already given up hope NI GP
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!
Not a good idea to fight amongst ourselves guys,you are falling into the trap of divide and conquer.
Wants and Needs..... Wants and Needs............will someone explain the difference to these people.
I agree with everything said,but as regards a government and a contract it can only ever be as outlined above,its the government! they are elected by the populace to do their bidding are only option under these terms is resignation unfortunately.
It would appear that Laurence is saying that GPC is going to go back to the negotiating table again.What exactly is he negotiating?This is an implementation document not a negotiating document.Who wants to talk with a gun to their head?Where is our Leadership.............
Oh dear,divide and conquer.Lets see how much negotiating power scottish GPC still have in a couple of years time,Alex Salmon not withstanding.Always better together.............