it would be better and safer to see our own patients privately. Of course there have to be some limits (like consultant contract) otherwise people would game it.
existing GP practices need to be funded to allow us to take on this sort of work rather than creating a chaos of systems. Any experienced doctor knows that good medicine cannot be delivered in this way but I guess money is what is driving it.
This is not what the NHS is for but what it has become. At least in primary care. People like this have no concept of the value of healthcare, the entitled demanders. Only when it is lost will they start to get it.
around here are heart failure nurses who play with ramipril doses and write a whole page of A4 after each encounter. this sounds like work for them.
agree with Dr keeley. BLue puffers can be used to end a consult and satisfy the parents but this leads to over medicalization. I prefer to make a retrospective diagnosis looking for documented recurrent wheeze often with hospital admissions in an atopic individual. I find true asthma is quite a rare diagnosis for an average GP but if basics are done right then that is all that is needed.
Agree with Dr syed. I was persued for years by a solicitor and an " expert witness" and criticised for not issuing antibiotics when they were clearly not indicated. Although this finally was thrown out the process dragged on for 3/4 years.
On-line prescribing makes a mockery of everything we do. Antibiotics, CDs ...if this is the attitude we may as well all pack up and go home.
Although recently I had notification of an online consult which was pages long. Bit like 111. They gave amoxicillin to someone with a stuffed nose and then 5 pages of disclaimers and worsening advice.
Ok let's have some positivity. I probably have the best GP experience given that I work in a fully staffed rural practice. Do I enjoy my job? Honest answer is that I do not know. Some days are good, these tend be the half days with a manageable work load. Some days are miserable with an unsafe volume. The main problem is the constant nagging fear of mistakes and external interference. I do enjoy being self employed, though of course we are not truly independent like my tradesmen friends. Would I do it again, probably not.The job has the potential to be improved but we must end the 10 minute slots, new ways to improve earning potential are needed as well as a degree of legal protection. Without this, I would advise students to steer well clear.
There is an opportunity here to take some action and influence policy. Will we collectively take it or is £70/ hr too much to say no?
Big and Small is right. No one round here is much bothered as all 1/2 sessions and married to pilots/dentists etc. Sorry but full time GPs from non-affluent backgrounds are needed to make things work.
What would happen to a GP who had lost the confidence of virtually all of his patients? To carry on is arrogant in the extreme.
Dr A is right. Unfortunately doctors can be found who will say anything if the price is right. A "GP expert" seems to involve attending a weekend course in Wales.
if this is what the youth want then existing practices should be commissioned to take on this work for their own patients.
this is what happens when money and medicine are mixed. You lose the ability to say "no".
again, introducing schemes like this without thinking them through. Is a recurrent theme. Incompetence.
further demonstration of the cost effectiveness of the traditional system for those that are interested.
Good news though too late for many
remind me what is the rate of inflation.
1) How much is GP time worth?
2) all of these schemes are sticking plasters. Same with pharmacist in care homes. If GPs have adequate time with their patients, stress goes down, referrals go down, prescribing goes down.