At our practice we have found our clinical work has gone down. The Gp who is most likely to suffer from coronavirus is covering his normal hours thoguh the other 3 do some sessions in the hot hubs instead of the practice. I think this is a fair way to man these as remember our patients who we would normally see are being dealt with by the hot hubs.
Yet your covid 19 red zone patients are being seen for you. I am not a member of BMA RCGP and can be as defensive as the next GP but I think we need to come out of our trenches for this one. These patients need seen and should someone else take the risks on your behalf? By the way I am at hot hub right now. It is not that busy
If at these "hot hubs" your patients are being seen with possible Covid 19 I think there is a moral obligation if you are fit, and no others at home who should be shielding, to staff these centres. In Central Scotland that is happening. I agree with the concerns about PPE but lots of other people are having to get on with it. In my view these are extraordinary times and the rules have to be bent for the greater good.
I certainly have felt obliged to prescribe it in under 16'2 due to the very long waiting list for CAMHS
As a GP Partner at 43 I am happy in Scotland that the burden of owning your own building should be lifted ( by 2042). When I did the MRCGP there was never any teaching about owning premises, being an employer or any IT. Young Doctors don't want the burden and I don't blame them
IN answer to Stelvio I paid roughly 35% of my income (after penision )on tax. It has gone up because of this. If everyone including businesses like Amazon boots etc had to pay this the NHS would be very well off. But no I am penalised more. This is unfair.
Maybe though the tories may have a point...
We have a pharmacist now and this has helped with acute requests. However there is a bit of over requesting review of patients on certain meds.
At least there is evidence we can point to when trying to withdraw statins. However if people are clinging on to life and their statins may be the statins are working!
I have stopped recording smoking status annually and no longer do ACR's in older patients where it doesn't make a difference. This is probably better care though is difficult to measure
Maybe all consultations should be recorded by us and a patient should have to tell us if they don't want that. That would be very useful for complaints or when discussing risk. I am on alert when I see a patient with a phone in hand that I could be getting recorded.
So the Gp partners should all take a pay cut to pay locums? is that the solution? I think annonymous at 08:31 should retract "greedy" from his comment. The partners are probably bending over backwards to maintain the service. They have the responsibility. A locum can just walk away...
I'm afraid this is the future. Most modern phones can take your pulse and O2 sats too. I am a Gp partner and am not involved in Babylon or any others though can see the benefits. Maybe patients will get used to paying to access Gp services though £50 for a year must be a carrot. Would go up the next year/
I voted no as there is no pay uplift and using the example of NHS lanarkshire's treatment rooms as progress flies in the face of local experience. In the end this is a poll. I'f we give it a resounding yes it weakens our hand in the future.
Glad I read about this. I wonder how many cases I have missed
I'm afraid I don't see too many benefits to this new contract. What happens if we vote no?
What happens if Gp's vote to reject this contract?
May be a great change or total disaster all with 15 min appointments!
These drugs can be useful just like opioids and benzo's. The key is to know when to use them. 12 weekly review's? pie on the sky.
I think some of the larger pharmacy companies may allegedly be based off shore to minimise tax liability. I have no concern about the NHS picking their pockets. I do have sympathy for independent pharmacies trying to swim against the tide. What about the pharmacies requesting prescriptions that are not needed for patients? Do the pharmacies do anything about that?