Patients cannot choose when to be ill. In veterinary we have to work weekends for no extra pay. If you're salaried you have to do it. I don't know what GP's are moaning about. It's a great idea because if patients are sick and get an appointment at their regular surgery then it saves A&E centres knowing nothing about the patient and just treating symptomatically which often results in change or clashes with medication regimes. Don't forget the "native" British population know and understand how the system works. Foreign immigrants do not and will abuse the system regardless.
Often GP surgeries are not open at convenient times for the working populace as many are shift workers unable to attend during regular "daytime opening hours" and will also utilise A&E for treatment. If GP practices are open weekends (ALL WEEKEND), not just Saturday, it means that they can obtain the treatment needed for their condition and free up time of the staff working in A&E.
In veterinary our surgeons earn between £30-40,000 per year whereas our nursing staff earn a meager £15-20,000 per year. They work a damn site harder than their "human" counterparts and do not complain!
You're in the job because you love doing it. It's about the patients NOT the money. STOP YOUR MOANING!!!!
I do like the way that they've not discussed the preferred treatment regimen for someone with chronic lung Dz. Is it then okay to tell them to go away and their cough will clear on its own? I think that this should have also been discussed because something as simple as a productive cough in a pt with chronic lung Dz should be given ABx to prevent this from turning into something more serious such as pneumonia!
I agree that the behaviour of this chap was a little off, shall we say. I do think its a little extreme to strike him off completely, especially if this was his first offence. Perhaps a different approach should have been used.
I do know that it can be very frustrating when you are told that appointments are being made for several weeks in advance. If this chap had a moderate to severe health condition then he should have been seen sooner rather than later. As I said, a different approach to this individuals case should have been used.
This is appalling! Why should England have to finance the likes of Scotland and Wales, neither of these "countries" make their patients pay vast amounts for Px charges. This is another typical "rip off Britain" thing that just continues to annoy the populous living in these parts. It will come to a time in the not too distant future; when patients choose to either eat or pay for their medications. Most adults have Px to shell out for, this is becoming a thorn in patients sides as the cost of fuel and of living soars, so too does the cost of medicines. It won't be that far off before the generosity of this current government make the patient shell out for GP consultations..........A trip down memory lane for some of us (1940's/1950's)!
It makes me angry. What about the patient who is obese/overweight and is already doing everything they can? Some can't lose weight because of medication or pain, have you thought that the patient already knows they have a problem and don't need to be "nagged" every time they see their GP, especially when they're not well. I can foresee an increase of abuse/violence towards GP's from patients who are fed up of being reminded about what they already know. I do know that I myself would find this practice angering and more; would probably avoid going to see a GP if this was to happen at every consultation!!
Oral contraceptives and other hormonal impregnated devices cause weight gain. There is no consideration given to this aspect! As GPs you are aware of the NHS targeting "fat" people, the government is bemoaning this situation; think before you prescribe:- will it affect the waistline of my patient in the long term? If the answer is yes, then an alternative low risk method should be considered!!
It's disgusting. Quite frankly I believe that if you are not born and bred here in the UK then you should PAY the NHS for your treatment, regardless of what it is for; (Emergency treatment, hospital stay, operation, dental, optical or audiological treatment. Why should England pay for the rest of the world? Isn't it bad enough that England pays for Wales and Scotland's subsidiaries????
Get it sorted Mr Cameron et al!
Need to really be lobbying government to prevent food additives and pesticides and other ingredients the human body does not know how to process. Once this is tackled a decrease in obesity will be seen I'm sure of it! I also agree to some extent regarding fast food, advertising targeting minors is a bad thing. "Get the kids hooked on junk and they'll eat it for life".....must be the company motto for a lot of these fast food companies. Just like Bingo advertising currently reaching the target audience of those in their late 20's. there's not much difference really in the strategy!
Not all obesity is caused by the individual being a layabout. Sometimes it can be a direct result of medication causing weight gain, or through particular illnesses. Come on people surely you haven't forgotten that have you???
We (the veterinary community) have the Veterinary Medicines Directorate governing this. We have already been informed of overuse of amoxyclav and some other common ABx used in practice. The VMD are in the process of providing us with a new protocol so that overuse is addressed. As far as agricultural use is concerned, this really involves the discretion if the individual vet surgeon. It is he/she who prescribes the relevant herd treatment. Whether farmers are obtaining drugs from Ireland is another matter!!
I have to agree with the author on this one. We can't go expecting the poor to pay for treatment on the grounds of their lifestyle choice! Often being poor is not a matter of choice, however, rather more something that can be inflicted upon oneself due to poor health e.g the cardiac patient. Lived a normal happy life with a good income, good lifestyle including healthy diet and plenty of exercise as gym membership could be afforded.....then BANG! Your patient has a heart attack......is retired from work due to ill health, their home is repossessed along with the healthy lifestyle. This poor patient goes bankrupt whilst waiting for the DWP to make up their minds about benefit and the circumstances regarding this individuals' case.
Then the patient is (hypothetically) denied care on the grounds of their lifestyle choice. It's a bit harsh don't you think? We would do far better to make cost savings on our utility bills. Install light and movement sensors so that lighting only comes on when something moves and triggers the sensor. Reduce heating bills by maintaining the heating at a lower temperature, switching it off altogether during the summer!
Let me tell you, this situation is very similar in vet practice!! Nurses are unable to hand out Px without the vet being on site, regardless of the item being a PML/P or GSL (NB Categories are different in vet medicine but have equivalents to human Mx! E.g a POM becomes POM-VPS (VPS stands for veterinary prescribers only).
There are many, many jobs RVN's (Registered, Listed, Vet Nurses), can do but due to legislation passed by pen pushers in the ivory towers, whom know nothing of practice, allow to pass, leaving frontline staff angered and bemused as to why!!
I think the scheme is a good idea. I am asthmatic and suffer quite badly. There is nothing more annoying than running out of salbutamol because of a chest infxn or losing the inhaler down the loo, or by pt poor planning. The surgery I attend is only open M-F 8am-18:30. No Saturday hours, so if you run out; you're stuffed for at least 4 days. This is because of weekend and also due to the 48hr Px turnaround!!
Pharmacists spend their entire course studying medications; how they are made; how they are absorbed/excreted and also the Dz process that leads the pt to be started on a particular Mx. To be fair; I personally think that the pharmacist is more qualified to explain about the Mx use and side effects to the pt. I am not saying that doctors are unable to Dx, what I am saying is that both professions should compliment each other.
Yes, I can see the level of concern. I can also see the benefits too. If a pt uses the same pharmacy time and again; realistically there shouldn't be an issue. It's if that pt goes to A N other pharmacy that pt details and info could be missed. It would be useful to know if the big chains of pharmacies have their computer systems interlinked. Can anyone tell us that please?