Is the same here (Merseyside)
"In the coming weeks". No rush then, take your time to implement a change so massive as saying to employers "you have to take your employees word for it and don't need a GP note"
Correlate answers to number of clinical sessions per week? Might explain the high/neutral responses.
The number has gone down, but if you include people who aren't yet GPs, and change the parameters to a meaningless headcount, rather than a standardised FTE comparable with previous years, it's gone up, so everything's OK. That's not spin, that's lying to the public
Is there a feature to just set it to send a flag at 9am every morning?
CCGs have to produce the figures - fine (well, not fine; a waste of time, resources and energy). If anyone is foolish enough to sign up to PCNs this year, I'd suggest a gallic shrug and "yes, very interesting" as the appropriate response.
PCNs were sold to the profession as being (in part) to ease some of the pressures on general practice and GPs. The real intention (to dump as much additional work onto PCNs, and by extension GPs, as possible) has become very clear since. For anyone in NHSE to have developed and then signed off that draft spec shows either:- It was deliberate, so a "better" watered-down version could be unveiled after the consultation, or shows such an incredible lack of understanding of what general practice is currently like to work in, that those involved should consider their positions. Some things are just too wrong to engage in, particularly when the other party has shown their hand, and what is in store for PCNs if they continue. The only honourable response from NHSE at this point would be an apology, "we got it horribly wrong" and to start again.
I can’t think of any other explanation for this other than a deliberate attack on GPs designed to destroy the partnership model once and for all. Even the most patient phobic, one session a week GP “leader” that’s come up with this has to be aware that it’s completely undeliverable and will destroy the sliver of morale that might be left. Where are the BMA? They need to be calling for a scrapping of these specs altogether, starting again from scratch, and continuing with the current PCN specs for a year until a workable spec has been produced for 2021/22. Mumbling about engaging with the consultation doesn’t cut it, we all know a couple of minor things will be changed and NHSE will claim to have “listened to feedback”. If the pause and rethink doesn’t happen, the BMA need to formally advise all practice to withdraw from PCNs. Time to forget about the future NHSE/DoH jobs and gongs, and start acting like a union.
You could argue Russian roulette is "exciting". I can only assume he's using the same definition of exciting in this quote
A number of trusts have admitted outright breaches of their contract in the above article. What action will NHSE/I be taking (rhetorical question, obviously). The fact that they feel comfortable publically admitting they are in breach of contract (with the subtext, "It's only GPs we are dumping on") speaks volumes.
NHSE really, really hate GPs don't they (sorry if I'm late to that particular realisation)? Why on earth would you put a barrier in place to request an ambulance when they've been assessed by someone trained and experienced. Unless of course it's to continue the subtle drip feed that GPs are the problem "by requesting ambulances more urgently than they should etc etc". Patient who stubs their toe and tells 111 they have a pain score of 10 will have an ambulance at the door before they've put their shoes on, whereas if I need an ambulance for an ill patient, I have to jump through hoops, calculate meaningless scores, and probably wait longer for it to arrive because they deprioritise patients at a GP practice.
Has it really taken 5 years to work out that this was a waste of time? I'm sure most of us could've predicted the outcome within 5 minutes.
Best one I've had "?cutaneous anthrax - contact GP within 2 hours". The patient had a spot.
They're going about this all wrong. Surely you'd target countries where it is worse to work as a GP than in the UK (if you could set aside the moral issue of stealing countries with a likely underdeveloped healthcare system's staff). I don't know enough about other countries to know where that may be; nowhere leaps to mind. I suspect it's unlikely to be in the EEA, or Australia though.
An interesting question might be, "how much has each international GP recruited (defined as still here 12 montsh in), actually cost to recrui?" Suspect the number will be mind boggling
So, actually examining a patient is better than not doing. Who'd have thought it?
Forgot ombudsman, so 5 avenues of complaint.
Disagree entirely. Litigation is only one aspect of GP complaints. GMC/NHSE/CQC/CCG are all complaints patients can make, and are all investigated seperately, at enormous cost in both time and emotional energy for the GP concerned, however unfounded. The ship has sailed unfortunately.
There are probably well meaning people in NHSE, you may well be one of them. You haven't specified any of the positive actions that have been taken, and in terms of assessing the evidence, when I started as a partner I left work at 18.30, indemnity was way less than it is now, there was healthy competition for Partnerships, training places over subscribed, sveeral less layers of regulation and the profession seemed stable and well respected. Compare to now, 12 hours days, usuall in at weekend to catch up, not a hope in hell of recruiting, training places unfilled, CQC et al making an almost impossible job that much worse, sppiralling indemnity and anyone who can get out planning to do so. I don't know the motivations, but the results speak columes. It's either deliberate (NHSE or DOH, lines increasingly blurred), or incompetance. End result is the same though.
The GPC have shown they either can't, or won't represent the profession and the grassroots GPs working within it. Either way, the collapse continues at an increasing pace. Are things bad enough, for enough colleagues, for them to do something about it? Who knows? Perhaps with effective leadership and more like this piece enough might be moved to act?