will get worse as continuity breaks down . If private introduced worse still as people lose ability to say no.
Hope we get a mild winter
is not going to be sorted whilst governments have tiny majorities.
agree with 1102. GPs collectively need to show some muscle and insist that the hospital fill a form if they wish to speak to us or send us an outpatient letter. IF they want us to prescribe something there should be 3 page form with LMP/allergies/have you considered alternatives to medication? etc. Only then will they see the madness and start to reduce red tape.
yes take up job at CQC, is a lot easier to criticise others.
they don"t have much time on their hands then.
Yes far too busy. Send out standard reply. , jewel in crown etc and pass to Matt.
Get used to it. The only way to control these people is within well managed practices with decent continuity.
Solution is simple. Allow. GPs to do some limited private work bit like consultants. Yes some will try to game it but it will take the baby boomers out of the queue and boost income at once. In the absence of this then encourage networks to set up a private arm,
bury what you really believe for your own personal gain.
I've heard about a bad flu season in Oz. Heaven help us if no OOH GPs, ED /MAU consultants doing overtime. Time to fix this is now
NHS England consultation document 2025. " after much investment we have reached the conclusion that networks must look to downsize into new units which we can call " practices" this will comprise a new concept of autonomous units of say 7 - 10000 patients..........
We will send out a lifeboat to the drowning man at some point next year ( subject to consultation)
pointless objecting. The country needs houses and developers need millions. we are an irrelevant casualty. Anyway, if it means small surgery closure with large merger/health board taking over then that suits as well.
A few points come to mind. Oramorph and tramadol should only be prescribed in the context of cancer care of by those who are willing and able to follow up and take ongoing responsibility. All others should issue sustained release preps.
GABA should be banned bar definite neuropathic pain eg post zoster pains.
Pain consultants need access to inpatient beds as the hardcore need admitting and almost intensive care to get them off this stuff.
GP s need protecting from complaints when they are trying to control drug use by addicted patients.
New docs need better training as a lot of my trainees seem unable to spot the type of individual that are at risk of dependence.
Community support workers needed to provide brief interventions for the army of codeine addicts.
Well done. Fully support you. It is obvious and clear discrimination. Interesting to see how they wriggle out of it.
Is this some honesty coming out of NHSE ? Looks like the conspiracy theorists are right.
the odds are stacked against full time work. Appraisal is easy if you work 2 days a week. The real grafters have no time for it. Most local appraisers are GP hobbyists who barely work. Think the whole thing needs simplifying and appraisers should be working a minimum of eg 6/7 sessions at experienced partner level.
demographic time bomb coming in my area. Baby boomers going to get ill in next 10 years. Need home visits/admissions/terminal care. Boots on ground needed not suits in warehouses.