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
Health checks are not really worth the money - in our area it’s about £12 a go - which financially makes no sense
We don’t actively chase patients unless they ask us they would like one. Too busy doing other things to add this in as well- financially not viable to employ someone else to do it
In our area pu lei health ‘threatened’ to take it away and get a private provider to do it - we all laughed and said go ahead - they soon realised no one else would do it!!
If the funding goes - then stop doing the services. If they will not pay for warfarin monitoring - send them all to secondary care. The LMC has to be instrumental in this to ensure all practices do it
Primary care is the cheapest place to do it in. The CCG have likely hedges their bets that practices will continue to do it
Nightmare - cqc will insist we will have todo all the work and there will be no payment
Instead we will have to do more work and it will definitely not be high trust!!
It would be good to know how many of the elected GPs actually work regularly in primary care. How many sessions they do a week.
A lot of our representatives now on the BMA and LMCs are portfolio GPs who do not really understand the pressures. And are making decisions for us.
Can we have this in English!!!
A step by step guide would be very helpful as to what it is we need to do.
57 appointments for a 10,000 patient practice - not a lot really
I can see why this job could be attractive. Can stay at home - err on the side of caution and give antibiotics for example - deal with young patients with usually minor problems - no visits - less hassle
It’s the practices that are loosing patients where the problems is - one practice ha lost 1500 patients - if that happened to us we would have to close down it cut doctor time
Wouldn’t worry about that complaint - I enjoy them!! Gives me a chance to rant about the NHS and a complaitnfor our appraisal!
I do no apologise for these sort of complaints either.
Emergency appointment means one complaint only - full stop. If they are not happy tough!
I have occasionally walked patients to the front desk to give hem a complaint form myself
Negative predictive value of 86%
Positive predictive value of 27%
Great!!! I see litigation
I hope they make AE and Walk in centres use it