If continuing RCGP membership is a compulsory part of being a trainer then HEE should reimburse the subscription fee directly to trainers in addition to other
(already inadequate) payments
"In practice, always act in the best interest of patients, avoid act or omission which are likely to cause harm. Always put safety first - act within your own competence."
incompatible with the resource limitations and work dumps endured by today's GPs
"Typically, frequent attenders visit their GP between 20 to 40 times a year. The module will tackle this by using a GP practice's data to identify such patients and review the data to look for any errors i.e coding errors.
Then a multi-disciplinary team will show clinical and admin staff how to review each patient for a maximum of nine minutes to outline interventions on how to refer them away from GPs, such as social prescribing."
That isn't why they attend frequently! And guess who'll get the time-consuming complaints?
Too be fair to Crapita, the pension regulations are ridiculously complex, the rules have been repeatedly changed, and Crapita have been deluged with work as GPs try to cope. HMG shares the blame.
wonder whether doctors can use this excuse for appraisal, revalidation and patient complaints?
don't worry GPs will still be needed - to take the management and medicolegal raps and the financial hit for "their" nurses' actions
Taking an increased profit for not referring patients? Well at least it's more descriptive than calling it "savings" but not a well-chosen word to appease patients and media
managers bring in management consultants either because they want to share/delegate blame for any bad decisions, because they want someone to do their dirty work for them, or because they don't want the people affected (in this case GPs) to have any say in the outcomes.
well you're popular with me and I suspect with many other GPs of all generations! As usual spot on, but I suspect things are now irretrievable
any information or action on demographics/morbidity/infectionadmission/ rates in the lowest 20%? Thought not
It’s just too easy for us to blame others
Exactly - credit where it's due!
nobody could have seen that coming, oh no
what about patients with contradictory contra-indications?! And those who won't take what they're prescribed? And will the hospital stats be able to distinguish between OTC NSAIDs and GP-prescribed?
Many prescriptions are a balancing of risks by patients and their doctors (neither of whom will have full knowledge and understanding of every possible risk, and either of whom may make their own perspective/judgements, not necessarily the same).
Perhaps the plan is to inhibit prescribing all round
No, no need at all
If you want to escalate costs and complaints, needlessly investigate the worried well, refuse to see/supporting patients who aren't cost-effective and tip them into other expensive services such as social care etc etc
hospital admission for wheezy babies is dictated by anxiety by GP or parents re this individual baby's safety. Can't see that this guideline does anything to negate that spidey sense that a baby needs to be in a place of safety
hard for patients to define urgent eg for rectal bleeding aged 50, when the realistic choice is between same-day and three weeks. Especially when the Dr's response at the three week appt turns out to be a 2 wk referral
when I use a word it means what I want it to mean...
Things That People Who Don’t Work As GPs Think GPs Have Time To Do
so basically you're saying it's cock-up not conspiracy
could be either but the effect will be the same
ask patients if they are willing to pay for items that are available over the counter - good luck with that!
GMS contract says GPs must supply a prescription for any recommended OTC drugs that are available on prescription.
If a patient wastes an appointment to ask for something cheap, why waste even more time trying to dissuade the entitled demander and risk a time-consuming complaint also. (GPs' time is never costed into these "resource-saving" ideas)
And who are GPs to decide who "can" and "can't afford" to buy OTC?
only sensible/workable/acceptable solution is to make it statutory so GPs have force of law behind them. Of course politicians are scared of that so continue to put people who actually see patients in the firing line
So glad to read this. She was our GP retainer then salaried dr for years before leaving to become a partner nearby. She was a lovely person and a great GP, popular with patients and staff; this was a tragedy. RIP Wendy