already given up hope NI GP
The problem with scrapping any part of QOF is where the re distributed money gets lodged.Usually it goes into Global sum equivalent not Global sum and this penalises small practices and could destabilise many
Are they referring to side effects by any chance, a possibility of any prescription?
Initial focus on GI bleeds who knows what the buggers are taking over and above what we prescribe (ASDA best price brufen "every little helps"/grannies wee pink pills "they worked great for our jimmy")
This has the appearance of some sort of mis-guided witch hunt
For many GPS in the over 57 age bracket it doesnt make financial sense to keep contributing to their pension
They are hit with LTA limits
Annual allowance limits
At 57 you will take a 15% hit but this can be outweighed by the Tax penalties for continued contrbutions up to 60
Sometimes I feel that its better to go early take the hit and possiblty live longer to enjoy it!
seems fair enough as GPs are required to do everything anyway.The more considered approach is to send them away to a more appropriate place for treatment/assessment after triage.Medical care needs to remain free and accessible at the first point of contact
Sam I will have to sound a bit reactionary initially in my reply.You and I trained at the same time my training consisted of 6/12 rotations in numerous specialities which provided the backbone of my knowledge base and is something that i rely on everyday.I think that the problem is that medicine has moved on and young doctors dont think the same way as us anymore they expect a "life work balance" and quite right too.I feel that the first change to GPS is to bring us into line with our hospital colleagues ie SALARIED.This will then start to breakdown the idea of secondary/primary care.We will have medical care only doctors will be employed by Trusts/CCG/Federations whatever and will be trained/employed to provide that care in whatever setting.All doctors will have the same terms of service and can gravitate to which area/areas that they choose
EDs should have 2 entrances
one for ambulances and GP referrals
one for everything else
the everything else area would need some sort of medical expertise to triage out a genuine emergency from the rest
what that medical expertise is who knows but it probably would need a mixture of doctors nurses and paramedics
then you have your next problem where do you get this expertise from there is nobody out there at present with spare capacity.
undertones of the antiBrexit camp going on here.Is the tail wagging the dog.GPC appear to be saying "WE KNOW YOU ASKED FOR THIS BUT WE REALLY DONT THINK YOU UNDERSTAND WHAT IT IS YOU ARE ASKING FOR, BEST LET US DECIDE WHATS BEST"We all know what happened next
Always best to get advice prior to suggesting a course of action otherwise one can start to look inept.
who thinks this stuff up!!
capping our daytime work??How would that work? sounds simple but thats the problem its anything but simple.Who does all the extra work?Oh and yes how does this get more doctors into GP land?Someone needs to face facts only a massive pay hike there i have said it (that which will not be spoken) a massive pay hike will move hospital docs away from their comfort zone and in general practice.Numbers rise work load shared simple.
As others have already pointed out this is a primary care package not a general practice package.In Northern Ireland we have practices going under every month how will any of this stop that.As Chaand has said there is no immediate help here just promises of tomorrow.Is any of this really new money or just re packaging of what was already announced?
Deckchairs /Titanic springs to mind
Patient: Can i make an appointment to see Dr Phil
Receptionist: Dr Phil has retired
Patient; Oh dear,I really liked Dr Phil,can i make an appointment for Dr X
Get well soon Dr Phil (only your family really gives a sh*t)
QOF was always a voluntary service.Practices chose to collect Data on certain Disease registers and were then paid acording to which targets they reached.Checks could then be made according to the grade of evidence required.Once moved into Global Sum Equivalent ALL reporting requirements were removed.Practices would continue to provide good clinical care and clinical governance assurrance as to their efforts to continue to do so.THERE ARE NO REPORTING REQUIREMENTS FOR RETIRED INDICATORS.As a side issue how could practices persue these indicators without appropriate search engines anyway?
Be afraid be very afraid.This looks like a return to last years already overloaded work load in return for a whole new raft of responsibilities that wont be funded
General practice abhores a vacuum.I firmly believe if we opened our surgery from 2am-5am after several weeks we would have full surgeries.Manage needs not wants.Expand UNSCHEDULED care and most important of all learn to tell patients when there attendance is inappropriate.
I have never read such a response to wants instead of needs.I am surprised only 1 partner has left.You might as well be working in a call centre except that you are dealing with the possible legal implications with every call.This is not general practice its some dark HUNT vision of the future.Burn out must not be far away.Each to their own.PS how are your QOF targets going especially those expected face to face targets??
NOT OUR JOB TO POLICE THE BENEFITS SYSTEM.
In Northern Ireland it looks like we will be taking back our OOH care also.Best described by our GPCNI Chairman as "better to get Humpty Dumpty now rather than when he falls off the wall and is beyond repair"
Dear Anonymous,isnt that the point.Patient now responsible for themselves regarding diet/alcohol/compliance ect.Doctor no longer gets sued!