Just cleared my own ears of wax (causing deafness) with 10 ml syringe attached to chamfered plastic tube. Don't tell the MDU,
CCGs are anathema. Even if they provide an earwax declogging service, how long will punters have to wait to have their hearing restored?
I do not understand how he has got to this position. Not to be admired as a GP in my opinion, more a political sycophant.
Leaving aside IVF, locality should not decide availability of services. GPs should not sit on CCGs as they are the antithesis of what the NHS should be.
@ Catherine Welch and Me Myself and I: Phil has it right. An example is patient I referred to a consultant who rejected the referral. Actually it was a research registrar who bounced it. I was told to request an investigation of a sort I would not normally request. It was fielded by our registrar, who requested the investigation, which was then rejected as unsuitable for a GP to request! I re-referred with appropriate comments. I discussed this with the CCG GP clinical lead, pointing out the undue delay caused by this. He responded with political waffle, and I think, genuinely did not get the point, nor did he offer to intervene to shorten the period to seeing the consultant. In my opinion it is unethical for clinicians to sit on CCGs as they are rationing organisations by another name, an area which is a Government responsibility. There is increasing disparity between CCGs in what and is not allowed for referral/ treatment, which should not be the case in a National health service.
Sorry , should have said 2nd one.
I would still refer the 1st one.
Right from the start I said GPs should not be involved with CCGs. Before they were rolled out I attended a local LMC meeting - about 50 present. I asked for a poll.3 or 4, all PCT GP employees ['policemen'], voted for, half present voted against and the remainder abstained. Should never have got off the ground. To my mind it is unethical for a GP to be on a CCG board - they are not commissioners but decommissioners in current circumstances.
Appalling comment from the MPS doc. We should not even be assessing the person as we would not be in a position to provide treatment as we do not have the equipment or expertise to make a diagnosis. Dental problems- direct to dentist.
So where does the extra time for the postponed qof work come from?
Where do all the extra GPs to do this come from?
Nasal packing and cautery are not core GP services. Rubbish scoring system.
Guy Chapman is correct in his resume, Stewart Block also hits the nail on the head. The NHS cannot afford such time-consuming and expensive 'placebo' [= 'I will please'] 'treatments'.
@Jonathan Jones. The assumption is that we have to 'improve' year on year - an impossibility. People in whatever occupation reach a plateau of performance; this should be kept at a safe level, so obviously means keeping information/education up-to-date, but not improving and adding 'new' skills year on year.