We can only hope
1) UKG thought this through before announcing it via the media (& then telling the profession)
2) there are enough jabs to fulfill the promise
3) we get guidance on what level of PPE is required
4) the extra vaccines - if there are enough - arrive early enough in the season to be worthwhile
On a positive note far fewer cases in Australia this flu season - probably due to social distancing and better hand washing....
2.8% for salaried Drs etc
but less than 2.8% rise to practice budgets
so let's be clear - it is in fact GP partners that are funding this pay rise - not HMG
how does this all stack up ?
we are chasing our tails already clearing the backlog
workload is up
ppe takes time to put on / off
why push non essentila wpork now ?
Poorly worded and timed. What percent of GPs are members of the RCGP ?
Hear Hear - thank you
From your ears to CQC ears we can only hope
The vast majority of practices are rated good or outstanding and can be deferred - it's generally a box ticking exercise anyway for most
well said Clare Gerada
see independent SAGE report too
The currrent system feels very disjointed - and is clearly not delivering for the patients.
Not clear why huge sums of money have been spent on private companies rather than using existing infrastructures in PH/ LA / primary care.
It would certainly make sense to see the swab results coming back in to patient notes.
Any extra work must be aqequately funded and resourced (time / PPE etc) and I hope that the LMCs / GPC are closely looking at this for the Profession.
BMA advice includes
Emergency dental services
GPs are not responsible for treating dental problems.
GPs should not attempt to manage a condition requiring dental skills unless they have appropriate training.
Both the civil courts and the GMC require doctors to have appropriate skills for any treatment they offer.
Patients should be advised to contact local emergency dental services or the emergency department.
BMA guidance is crystal clear https://www.bma.org.uk/advice-and-support/gp-practices/gp-service-provision/patients-presenting-with-dental-problems but in a pandemic with unwell patients needing antibiotics....
Twitter thread here https://twitter.com/DrSimonHodes/status/1266288873035821063?s=20
Thanks for the discussions / comments - for the reord I was asked to debate one side of this for the opinion piece - and was really focused on 'will we use video consults post covid'- hard to capture everything in 350 word article.
Meeting demand is a concern - always has and will be. At present we have all adopted 'new ways of working' which is phone or eConsult 1st and only seeing limited F2F as really necessary.
It is likely that at least some patients will want to continue with phone / video consultations in the long term. It is likely that footfall will be down for some time to come, and we will all have to balance service demands vs delivery of safe effective patient centred care. There are benefits to GPs who can now work more flexible / from home - which was never an option in the past (BC).
Interesting twitter discussions on all this here if you want to join:
I read about this in a Guardian article last night - we seem to be the last to know anything. Save with 'test and track'.
Shielding has been totally mismanaged.
Why they did Shielding lists centrally rather that using our local searches and knowledge is beyond me.
Involving GPs from the outset would have been far more accurate, would have saved a lot of time & patient distress - and also all our collective time dealing with unnecessary inquiries & mopping up the mess
Imagine health & safety in any other sector ?
In what way is it ok for Health Care and Key workers to be left at risk in their work places by their employers ??
Ridiculous & dangerous
Thank you - interesting article and very relevant. Covid has added another unexpected pressure to an already overstretched system & depleting workforce.
1) where is career progression ?
2) where has seniority gone ? (zero pay reward for retention & experience - and yet a Golden Hello for newbies)
4) Reduce the bureaucracy and boxticking
fix the above easy wins and the profession might feel more valued and it might make a palpable difference to morale and retention...
we had an email locally telling us to direct patients to 111 online and avoid the phone lines because they're completely overloaded
Well done and thank you Nikki. Good luck with the ongoing negotiations. This is a crucial time for the profession.
sad that a senior, experienced and clearly dedicated GP like you has resigned from the PCN over this - it can only be their loss
our time and energy would be better spend on patient care ?
do make some noise on Twitter
Couldn't agree more with my esteemed colleagues.
This needs to be scrapped not delayed.
The funds should be rolled into existing GMS so no more extra hoops to jump through.
Can I please encourage you all to get on Twitter and lodge your views publicly
Practices work well because the GP's invest their efforts + time for the benefit of our patients
how much time will need to be spent to coordinate care with neighbouring GP practices?
GPs are already stretched to breaking point without having to coordinate care with neighbouring GP's. This needs proper funding & managerial support to even get itself off the ground.
whilst 'working at scale' sounds like a good idea you lose the essence of General Practice and create more 'large scale' problems instead
Where is the evidence base for this being a good use of money???
we simply need more clinical staff on the ground, increased funding for general practice to allow better maintenance and improvement of our premises / equipment and better remuneration to allow for recruitment and retention.
Oh yes - and some seniority pay / recognition