Hmmm, I fancy a private home visit but I can't afford it. I wonder if they'll do a Mc GP-Associate home visit on a pound-saver menu delivered on the back of a deliveroo mopehead? S/he could bring my pizza, ciggies and stella six pack at the same time to save on the delivery charge. Haven't Apple got an app for this yet? If not I'll suggest it to the CCG as they are looking for ways to spend their transformation/sustainability fund instead of just using the money to "plug the gap" in secondary care's budget - oh, too late, the moneys gone (missed the 48hrs notice on the funding application deadline)
Who are the 21% that are satisfied? I don't know of a single practice in our locality that hasn't had some problem or other with PCSE/CAPITA.
The whole CAPITA affair is a bl**dy scandal! NHSE may have saved a lot of money by giving them the contract but ask you practice manager how much extra time all these failures have cost your practice. Add this up across the whole country to get some idea of the real cost to GP.
In purely financial terms income from enhanced services has become a vital, finely balanced, and significant portion of practice funding. If a practice were to lose say 10k due to an ES or two being cut, then one couldn't simply make redundant the "enhanced service X nurse" as of course no such post exists. In reality the money will come out of the business and/or simply put yet more pressure on resource for patients. Not a good idea given that so many practices are already on the brink of closure. I'm sure the leaders will have thought all this through carefully though and made it part of the "sustainability plan"
Let's not forget the role Dr Gordon Gancz played in this (see link in article). Cheers Gordon!
A one off payment of 70ppp to give up control of your appointment book for 4-5 years is ludicrous. Purely out of curiosity I’d quite like to meet the managers that got this through as they must be the most charismatic and persuasive people ever.
Thinking about it, in 4-5 years, GP will be flogged off to the private sector and they won’t want to employ all those receptionists. This scheme is probably just a pilot for when they outsource appointment booking to CAPITA. Ring ring… “Your call is important to us; you are number 7,541 in the queue, for information about your health please go to www.McDoctor.com...” After spending several hours on the phone (a premium rate number of course), and if you’re incredibly lucky, you may get a 5 min skype consultation with a physician associate in Karachi.
BUT the unplanned admissions DES DOES reduce GP and PN availability as they have to sit through meetings reviewing patients and spend precious time writing then reviewing care plans (often for people that don’t need them to meet this daft 2% target – we have a lot of students so 2% of our list 18 years is just plain wrong). Huge amounts of admin time is also taken up as we trawl through discharge letters and IPIL. Why the DES is continuing for another year amazes me. Surely it could be axed now and the money spent on the “We’ve got a pot of cash so let’s use to fund more GP/PN appointments DES”
If this is the best the opposition can come up with then GP and the NHS in general are screwed