Where are the BMA now? Can pulse try and get them on - this is massively extra work for £1.50 per patient!!! His is crazy!!
Let’s hear from our ‘Dear Leaders’ now
We do this already, text letters and phone calls!
Why don’t we aks he health visitors to do this as well and schools are ‘well placed’ as well
Brilliant article and really well thought out. As a BAME Gp I never looked at it from that angle
Your support is much appreciated
Finally something that will be a game changer. It will reduce stress dramatically and increase capacity in general practice
I would re join the BMA if they take this on - a real tangible benefit
Does anyone have any evidence whether hospital trusts leads to better staisfaction (or same) and reduced admissions and costs?
We have been doing this for years - almost forced reductions as the evidence points to long term use not being beneficial
We work with our local drug clinic and don’t prescribe any opiates at all.
Have done random drug tests - and of negative means they are selling the medication and stop it
A sensible suggestion that would have a positive impact on the state of general practice
In our surgery we would be able to provide more appointments as our duty doctor knows they won’t get a visit
Instead of chasing after speciality status - the BMA could try and action this
General practice is free! It costs nothing to change pathways and put more work on us
Coupled with a lack of respect towards general practice from consultants means that we get a double whammy
CCG GPs im my experience want to look ‘clever’ in front of CCG managers and the hospital and pile more work on us
I am 39 - I have reduced my clinical sessions and also reduced the number of patients I see
The workload is too intense - so many reports, safeguarding info, etc management things - the safest thing is to take a pay cut see less patients and be able to last longer
I personally don’t have a problem this - one of the ethical principles is justice.
We have had a couple of families who ask for their family members to be treated when they come on holiday - ask for referrals and I have pointed out on the letter that they are from abroad as they should have to pay to use the nhs - I don’t see why that is wrong
What planet is he on!!!! Networks will help to reduce workload - really
Has he seen the indicators that need to be hit and the extra work involved
Completely out of touch
Quite a few of the super practices do this - they take on practices and then close them and concentrate the patients on fewer sites which means it’s cheaper to run
Patient income and less costs
Interesting as a UK born BME Doctor I honestly don’t know what to think!
I can’t understand why UK born BME doctors would fare worse??!! Cultural differences have been cited but I don’t k is how much of this would impact on an exam
Maybe having more BME patients in the exam and BME doctors assessing be a start?
We have known this for years!!! As an inner city deprived area - our funding via MPIG losses have been going down
We were promised a review of the formula and thisbhas never happened. We need a deprivation payment - for extra staff
The carr hill formula does not account for deprivation adequately . Coupled with MPIG losses which hit poorer areas more - leads to a disaster. Inner city areas have faced primary care cuts
No one is doing anything about this.
When I asked the BMA at a roadshow - they said it wasnt a priority!!! Despite the evidence and health need - it wasn’t a priority. The RCGP is oblivious also
STP plans includes pages about deprivation but no action about it!!!
Maybe PULSE can use this as a national campaign with all the good work pulse do
@cobblers they have released it as local policy - some of us have complained
If we don’t do it - the risk is of patients suing us and legal cases for not following a guideline
Trust me - as a practice we don’t do work that is not funded - but we are stuck here and seeker advice from MPS
The CCG did not factor in the workload on primary care. The worst thing is - if they are found to have liver damage - there is no treatment just lifestyle advice but we don’t have anywhere to refer them
The money would have been better spent on stop smoking advisors which have been virtually wiped out!
The article is true - a lot of illness is preventable. In my experience the public know this and often not willing to make changes
In Nottingham - the CCG have dumped liver screening on us GPs essentially GPs are being asked to request 1000s of fibroscans and manage these patients. The CCG say it’s not - but it is widespread screening via general practice with no payment attached
the worry is - screening which is not in our contract will be dumped on general practice and when it doesn’t work - we will once again be blamed
We don’t know the details yet, but it doesn’t matter if it is Eid or Diwali or Xmas eve - we are contracted to provide a service and if it Is not safe then proper action needs to be taken
Obviously we don’t have the details yet
Screening is not a remit of general practice - it is the responsibility of public health
In our area there is no funding for this - we have put some kits out but not chased anyone. Public health should be driving this.
Maybe we should ask the chlamydia screening rates in hospital
Makes a mockery of the system and shows how unprepared NHS england are
The whole point of networks is geographical areas to improve patient care.
This is a joke!!!!