Might be helpful to have a ‘ready reckoner’ For completing the survey as the day goes on. I don’t always remember all the DN phone calls ‘just wanted to run this by you’, extra scripts / queries etc. Could a simple table be uploaded on the pulse website with information you are looking to capture, I can then print out & record during the day? Thanks
just stirred big spoonful of raspberry jam into my bowl of otherwise evangelical porridge, homemade cappuccino with large spoonful of the stuff !! And yes I think I do shout at kids / wall / in car when working 13 hr day yesterday with last visit starting 8.30pm when on call meant to have finished 6.30pm... So perhaps for Lent (SMART objectives plus gives me a few days of eating pancakes ladden with the white stuff first) I shall try and abstain.Interesting article and reflections. Harvey Steinwein - I run 30 plus miles a week to stay vaguely slim, but like you down the sweet stuff with abandon.
Well done BAPIO. I spent much of the weekend reading the law courts summary of the case, then made the mistake of reading a national "newspaper" with its well known balanced reporting (Daily Wail)... I hope some positive can come of this action to help the NHS and how the public perceives it.
Hi Perhaps someone who understands these things better than me could help out ? Do these rules apply already ie from April 2017? The implication is locums / salaried GPs only need to start making changes to any income streams from now on, but I think the rules changed in April last year ie 9 months ago ???
So of course in response the obvious answer is to introduce 'Peer Review' of referrals, extra work & potentially high risk patient decision making at no extra funding & high cost. Coming to a CCG near you.
I didn't feel the need to comment anonymously for above as nothing to be frightened about what I said. But Pulse wouldn't let me submit unless I changed to post as 'anonymously.
Good news in principle if it comes to something. I've had no claims and no change in my clinical practice this year from a very part time out of hours salary role which costs me a quarter of my gross salary in indemnity fees. ( On the plus side, I barely pay any income tax as a result of this huge expense on a relatively low GP income)... MPS have put the fee up by £1000 for my next year - no obvious reason, except it is 'all unscheduled care' which is higher risk & they have increased the indemnity cost of this type of work. No surprise shifts aren't filled most weekends.. So NHSEngland that's a bit above inflation according to my maths, how & when will I be able to claim / reduce this cost please?
Please Pulse do follow up on this issue, your website crashed when this breaking news feature popped up on my emails, it is a big issue for everyone in primary care.