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?
What about those who do have pain? Cancer Osteo and Rheumatoid arthritis all look painful to me. Maybe if I haven't seen a good double blind placebo controlled trial I should ignore my insticts and the pleading of my patients. Of course some patients exaggerate symptoms others don't.
Low dose long acting morphine can be very benefical and I do use low dose buprenorphine patches in the elderly. It helps them to function and they are not strong. I wonder if Dr Spence prescribes anything in his practice.
I did an audit of 400 patients on fluoxetine to try and get them off as one of the prescribing masterplans. Many hours work 2 patients stopped. Antidepressants work for most people. We may not know the mechanism though what is the alternative?. I think their side effects are over estimated too.
IN NHS Lanarkshire this has been proposed. However the patient will simply ask for stronger medicine. co-codamol 15/500 prescribed instead of buying 8/500