The bit that hurts is the writer’s assertion that the ‘deluge of paperwork ‘...’doesn’t really count ‘ aaaargh!
I agree with Duty doc , my teenager with cf is cared for almost entirely by cf team ,though I have to appreciate my former colleagues help with prescribing and processing sputum samples, the cf team know what they are doing and certainly in my area you, or even better, the family can phone the Cf nurses at the relevant children’s or adult hospitals who will consult the team and relay back advice,and do scripts for stuff they know GPs are wary of prescribing .We nevertheless don’t mind a bit of awareness raising and you’ll understand mynot volunteering to return to frontline clinical work...
I suspect a ‘very small fee ‘ will encourage those who can afford it to feel entitled to bring their cosmetic minutiae to us ,after all they’re paying for it, and it will be cheaper than a hairdresser or footcare practitioner appointment.
Missed opportunity to comment on the role of antibiotic resistance here?
Just out of curiosity did you take any steps to get this recorded as an adverse event? Guy obviously needs some feedback but sounds like he’ll be getting some elsewhere anyway!
Maybe so, would you have been up for applying for the contract? Think we all want more than ‘solvent ‘ for the demands made on us! Good luck to Dr Sahadevan on his escape
Have they cc’d it to the Health Secretary,local MP,local newspaper and Uncle Tom Cobley and all? I would be tempted to block off several hours of surgery time to deal with this and put up a notice in the waiting room explaining why no appointments !
Same here,just left after 55th birthday and would probably retry clinical work in future if it wasn’t,for all these hoops to jump and the cost of them.
Would have to be pay+++ ! How would the ad go? Ooh gps required ,we have one gp covering half a million patients on our night shifts-would you like to come and be the second one?’
Are they saying that if we are charged with medical manslaughter, a written reflection showing what we have learnt from the experience will help either with the verdict on the charges or the outcome? If so I am for it.....
So if a network is understood to be between 30,000 and 50,000 pts As quoted above,then @62,000 is a lot further away from that range than 27000. Can’t help feeling this story could just as easily be ‘Commissioners block application to form 62000 pt network because it’s too big for the guidelines’
Have you signed up or joined the refuseniks?
Surely now we are being told that earwax syringing is bad for ears and should no longer be started, we should all be stopping it at once before we get sued for actually doing it to someone who’s not satisfied with the outcome.Maybe , like dental advice,the medical defence organisations could come up with a supportive declaration that they would support gps deciding to stop the service and only insure ent specialist ,so we can inform our patients that we cannot do stuff we are not insured for (let alone paid for)
So , if this eventually proves that if you give a lot more money to a group of gps they can do a much better job, will we all get that sort of additional money? Thought not...
Can’t help speculating about the future career prospects of anyone leaving capita for another health admin job...any references they have re their competence would be difficult to believe if they were applying for an admin job for our PCN for example!
If it frees me up so I can fit in an even denser workload of more complex patients per hour then please no - I will stay on sick leave instead
This is all very honest but we do need some bright doctors coming through to look after us in our old age,even if they do the job on their terms!
Cant see why people with learning and communication difficulties would find being asked to write a free text feedback any easier than a rating scale , just producing a scale with smiley faces instead of numbers would be more likely to get a response..otherwise I see no claim of benefit from any of the above tinkering whatsoever.
now Why didn’t they think of that before?
I could go along with us being sent a letter saying this person has been screened and an abnormality needs further investigation,please tell us if there is any reason why this shouldn’t be done (eg pt already known and investigated for it)Otherwise no reply needed - still needs us to check notes,but if evidence does turn up for effectiveness fair enough