Next we could put consultants and general nurses in GP surgeries , then some beds , we could call them "hospitals" or something . Then we could move all the fragmented services into a central hub --- called a "district general hospital"
There you go - then next NHS 10 year plan
At least now we'll find out if these services were actually delivering the outcomes they were commissioned to deliver!
How about we all accept that the medical profession's paternalistic, dis-empowering attempts to portray every social ill as a "disease" has failed (looking at you Royal Colleges and second rate academics),and has nearly destroyed the NHS as a result. Put these link workers somewhere else ,with a citizens advice bureau as well , and leave us to get on with real medicine , not some Open University social anthropologist drivel.
IDGAF above --- I have now reflected as suggested . In view of the endless redefinition of COPD and its diagnosis/monitoring /treatment by specialist hospital doctors and nurses, perhaps it is time for them to take this hugely difficult
disease area back under secondary care ??? Alternatively , stop the relentless crap research which seems to be purely to bolster CVs , sell drugs, and get free holidays to an "educational" event overseas and tell patients 1. stop smoking 2. do some exercise 3. use your inhaler when you've decided the first 2 are too difficult. ( Trelegy for all ?? )
Clear evidence of the political desperation to close small practices despite the mounting evidence that continuity of care provides benefits far beyond those that may exist by forming bigger practices. Business consultant/MBA drivel lapped up by thick politicians and their medical lackeys.
It might be old news , but if it stops CCGs commissioning absurdly expensive services rather than Weight Watchers then it's useful research
Thank you for such a sensible , practical summary .
`Here in Salford we are also receiving investment in Primary Care -- When are people going to learn that PRIMARY CARE IS NOT GENERAL PRACTICE !? It will all be spent on non-doctors requesting more frequent GP home visits and emergency appointments because the " Primary Care " staff employed by this extra money will not have the clinical and risk management skills needed to perform a useful role.
Cornerstone Medical Practice
Yes , lets deliver primary care the way the hyper efficient secondary care sector does --- that'll be 3 months for a routine appointment thank you !
Just because we're efficient at what we do doesn't mean we should do the job of every other crap service in the NHS! How about all other NHS groups aspiring to achieve the staggering efficiency of general practice ?
Surely anybody led review is better than no review
Social prescribing is a phenomenally expensive waste of resources which could be used to support traditional general practice -- except the government and NHSE/CCGs are hell bent on destroying the independent practitioner model of general practice. Why not get the organisations to which the social prescribers signpost to up their game and actually let patients know they exist -- too scared of the demand on their services that might result ?
Can you come to England next please Tom?
privatisation trap ? try Manchester's devolution take over of primary care by local government and local trusts --- is that going to save us all ???
Makes me proud of the GPs back home --- way to go guys!
Perhaps the GMC would like to hunt down all those evil doctors who take maternity/paternity leave and thereby endanger the lives of patients by stressing the rotas
If they disagree why don't the GPs debate a vote of no confidence in their CCG board ?
As always with these studies we need to know the funding ( pounds per patient) of all practices involved . Is the easier access related to higher funding ?
Couldn't agree more --- protect us from GP hobbyists who are easily swayed by their local consultant's enthusiasms.