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CAMHS won't see you now

Raj Maras

  • Five steps to reducing demand for appointments from frequent attenders

    Raj Maras's comment 22 Jan 2014 9:24am

    What a simple but effective idea.
    Well done .

  • GPs could be asked only to focus on complex patients, suggests NHS director

    Raj Maras's comment 09 Jan 2014 11:28am

    Martin

    Great idea, but who will take care of the so called non complex patients. Many opportunistic diagnosis takes place when patients attend for "non complex" visits.
    Also the UK primary care workforce does not have enough qualified nurse clinicians or other practitioners to work with Gps in looking after acutes. These colleagues may have independent prescribing rights and may be very good at identifying and treating acute conditions, but will never take full responsibility for their patients nor do they have the qualifications and knowledge to address broader Healthcare needs and will only feel comfortable in working with a GP who the buck often passes into when things go wrong .

    I am aware that you have been appointed into this new role and you want to make your mark, but making a statement such as what you have simply causes more turmoil with some half baked civil servant or politician thinking that is a great idea and making further nonsensical changes to the GP contract .Do not destroy one of the biggest assets that the NHS has which no other country can boast about - NHS general practice that is still the most cost effective healthcare service (per episode of care when compared to community services or hospital services).in most areas the health communities cost to see a GP is cheaper than going to A&E, all secondary care out patients , a Physio, audiologist, District nurse or community matron episode).
    Rather increase the number of community based hospital consultants who would be able to be based in the community with their GPs and would be able to even more effectively manage Chronic Diseases. Cheaper to have our Good consultant colleagues In the community rather than in the ineffective Acute Trusts system that currently chews up PBR tariffs ineffectively.

    Please think carefully before making such statements and consult with frontline GP colleagues rather than far removed academics !

  • NAPC joins forces with NHS Confederation

    Raj Maras's comment 28 Nov 2013 8:53am

    Well done to both the NAPC ( Charles) and NHS Confed (Johnny). This builds on Mike Farrar's vision of the NHS Confed representing both managers and clinician networks and organisations.

  • Landmark contract deal cuts QOF by 40% and boosts global sum - but will force GPs to publish their pay

    Raj Maras's comment 15 Nov 2013 4:09am

    Interesting to hear from our cohort of pessimist GP colleagues, I suspect that there will always be pessimism, no matter how well a contract has been negotiated. This is a true win-win for patients ( especially the old and vulnerable), GPs and Jeremy Hunt. Everyone has successfully achieved the best deal.
    From a GPs perspective , a big well done and congratulations to Chaand Nagpaul and the GPC team on negotiating such a sensible deal. Considering that we are in times of austerity with a dearth of resources, it would have been tempting for Jeremy Hunt and the treasury to have pressurised for a significant clawback . The GPC team have done well to highlight the folly of pushing GPs beyond breaking point and have negotiated what appears to be a sensible list of changes . Well done on getting rid of ridiculous aspects of the QoF. The changes described are a basic revision that most of us as GPs would have recommended anyway. The DESs should hopefully be the correct vehicle to allow JH to pursue some of the more complicated areas.it would be helpful for CCGs to strengthen and value the ability of Primary care units by opening up more admission and in- necessary referrals busting community based initiatives that are resourced from CCG budgets through LESs or other innovative vehicles. The CCG development team at NHSE need to stimulate/enable CCGs to divert reduced admission/ referrals funding initiatives to Primary care "gatekeepers". We can all learn to deal with "conflict" related issues as they arise. The GP contract should not always be seen as the main vehicle to seek reductions in A&E attendances and other secondary care activity.

  • Dr Beth McCarron-Nash: 'This new contract is a step forward for general practice'

    Raj Maras's comment 15 Nov 2013 4:01am

    Agree with Beth. Well done and congratulations to Chaand Nagpaul and the GPC team on negotiating such a sensible deal. Considering that we are in times of austerity with a dearth of resources, it would have been tempting for Jeremy Hunt and the treasury to have pressurised for a significant clawback . The GPC team have done well to highlight the folly of pushing GPs beyond breaking point and have negotiated what appears to be a sensible list of changes . Well done on getting rid of ridiculous aspects of the QoF. The changes described are a basic revision that most of us as GPs would have recommended anyway. The DESs should hopefully be the correct vehicle to allow JH to pursue some of the more complicated areas.it would be helpful for CCGs to strengthen and value the ability of Primary care units by opening up more admission and in- necessary referrals busting community based initiatives that are resourced from CCG budgets through LESs or other innovative vehicles. The CCG development team at NHSE need to stimulate/enable CCGs to divert reduced admission/ referrals funding initiatives to Primary care "gatekeepers". We can all learn to deal with "conflict" related issues as they arise. The GP contract should not always be seen as the main vehicle to seek reductions in A&E attendances and other secondary care activity.

  • Reaction: GP contract deal 2014/15

    Raj Maras's comment 15 Nov 2013 3:38am

    Well done and congratulations to Chaand Nagpaul on negotiating such a sensible deal.Considering that we are in times of austerity with a dearth of resources, it would have been tempting for Jeremy Hunt and the treasury to have pressurised for a significant clawback . The GPC team have done well to highlight the folly of pushing GPs beyond breaking point and have negotiated what appears to be a sensible list of changes . Well done on getting rid of ridiculous aspects of the QoF. The changes described are a basic revision that most of us as GPs would have recommended anyway. The DESs should hopefully be the correct vehicle to allow JH to pursue some of the more complicated areas.

  • The 2014 GP contract deal: what we know so far

    Raj Maras's comment 15 Nov 2013 3:34am

    Well done and congratulations to Chaand Nagpaul on negotiating such a sensible deal. Considering that we are in times of austerity with a dearth of resources, it would have been tempting for Jeremy Hunt and the treasury to have pressurised for a significant clawback . The GPC team have done well to highlight the folly of pushing GPs beyond breaking point and have negotiated what appears to be a sensible list of changes . Well done on getting rid of ridiculous aspects of the QoF. The changes described are a basic revision that most of us as GPs would have recommended anyway. The DESs should hopefully be the correct vehicle to allow JH to pursue some of the more complicated areas.