£250 million a year to run and all the costs through lost clinical time in 1' and 2' care as well for what? Dump it and KISS
Command and control by this Government beggars belief and is probably costing lives
COVID Tests are expensive or we cant meet testing targets should never have been a reason to not update symptoms lists as we learned more about the disease
There was a piece on this over the weekend and on the Today show this morning no doubt prompting the response by HMG as they realised its quite simply putting people in harms way
No doubt they will be patting themselves on the back as usual for another great day at COVID HQ
Its at CCG discretion You just need to get them now to agree and have it on the record that they wont stand in the practices way if ay any point in year they want to leave Sorting out the finances is the tricky bit so make sure the network agreement covers it
Ou CCG did
“ very happy to apologise” echoes Pritti Patel “Sorry if people think we have let them down around PPE”
10 years of this administration its nit a shock to see headlines like
This really a line in the sand moment for our profession GP and Secondary care colleagues
HMG need us far more than we need them
what in god's name does this mean
simple english would state QOF paid at last years outturn or attainment at todays date whichever is the highest It doesn't and so I am in need of assurance
have all your ccgs suspended QOF and any local incentive schemes and agreed to pay at outturn 2018-19 or at current level of performance whichever the greater? if not you can add financial challenge to the headache of staffing
Sorry but this Govt will not (Unless forced to ) do whats right if it can get away with it Whether thats state owned banks lukewarm offer to defer interest payments or No sensible strategy at airports for incoming travellers from Italy
We will limp along with promises and discussions until either the workforce is depleted or the while system falls over rather than pay practices QOF at last years outturn and allow us to abandon the work involved
well now ''this is a test' as Graham Taylor once said before England crashed out of the Euros
The majority of LMCs have so far been quiet, at least publicly
I have spoken to some opinion leaders whose opinion I value and have had interesting responses
After strongly rejecting the first DES service spec draft and threatening to walk away they now have responded to the redraft more optimistically with comments like
'some lingering reservations about the DES, especially around guaranteed long term funding for the new staff we take on, but on the whole happy enough with the it to sign up to it.
Others have said they 'view PCNs as a vehicle that can support General Practice, and in particular support the independent contractor partnership model'
Could be a very close call ... then again I might be wrong and folk may see the risk of lines blurring between DES and core contract and wake up and smell the coffee
Nice one Tony
I suspect this is now unstoppable
Jam for those practices that get into bed with these new providers pain for those who don't
Can see newbie GPs and those nearing retirement loving this and then just watch as the work goes to ANPs
I could do with a new car as well-Tempting but for all the wrong reasons
what about those practices who signpost and triage to better manage demand and capacity and to ensure right person right place right time Very GP5YFV but by definition we wouldn't want to offer direct gp online booking
Right hand left hand ?
all sounds great but so hard to police Demand will spiral and costs soar Practice based physio is easier to manage IMHO Look at PCH we
re there are many examples of how this can benefit stretched general practice
claptrap-I am not commissioned or contracted to provide urgent care as a GP As others have said arriving in an ambulance is not a compelling marker for severity of illness either-whole system reform as part of STP or ACS might get you where you need to be but we are 15-25% adrift of the sort of funding we need to be able to deliver gold standard care and cant hold onto the workforce
AI will be the norm. Babylon are pushing hard to become first port of call for transactional healthcare users for a modest £5/month Might be courting GPs and doctors to start with but as AI systems learn the sophistication and nuances of interactions from experience built up in the next 5-10 years expect this to be ANPs medical technicians its inevitable. Watch Year Million on Nat Geo I think, for a glimpse of the ''disruption'' silicon valley and AI that we might expect to see in the future.
Really great news so pleased I moved to them in April when MDU without any sort of reasonable explanation sent me a renewal premium up by 40% from the previous year. MDDUS transition was smooth and they are cheaper than MDU were the previous year and cover longer sessions. MDU IMHO have either become too big and lost control of risk or are no longer competitive for other commercial reasons. Be warned !!
Agree fully Dr Douglas Mark Callow Chapel lane surgery Formby Merseyside
In danger of becoming like the car insurance industry with MDO's lawyers , no win no fee solicitors and suing the NHS is my equivalent of the lottery ticket punters all doing rather nicely at the expense of the poor sods paying for the privilege of indemnity.
Time to stop and adopt Australian or SAfrican approach to risk ASAP
Sue and BMA should cover legal costs
I couldn't agree more with Paul Bunting 10:30am This is what happens when government chose not to continue investment in NHS-- flat cash -- a 20bn NHS black hole
Dont address the cash cow behavior of some Trusts around UC-- take the money no system wide chnage until STP has forced their hands
Reduced investment in primary care-- cant cope with demand and cant offer capacity to meet need or perceived need
Chose to subject social care to austerity measures-- add an ageing population and Brexit just for good measure
Primary care moving away from anticipatory care like the GP you refer to (though arguably a community service could do this) as no resource
you couldn't make it up!!
solution is however down to us (STPs and health economies) as DH UK Gov not showing any signs yet of spending whats required----or maybe a hard winter will see all the wrong headlines and ministers and MPs will have to act
Problem is £2.5 trillion debt Cant really borrow anymore ?!!
I agree with 1051am in part we absolutely do need to provide variable length appointments depending on need and some form of traige or signposting.
Continuity of care can be invaluable with older patients with more complexity and is obviously of value in terms of follow up after initial consult and review/investigations etc so not back and white for me.
But DH 5YFV CMC CQC Politicians Defence unions Media and our patients and public in that order need to cotton onto the fact that new ways of working are needed to keep the lights on.
The percentage of GDP being spent on healthcare in 2015-16 was 6.6%; in the year 2000 it was 6.2%... we are now spending about the same as Slovenia and Iceland and behind Greece and Belgium.
The NHS can't balance the books, it is facing demand it cannot stem and has no power to stop.
The solutions; rationing, waiting lists, co-payments or more money.
There is less money.
Racing through surgeries every day with no control on capacity or demand is a recipe for error burnout and a deterioration in an already strained doctor patient relationship
Mrs May et al its your Your call.