Eye protection if there’s a risk of respiratory droplet exposure - well that’s all patients isn’t it?
Philosopher 1 2:00pm
I’m disappointed by your comments. All doctors need to protect themselves as much as possible. Doctors are dying from this virus - look at Italy’s statistics. Our PPE is poor, no eye protection is shocking. In our practice we are seeing the occasional patient face to face and going into care homes if absolutely necessary, but this is a two way process and we could well spread this to a number of patients and our own staff. If you don’t have to have a face to face consultation, you shouldn’t.
Surely a number of those ‘bed blocking’ are social care problems, but I can’t see a rapid solution to that. Hospital thinking - discharge anyway and then GP problem?
We’ve had problem with a patient with flu-like symptoms just back from one of the affected countries, who has kept trying to make a face-to-face GP appointments because she’s not being paid, as off work and wants a ‘fit note’. She made 4 separate attempts to get an appointment at the surgery despite advice. Notes were flagged thankfully. She has finally phoned 111 and now awaiting swab results. This example shows just how exposed we potentially are and PHE should recognise this.
I’m nervous about the ongoing funding. This contract is for a year. It’s very difficult making decisions with only a 12 month forecast. Potential next year, monies withdrawn and you’re then left with redundancy settlements etc.
This is insane. How can Jo Churchill make these comments. I want to see the evidence...
The DES is beyond ridiculous. I wonder if it’s a political way of ending the NHS with GPs at the centre of blame. Possible headline ’GPs refuse to engage with review of nursing home patients’
NHSE looking at whether OOH provision provided by PCNs after 2020/21. I’m out if this happens. That would be a complete nightmare.
There are 2 really annoying ‘dumps’ from secondary care that haven’t changed. 1) any post op complication, patient phones the hospital helpline - default ‘see your GP, same day’. Hospitals are paid for surgery aftercare but don’t seem to do it. 2) ‘Seen your patient in out-patients. I would like them to have the following blood tests. Please can you arrange and send me the results’. Why can’t they just give them a blood form?
I can’t believe the MDU could have done a deal with GPs without assurances of adequate funds from the government. We are in an increasingly litigious society. I’m really disappointed and worried as a career long MDU customer. Does this mean that the MDU will decline to take on cases that the other MDOs would, for fear of a significant pay out?
The whole tone of ‘not enough GPs willing to work’ is outrageous. I’ve done some OOH work but gave it up as terrible pay, no notes and constant general emails from the organisation saying they are auditing your work. Why did you spend so long with patient X? Also, uplift of pay if you see/triage more than average. How ethical is that? I don’t run particularly late in my own surgery so I can do without that.
This suggests that the sign up to PCNs is compulsory, which was not my understanding. However, I believe those not signed up will receive less and less direct funding. Doomed if you do sign up and doomed if you don’t in my opinion.
I think we’re doomed if we sign up to the network and also doomed if we don’t. Funding streams will be increasingly through the network. The whole BMA network contract gives me a feeling of when Brexit was being voted on. Glossy headlines with no substance behind it. I also think it’s outrageous that the BMA are charging £5000 for ‘help’ in implementing their contract that none of us asked for.
Until we are paid per exposure like secondary care, the appointment length is arbitrary. With block contracts, you can have 15 minute appointments but you’ll be there into the night. Trouble is, the NHS can’t afford that. With there being no barrier whatsoever to demand to see your GP, sometimes urgently because they’re going on holiday the demand will continue to rise noctors and all.
Is this an April fool? Hope so....
The amount of uncertainties in the contract which, I suspect, needs legal input are significant, and this is meant to be signed in less than two months. Do they expect us to sign this without any assurances (sounds like Brexit!)? I am concerned about what liabilities we could be exposed to should this fail, such as redundancy packages.
Shouldn’t capita take some financial penalty for the total mess
What about continuity of care? Our practice has one of the highest proportions of over 75s in the UK. In my opinion it makes a huge difference if one GP manages these complex patients with multiple co-morbidities. Otherwise I think admission rates will rise. As usual NHSE have given no reasonable time to implement.
I’d be amazed if this happens. It will be too expensive to implement.
Just another nail in the coffin. Complaints, reasonable or otherwise, take considerable time to deal with let alone the stress. I think there is a place for some complaints but encouraging a complaints culture I do not accept. We’re all trying to do our best in difficult circumstances.