and salaries
The uk health spend in 2011 of GDP was 9.3%
Far less than most comparable European countries
Yes this is a good idea only if backed by more resources in general practice . Else it will just fail.
how do these people get their jobs....
To do all they want ie cqc sig events work with ccgs gold standards revalidation time ect we need to start shutting practices or running them with skeleton staff just to show these fools how much time they are taking out of seeing PATIENTS.
When will they realise this system is not seem less
and costs time . This means already pressured consultations can be affected. Delegating to other
Staff .... Who picks up the Tab.. Failure to adequately
cover the costs of it is just an example of taking general
Practice for granted.
If it's a requirement. Fund it!
Dr B Sanghera
Hastings House Surgery
Dr B Sanghera
Hastings House Surgery
The independent pay review body recommendations must be met in full.
Unlike last year.
MPs are hiding behind their own independent review.
I agree with Phil Yates. This looks innovative and could act like a template for other less forward thinking
Or dogmatic regional teams to see what can be achieved by working together.
Sounds like an area working together .
Without well motivated staff it is impossible to
achieve innovation and change.
I applaud the area to recognise what is happening to
General practice at workforce level.
Dear Dr Sanghera,
Thank you for your time on the phone last week. I’ve copied some brief information on my roles in Australia below so that you can forward it to any of your friends or colleagues that may be interested.
Please find below some preliminary info on Australia and the roles I’m currently recruiting for.
My client is one of the largest suppliers of Primary healthcare in Australia and has opportunities in close proximity to Melbourne, Sydney, Brisbane, Adelaide and Perth.
They offer a capital payment to all doctors, calculated by the number of hours you do and the centre you go to. This one off payment is between $270,000 (£182,000) and $500,000 (£337,000). You will receive 10% - 15% up front on day and the remaining amount after 12 months – the commitment it to a 5 year contract.
The average annual income for GP’s working for this company ranges from $200,000 - $350,000 (£135,000- £236,000) per annum – it’s a fee for service system, so your income is a reflection of the GPs skill set and ability to build a successful practice and the hours worked.
This was an email I got from a cold call
If only I was younger!
Yes there should be a charge .
We should take the best of other health care systems
Whilst retaining the best parts or system
Same would have to apply to A and E.
Genuine patients will not mind.
No up front fee just charged to a registered
Account after the event.
So no one would have yo look in their wallet
For lower middle incomes not exempt systems set up
So money is taken over 3-12 months.
Value and understanding for the service provided
Increase funds to invest
Decrease health tourism as accounts need to be set up
and checks can be made
I respect your concerns but are they founded
On good evidence from other Europian countries
That have some form of charge?
Is our health care so good and our out comes
so good that this piece of work should not be
Is our model sustainable?
Charging in my opinion will help control demand
by "encouraging " self management of minor/trivia.
Evidence is what we should go on
They charge in Ireland and many other
European countries ... What we want to know
are their health outcomes better or worse?
We do not do the patients any favours by supporting
A system that tries to cram in as many patients
like a production line trying to manage more and more
Complex medical needs in 10 minute apts trying
To spot the serious from the minor !
Lest have the debate and the evidence
Not just the ideological dogma
Anon Gps are working at capacity
So A and E get more funds to meet demand
What about community care?
Is there no recognition of increased patient
This is not a free market where demand can
Be controlled by price
So such comparison are meaningless
If you can not regulate demand you have to
Increase supply.....resources please!