As I have said for 2 decades gps need access to the full range of diagnostics. At present we work in a U.S. Type litigation system but with 3rd world tools .
Also whoever is pushing this needs to come and do a few Monday am on-call sessions please and then think about it again.
someone at NHS England got CRP shares?
well done guys, some clear headed thinking.
SOunds like another D-dimers. That has at last been dropped locally after lots of expensive schemes and time wasted. Why can we not trust clinic judgement?
a simple method of agreeing reasonable increases in rent reimbursement in leasehold premises without the constant need to appeal and large gaps between rent and reimbursement opening up.
Once again the front line will have to design methods to be SEEN to be doing something whilst battling the day job as usual. ie keep a few "app" appointments but embargo the rest. The basic service must be stabilised before introducing gimmicks.
yet more inconvenient evidence.
guess it"s a bit like 111. Look where that got us.
This could be useful in several respects eg. Evidence when trying to close list, defence when being chased by gmc/coroner etc.
there seems to be a steady stream of evidence coming out that backs up what GPs have been saying for some time.
these OOH organisations may suffer from lack of clinicians, but there is no shortage of back room staff who can tick boxes to look good for CQC.
I don"t know the ins and outs of this case but do know that they will have to be seen to DO SOMETHING. Palliative care is already an admin nightmare - 2 mins with patients 20 mins form filling. Sounds like it is about to get worse.
last thing that GPs need as all wrong customers will want it to top up tramadol etc.
If the economists are right in that 3 % means standing still, then this is clearly not good news.
deserve everything they get.
Not sure I agree. All clinical signs have sensitivity and specificity nil being 100%. The trick is to put them together and reach a conclusion. Prostate volume useful in deciding on therapy as well .
even if such a cap is suggested, someone will add "unless exceptional circumstances or unless patient safety is at risk" ie every day. I can see some use for it as a defence in court room/GMC scenario ie. GP was working well beyond the suggested maximum.
small practice closure is part of their plan.
Hospitals are terrified of "sepsis." Powerful broads spectrum stuff used if slightest doubt so as to avoid criticism in media and chase targets.