This always comes up / let’s get them to this - let’s start negotiating - when they realise they will need double the number of GPs and many more managers / they might understand
Might as well do it
Great! Will be taking time out of front line work as a partner to ensure we have box ticked to their content
Needed a break!
This won’t work - the buddy practice will have their own workload to deal with - let alone another practice
This is not GMS work and it is not in the DEs either
This is upto the commissioners to sort - either 111 take over or everyone goes to AE - they have capacity at the moment
What crap!! While we piss around over extra care home work and all the extra stuff we have done unpaid
3 months into the qof year they change their mind!!
BMA need to urgently get answer on this in the next week!!!! We need to plan - we will need to call in a lot of blood pressures etc
A poor article!!! Typical locum comments who do not understand what running a practice means
Yes patient demand did drop off for a few weeks, but demand is much greater now
There was massive changes we had to make quickly. Like retraining reception staff, changing to telephone triage, video consutlations, making sure risk assessments were done, changing patient flows, reading the masses of information that was coming out and most practices have helped out with hot hubs, red visiting etc etc
A lot of locums are looking for work - it has always been one of the risks of being a locum. A very helpful workforce - but going forward - I think general practice can funciton with less locums. We can triage more and save time and hence the need isn’t there. We have a 7 sessions locum - we are keeping them out of goodwill rather than need
By the time the evidence is worked through - the crises will be over!
They need to act now - and declare BAME is higher risk as the numbers show
Be careful what you wish for - patients are not coming in because they are scared of the virus
But we still have patients complain about not getting a face to face appointment
We as GPs have shown our flexibility again by going online and triage based - but will all patients really want that going forward. We may end up having to do what we were doing and then the digital stuff on top
And no amount of social prescribers is going to help that
It’s a good thing networks were given money for social prescribers - rhe saviours of general practice
Why doesn’t NHS England use their additional roles they keep banging on about
He is still saying
‘If this becomes a UK epidemic’’
I’m not sure if he needs more training - or He needs GMCing
But we are following Italy, spain France - inaction now is leading to disaster
What are people doing about home visits?
Not surprising - despite what the GMC and royal colleges say - CQC will take precedence
As practices we continue as normal to meet CQC requirements as they have the ability to shut us down and ignore the coronovirus outbreak and direct patients to AE. Might get outstanding!
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