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!!!!
I work in a very deprived area and despite us shouting nothing is being done.
I was told by Dr Jameel at a BMA that deprivation is not their agenda and did not form a part of their negotiation
The MPIG looses have been unfairly hitting deprived communities and despite us knowing about the inverse care law nothing is being done.
These patients don’t shout as much and don’t throw as much of a stink sometimes so get ignored
We should not air this - let them do what they are doing - until they truly replicate a general practice - we still have a while to go
I think they will be helpful - in the future to deal with the he worried well, I don’t think it will be cheaper.
Like using Ryan air - the only way to book a ticket is online A maybe we should do this for all patients young or old - the only way to access healthcare is through a chat bot - we can see what the public say then.
Unhelpful comments - it is not a good business model - it is for the company but not for the NHS and patients
Unless they take an equal amount of elderly and offer services as we do in general practice - it is not right
Or all practices use the It solution and insist on all patients are seen via the app first.
The funding has to change - you cannot be paid £130 for an 85 year old.
Great he’s at it again!!
We all remember what happened to the Darzi centres!!!
It is not primary care that does not innovate but the hospital and foundation trusts who are more interested in tarrifds and increasing income
Very true with the above - there is nothing we can do about it, NHs leaders are keen to see it happen.
We just have to get on with general practice and what patients actually want. If we find patients decreasing in practices - we should accordingly drop staff and clinical sessions
We get paid £12 per health check we do in our area
not worth it!!
Conflicts of interest - a partner from Hurley medical group is also Nhs england director and they put £45 million towards to it!!!!’n
That just smells
Where is the RCGP in all of this?? Shouldn’t they been asking wuestions
So it’s the hospital are discharging them on the medication nd they come to harm.
Shouldn’t that be a CQC thing,’patient safety thing, commissioning hing, NHS england thing etc etc not sure how that becomes the responsibility of general practice
‘There is nothing to say’ says Richard Vautrey
It would be helpful to even confirm that meetings are happening behind the scenes and that we are still on for an indemnity scheme from last year
May tempt a few GPs to stay longer in the profession.
Not sure if this includes the extra work at home and ama genre responsibilities as well.
We have reduced our appointment availability as it was getting too much with doctors leaving and new ones not joining
We just need to see less patients and start saying no