That says it all!
"As Tantalus writes, half would vanish if an appointment cost as little as £5."
or if they actually had to pay for the prescriptions for OTC drugs.
I forgot 111, A&E follow ups, hospital discharges, "GP to do"
Now it's "Alexa told me to come to see you doctor". Heaven help us all.
When ever has a new "aid" not increased the demand for GP time, Pharmacist, - see your doctor, WIC - see your doctor, NHS Choices - see your doctor, NHS Health check - see your doctor, ANP - you need to see the Doctor, Paramedic - see your Doctor, the latest health scare - see your Doctor.
At this rate the hoped for 5000 (or is it 6000 after falling numbers) won't scratch the surface.
Forget the tablets, start walking / exercising - It is just as good for mild / moderate depression and better for health.
What about the social class of the patients? my gut feeling is that the lower social classes are both fatter and take more pills than the social class 1 & 2. Thoughts?
how about a new idea - pay each partner for the responsibility of being a partner. You could call it a Basic practice allowance!!
"The report concluded: 'Revalidation, through appraisal, provides a means to document practice but may not necessarily improve professional practice.'"
As Cilla would have said Surprise Surprise!
sorry - expensive big shinybuilding
If GPs are "I don't think general practice is really considered to be part of the NHS.
The NHS is hospitals and A&E...GPs are something else, not sure what, but not very flash., and not of much importance" consider the GP Out of Hours service. Even less importance - but properly funded and supported had the infrastructure and staff to deal with such crises until undermined by cost cutting, minimal staffing, low pay etc etc. Probably too late to resuscitate it now. More work for the poor (expansive) big shiny building.
Do we need to remember that the compensation includes PRIVATE health costs assessment so the successful claimants should no longer be eligible for NHS care OR the compensation should be adjusted to exclude health care.
"They" don't care - most of us have to do the whole process in our time not theirs, that's true for partners and locums, only the salaried (and well organised partnerships) are going to actually lose consultation time. A lot is done in half days, evenings, etc.
Regression to the mean - high referrals will tend to go down and low referrals tend to go up.
it sounds as if it will be a state run indemnity scheme passing all the costs onto the GPs but the state is the "insurer" backing the scheme instead of other insurance companies / Lloyds.
The point about it being £10,000 off the salary compared to hospital Docs is well made. I presume DDRB (if they were independent) would take that into account comparing a GP's income to a consultant's salary.
"State backed", that implies to me that we will be charged the going rate but the MDU, MPS etc. will not be allowed to go bust. We may still have to pay ++++.
As always the devil will be in the details and final arrangements.
How do we get Joe Public to start recognising this and start the debate proper?
Dr P George Paige
Crisis, what crisis, of course there is no crisis. We've put billions more into the NHS (cynicism mode off)
"Oh..an Initiative to provide Finance by the Private sector...how novel.... "
and how expensive in the medium to long term - but it doesn't matter - it will be the GPs that go bankrupt not the hospitals so we (DHSS) do not need to worry!!
My concern is who will be the client - the health service or the GP. I want someone fighting for me and my profession, not just accepting a plea and paying out damaging me because it would be cheaper than fighting the case. My other concern is that the money will be taken off the global sum in its generous entirety rather than the miserly addition we had to pay the increase last year leaving me worse off.
X-Ray - I like it, you may have out copperfielded copperfield