LOL. im voting monster raver
i think visits are an important part of healthcare and GP but people need to stop caving in a visiting those who are not bed bound. if they can get to the front door they can get in a taxi. Better to get rid of all the qof ccg pcn beaurocrasy
i think home visits are good if apropriate but i pretty much never do any in the afternoon. if they call in then its for the next day. other people phoning for an ammointment have to wait a week why do home visits all have to be done the same day. if it cant wait til tomorrow then by definition they need to be in hospital surely? as said above emergency care is not GP work
payment by activity is a pain in the arse of course doing the billing. its a shame the govenment cant just be fair about things and when asking more work to be done offer fair remuneration for it as said 150 to 400 pounds per assessment is the current fee as its probably quite time consuming.
oh Dear. DO we need any more evidence that payment per activity or fee for service is the only way forward. The work dump due to capitation knows no bounds. A mixed model between capitaion and payment per activity perhaps
What's this rubbish about it costing more to charge. It costs nothing. £10 please and thank you very much. End of. We charge people for letters etc and it costs nothing just take the money
Just talk to the patient. Many mildly abnormal results just need reassurance.privare med takes a lot of worried well away and the majority dont then come to us. It's a non issue
More time in hospital. Agree that's where u learn about all the things your ruling out in GP but rarely seeing. Why not 3 in specialties 2 in GP. Doing psych derm paeds gynae general medicine maybe ENT or palliative med then GP
I thought very funny.
some of the comments mention things not in the piece. Are they being added to the wrong article?
I think everyone should pay the same percentage of pension TBH not sure whey lower rate if earn less
does that mean you lose tax deductibility of pension contributions as well as you are falsely judged to be over the threshold of tapered earnings of 150k
Dont think theres a cheap market in Bournemouth. Defo cheaper to get frozen chickennneggw5s n chips from Iceland. I guess chips are vegetarian food tho
over the top. of course avoid prescribing to addicts and inform the regular GP but if they are in pain it is hard to refuse sometimes and patients lie about their history and thats their responsibility as is getting addicted provided we inform them the meds are addictive
antibiotics if any whif of lyme any symptoms after a tic bite
hang on i thought we were supposed to use crp to ruel out strep throat and pneumoinia as of last year. no oh ok
LOL. Bablylon alredy in canada BTW gluedtodesk and the powers that be selling digital consulting software to GPs
there they will see as positive as thats their outlook generally positive
it will affect everyone who cant find a doctor even if it doesn't affect their pension
dont think it will be that manageable. with physios and nurses seeing all the simpler cases 15 mins will still be too short to see mental health and genuinely ill people in. as above psych 45 mins in Oz
working in surgeries with recruitment problems i find that 90% of my patients are mental health some days usually personality disorders with shit life syndrome substance abuse fibromyalgia and usually have a physical problem to ask about as well so take well over 20mins if not over 30.
Its right that GPs see the tricky pateints with multiple probs but we really do need at least 15 mins or not longer and max 12 consults per session as will be over 4 hours
up in arms brigade
up in arms brigade