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.
I’ve seen no evidence of improvements. I fear, it’s all too little too late. Doesn’t seem to be any plan about GP recruitment/retainment to cover all the OOH and ED GPs they want let alone practice ones.
We’re graphically isolated with an elderly population. Not sure ‘one size fits all’ works for everyone.
Note ‘primary AND community care will receive funding boost’. Enough said.
I’ll wait to see the funds for GP before any kind of congratulations to government, thanks.
I’ve no issue with GPs working in ED/urgent care centres etc. As a GP partner in a small practice, but as part of an extended hour hub, I would hope that those 111 encounters that advise the patient to contact their primary care centre within 1 hour would be accommodated in that service but this doesn’t seem to be the case. Having seen the finances, for our hub compared with practice income, I hope the government are prepared for the huge bill when we all become salaried.
Show us the money for the infrastructure and a LES and I might consider it. This is yet another ‘pain in the a**e for GP’, and my inclination, if not probably funded is not to offer the service/medication at all.
I find this bizarre. Of all the things to concentrate on at the moment. What difference does it make to the NHS how we communicate with our local pharmacy and nursing homes? Sure, make hospital referrals etc via email but leave the rest to us.