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.
think everyone should get the same. We all have different issues. My practice is "affluent" but is dispersed over miles and endless housebound, high demanding elderly.
they must be more worried about public opinion on "high earners" rather than the consequent growth in waiting times and unfilled shifts. Agree with last comment.
those commenting on this forum are often dismissed as moaners etc but as time passes their comments seem to come true remarkably often. Too much forced reflection/value of continuity/small practices/recruitment/retention/appraisal .....Those in power would do well to listen to the front line
nice move to raise profile and hope to get even bigger job.
this sort of small practice closure is seen as a good thing high up.
what consequence for the lawyer giving the advice??
Could pulse find out what happens to these practices post take over in terms of stability, GP satisfaction, patient experience etc?
One of the defining characteristics of 21st Century UK medicine is the gulf between guideline and reality on the ground. In social care and many other public services as well. Those with nice, well defined jobs are protected and ignorant of it.
The whole thing is crazy complex. Most younger docs have no clue about it. I wonder if it is deliberately being made inaccessible bar those with special interest?
Sounds like very useful tool in GP. Thanks for that
The system is choking on red tape and lack of joined up thinking. This is just one example. I am pulling out of minor surgery as too much red tape and lack of funding/ time. MBchB working in a surgery with good clinical governance should be enough to allow implants, IUDs, minor ops etc.
Pharmacist needs to give nearest alternative. We are told that they are highly trained and under used so please let them prove it here.
has something been rushed and perhaps not properly thought through?