Single handed GP towards the end of my career, still enjoying the role of a family doc. The kids my wife and I looked after in the antenatal clinic have kids of their own and they wave as I drive down the road.
I am surprised they didn't sends a paramedic.
DOH has to realise that the more the NHS struggles the more it costs. All the "new models of care" just increases the options to consume resources.
Why I refused to relocate from my self owned surgery into a new health centre. When Propco is in private ownership will the gloves fully come off?
"Health Care Assisstants area covered by the doctors indemnity" This could rather depend on what they are doing.
One man and his dog, the sheep are in the pen and he pulls on the rope to swing the gate shut.
Early diagnosis not only saves lives it saves money. The move towards Doczilla is not going to improve early diagnosis for all the factors included in this article, not that anyone in a position of authority cares. If outcomes and service were a key performance indicator for SOS and DOH we wouldn't be going down this path.
There was a time when public would come to the aid of a doc being assaulted rather than act as a witness against him
Medicine is a team event and like the most successful teams we should all do as much as we can to make the job of the next doctor, whether they be a fellow GP or within secondary care, as easy as possible. Also I find patients and their families are not fully reliable and can say things to generate the response they desire.
I'm not part of FCMS however I know the people who run it and I can tell you they are caring professional people who take pride in their service and as such I expect this situation is totally due to them trying to provide the best service with the resources at their disposal.
Move your afternoon surgeries later. A long lunchtime removes time pressures and you can relax knowing you will always get a break between surgeries.
Do as much as you can for your colleagues all the time. Medicine is a team event. If everyone followed this mantra a large amount of work load would evaporate overnight.
I agree with Paul. You are obliged to offer an NHS prescription which is not the same as issuing a NHS prescription. The money would appear to go to the Treasury and not be ring fenced for the NHS. If the drug costs £1.40 the NHS charge is something like a 600% tax on the ill.
Receptionists are only "unhelpful" when they don't have any appointments to offer people. So this study revealed that patients are unhappy when they can't get appointments with their GP.
Prohibition just doesn't work. It's obvious that the human race craves artificial stimulation and tthe present situation is akin to Canute trying to stop the tide. Well we are up to our necks in drugs and it's time to give up the "war". Decriminalise and there will be more addicts but at least they won't be running over granny's to take the £3 in their handbags. Some very rich powerful figures in the shadows do not want this to happen. One day it will.
And the HSCIC releasing almost 700K pt's data to 3rd parties against their coded non consent for them to do so.
This CCG is reminiscent of Col Nicholson from Bridge over the river Kwai striding into the hospital to find men "fit to work" This nonsense only saw the light of day because it was fellow GP's who came up with it.
It wouldnt even work as all you would do is create a huge backlog of work to pay for at a later date.
Lovely to hear from you Phil, wishing you all the best in all your endeavours.
Great idea to save money "turn the NHS off" it's a complete nonsense and its fellow GPs that have come up with it and imposed it. I would work normally myself.
I find tthe Alive Cor ECG App a great help check it out.
They have tried to stop ICS in COPD before. Eventually the research will catch up with the patient experience of the disease.
Establishment not really interested in access, patient satisfaction or even use of secondary care. All they want is a primary care entity, that is a single unit large enough to sell.
All that will happen is people on paracetamol will swap to co codamol higher cost and more SE, false economy.