Or at very least a national definition of what needs visiting and when to decline as once again when implementing the change we will come in for lots of abuse .
Any detail here? Welcome the focus on it but of course it is hot topic with voting boomers. Suspect once again not thought through re training capacity and doubt they will just increase GMS assuming that partners will just pocket it.
Excellent idea. We can't be in 2 places at once. This is one of biggest sources of stress.
there is some common sense somewhere then. BMA should be doing this work.
but if the coroners office ring us they expect a quick, verbal response. Time to turn the tables BMA/LMC.
pointless research. Compare anything eg cough, a nice relaxed 20 mins with a nurse vs a rushed 5-10 mins with a doc.
Also we need to design some forms. If paramedic wishes to d/w GP let them fill an online form and submit it via e-mail for consideration in a meeting. Same for coroners/hospital docs.
GPs are easy targets. What about the general public and 111 operators? Lets put them in the too difficult box. Strong leader needed to communicate how GP works and fact that we can"t sit around for hours waiting and neglect everyone else.
LMCs need to insist that this is commissioned as a locally enhanced service.
I agree with the general principle however it is important to be able to recognise an ill patient. Time spent in A+E is very important. Agree that attachments eg ortho are useless and just service commitment.
The last 2 years should be spent learning practical skills of use in the community.
don"t worry, someone will turn it into a business opportunity and make money out of it.
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.