What if your partner/salaried colleague is one of the 5000 promised by the Government. A non-existent GP who has taken permanent leave. Effectively the same practical situation.
I’ll be waiting for the local DGH to call me to do a home visit. Ridiculous story. It was April 1st last week.
I’ve always thought that I owned the IT infrastructure ( with 100% reimbursement) however the CCG tell me that the NHSE own it. The NHSE also has determined who joins my list, as I have no veto. In essence then the NHSE owns the list and the IT systems. There is probably a case to say that NHSE is the data controller. The distinction is between data controller or data processor. Here is the distinction defined legally:
Under the current EU Data Protection Directive:
only the controller is held liable for data protection compliance, not the processor
any processing must be: (a) governed by a written contract; (b) carried out in accordance with the controller’s instructions; and (c) subject to appropriate security measures
in order to protect itself against unnecessary compliance risks, generally, a controller will seek to pass its responsibilities to the processor via the data processing agreement
regardless of the existence of any data processing agreement, controllers remain legally responsible for any breaches caused by the actions of their data processors
I think that pretty well sums it up. We are the processors, not the controllers.
Well we all know what to do now don’t we? Let the patient follow the money.
Lots of these type of things available on eBay and without the need for a smartphone. Smells of big pharma marketing push to flog more NOACs
If you look at the graph in this paper, specifically for all cause mortality, you might get a shock! It’s in figure 1
All doctors urgently need to redefine what they regard as ‘a safe workload’.
We all know that the NHS will ground to a halt when we do this, as it means we will not accept workloads that cause us stress.
So be it.
We have received the message, load and very clear.
And I would like to get something straight here- are we actually witnessing all this over the fact that a doctor is being held to blame over a dose of enalapril administered by someone else, a relative, when it wasn’t for administration on the kardex?
And what about the portgugese agency nurse Isabel Amaro
Disgusting story, makes me very sad. Makes a total mockery all that we do.
If this doctor is at fault then so is the Trust that placed her in this position of hopeless workload. I trust the GMC will take the trust’s responsible adults to the cleaners as well. Fat hope of that.
Bizarre behaviour. It seems reasonable but then on reflection you see that here is a very junior dr , a junior employee, offering opinions and relating them to everyone via a very public medium. Perhaps he doesn’t understand what pressure is, and the pressure he was working under was quite reasonable. As I recall A+E always had its moments. Who knows. My advice to him is to wind it in a bit
Crazy set up. Children’s vacs are free to GPs and we simply order them in. obviously the only reason the NHSE doesn’t do this is because they are in thrall to the big pharma chains and have done some deal where there is an “understanding” that they won’t favour one over another by ordering en-bloc.
just make a block deal with the suppliers and let us GPs or pharmacists get as much as we need. If demand is poor then we just bin the excess. If we need more we just order more. Does Nhse really think that we GPs can really predict demand, in a changing marketplace with competitor pharmacists, a whole year in advance?
Well done Karen. As a single handed GP myself I can appreciate what you have done. From your website I see that patients only have to wait 2 days to be seen, excellent!
It's not a big issue. If we need a better diagnostic method and feno is it then that's that. Just a quick letter to refer. Can't see the problem.
New drug trial : 34 million patients, 52 % success rate. P value practically undetectable. Without a doubt a winner. When will these remainers stop moaning that they were robbed.
And no money was promised. It wasn't an election and there were no candidates, so there's no one to blame. Except those who voted. Back to moaning again.
The success story of this is quite simple. Locum numbers have increased by just under 50% in the last year. 692 to 1029. Whereas in the previous year sept 15 to 16 they increased only 20% from 567 to 692. This looks like it will take-off. Hazard a guess at where they'll be in 12months, 2000?
I pay the £38 a month only on the basis that I get the BMJ and that should I need some legal industrial representation then I could access the BMAs resources. They don't represent me politically and they should remember that. They are my union and I expect them to ballot me and represent my views in political discussions.
Diazepam, tramadol anyone?
No notes stored and you can hop from one GP to another, as often as you like.
There is a nice paper on what patients consult on https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750725/
Which has some interesting findings - namely a mean number of problems of 2.6 with a quarter of consultations being for 4 or more problems. This finding was not related to this specific study, as it quotes many other studies from across the globe where it has been found that GPs universally see multiple problems.
It seems that the consultations where only one problem was raised were mostly for acute problems.
As a single handed GP I have never seen the point of restricting patients to a single problem. Why should I? they will only book in to see me tomorrow.
Single problem consultations are a game playing strategy that GPs use where there is a high probability that another GP will see the patient when they rebook. Although it goes against the grain I have to agree with Dr Varnam, it is a disrespectful practice.
My daughter used to work at Deloitte. Fresh out of university her time was billed out at £930 a day. What a waste of money
Obviously it has to be internal as no one in their right mind would veto another GPs referral , the indemnity issue is immense.
So this really a workload shift, and as such needs to be paid for.
I am quite happy to refer 20 patients and then spend an hour consulting/considering whether they should be sent in the first place. I would expect the full 20 to be referred eventually, whilst picking up a cheque for £250 in the process.
Of course, if the CCG wants to see a reduction in referral activity I will simply volunteer a cool 30 patients for consideration to the vetting procedure, and end up with 25 being referred in the end. And picking up a cheque for £375 in the process, for the 1.5 hrs it takes me.
Of course the CCG might not want to pay private rates, so I might tell them to do it themselves.
Fun and games set by non doctors.