IDGAF @ 5:37pm
It's not always clear cut but often gout is just gout. Many of the patients will have had more than one episode before they see me. I will still arrange routine bloods incl urate to confirm (and exclude other causes), and bring pt in if needed.
I'd still like to know how much time the nurses had.
How much time did the nurses spend in total with the patients?
Even in 10 mins, I will diagnose, treat, explain pathophysiology, need for urate monitoring and give a patient information leaflet. I do not, however, keep recalling patients more than annually.
In another story, NHSE are concerned about GPs committing fraud. Here, it seems NHSPS is defrauding GPs. Pot. Kettle. Black.
Sounds like another barrage of attack on primary care.
58% of £1.29bn is £748m
Which means pharmacists and dentists are defrauding to the tune of £660m
My understanding is that GP funding is topsliced to account for "ghost" patients, as well as regular attacks on patients who've not seen their GP for years.
I wonder how much hospitals "defraud" the NHS by?
You mean "GPs not willing to work for crap pay and poor working conditions".
This would be a great opportunity for Public Health England to get involved and set up free testing facilities and awareness campaigns. They could get the affected patients into the system and seen by secondary care.
Of course, that's far too much effort for the penpushers so they'll just dump it on GPs because they are just sitting there twiddling there thumbs!
Any reason why the hospital heart failure team can't see these patients every six months?
That's more than I get paid for 8 sessions as a salaried GP.
Currently in our practice, if a salaried, locum (or even GP partner) calls in sick, it's up to the remaining partners to make up the shortfall in seeing patients. The salaried and locum GPs would have a fixed and defined workload. How would a non-clinician pitch in and help?
My sister has coeliac's disease though diagnosed a few years ago. She has switched to gluten-free quite easily (which is hard enough given that she's also vegetarian). She makes her food from scratch. She buys any gluten free staples but often will go for non-gluten containing food eg rice noodles instead of wheat-based noodles. GF-specific products are treated as a luxury and she has them infrequently.
What's been more interesting is the amount of wheat added to food where you wouldn't expect it eg some chocolate bars have wheat flour.
If my sister, as a vegetarian, can manage her Coeliac's, anyone can. There's a lot out there in terms of gluten-free recipes, gluten-free foods from restaurants etc. Buying this stuff on prescription is honestly a waste.
In that case, it would be less hassle for the practice to refer to the respiratory team for spirometry rather than trying to do it in house.