Someone who left GP Survival
What is the sensitivity and specificity of the test being offered?
For a low prevalence disease the number of false positive results is likely to be greater than the true positives,
I think Stelvio needs to explain what he would advise a person with a positive test.
If he tells a false positive person they are immune, I think his indemnity body might regard him as a high risk doctor
Reply to Nicholas Grundy
My experience before I left GPS was that the vocal ideologically driven minority often suggested you leave the group when their views were challenged. It didn’t progress to “we’ll throw you off” but the sentiments were clear. They wanted rid of you.
It seemed they wanted to be part of an echo chamber of their own beliefs and analysis
I share Richard Johnson’s perspective
I left GP Survival Facebook Group last year because of a small but influential minority who were very intolerant of alternative viewpoints. They loved to have battles with those they felt were ideologically different and attach derogatory labels (then “racist” but now “Tory”)
It seems they have found another issue to get nasty about and cause trouble for someone.
Did they tell teacher when they were young?
I left GP Survival Facebook Group because of a small but influential minority who very intolerant of alternative viewpoints. They loved to have battles with those they felt were ideologically different. It seems they have found another issue to get nasty about and cause trouble for someone. Did they tell teacher when they were young?y
reply to Dr Death
CCAS is sitting at home assessing patients by telephone
It is an obstacle course!
The only one left for me is the DBS check tick from the Home Office. IT acquisition was tricky but the helpline staff were attentive in problem solving, whilst being a little in the dark and reading from ever changing manuals. I gather the new CCAS rostering programme is not functioning
I thought the requirement to use eRS only applied to GP referrals into secondary care
The younger patients recently registered by GP at Hand attract a much lower change to a practice’s Global Sum compared to the elderly patients left behind in the practice where the patient as been deregistered from
See table 3 of https://www.nhsemployers.org/-/media/Employers/Documents/Primary-care-contracts/GMS/Archived-GMS-contract-Changes-2004-2010/2003-2004/Annex-D---Carr-Hill-resource-allocation-formula.pdf?la=en&hash=8F92549EF9671EB9AFCBCA80B3847872EAEBE9A9
See BBOLMC letter to practices at
Nigel Sparrow says he has already responded directly to Paul Cundy as the author of this myth buster letter
I don't think it's that difficult to get the wording right
"I am referring you under the 2 weeks wait system, just so that you get the cancer tests done quickly. However if you ask me to judge how likely cancer is, I would say (1) not very likely (2) a distinct possibility that requires speed of diagnosis and treatment.
You may need to alter some personal arrangements to fit in with the two week wait speed
If you want us to take your views seriously then you should identify yourself
odd comment from anonymous on24.8.15 at 12.14
A GP is practicing illegally if they are not on the performers list after the three month window allowed under the regulations and the LMC cannot influence this.
Breaking rules like this has legal consequences both for the individual trainee and any LMC that advised it was OK
If the anonymous person posting would care to advice his defence society about his attitude to breaking rules, I am sure they would be delighted to put up his annual subscriptions because of a tendency to risky behaviours
Strictly speaking the GP contract obliges a GP to prescribe any medication he/she believes is clinically necessary on an FP(10) and nothing else.
See schedule 6, part 3, para 39 (1) of the GMS regulations
There are undoubtedly situations where paracetamol can be clinically desirable so although we all advise OTC medication purchases, when we do so we are in breach of the regulations. Similarly the practice prescribing policy is also in breach of the regulations so I don't think they should be too critical of the "aberrant" GP
The pressure put on GPs by PHE to prescribe preventively (and quickly to get in within 48h) for many well care home residents will also be felt by pharmacists designated as Tamiflu dispensers
Pharmacists will not have up to date renal function results (like many GPs of dementia patients when blood testing becomes a low clinical priority)