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.
it is possible to find mental health needs in everybody in a GP surgery including staff if you try hard enough. Experience shows however that much of this is reactive and transient and not worth throwing resource at even if it did exist. GPs know this and practice accordingly.
Rules regarding gps private work need updating. This should be an optional extra for existing practices to offer their patients should they wish at a price thus improving access and GP income.
If we add up all of the various schemes that have been designed to fill holes in primary care then there is a large sum that could make a difference. Decent pay rise, restore seniority for gps, sort indemnity and fix the problem.
how will the OOH service cope if they can"t diagnose "UTI" as cause for everything?
An excellent summary of where we find ourselves .
What can you say about this other than it will be ignored as they scratch around trying to figure out a quick fix to emergency admissions. Past caring.
Think it is not quite as simple as intent. The speeding motorist who kills the child did not have have intent, nor does the reckless mechanic who fails to fix your brakes. There has got to be some balanced judgement in the process.
The calculations re saving money only work if GP time is calculated at £O/hour.
so how are Access Health getting on?
sounds like a nice way to spend a Monday morning/Friday afternoon. Wonder what my partners will think?
Well spotted Sherlock. No need for this, just ring up and try to book appt.
Idealistic thinking from increasingly out of touch organisation. The "GP expert" will certainly criticise you for not prescribing. The case will probably be dismissed but will take at least 3 years.
I find I am in a much smaller minority as white male from a working class state school with a dodgy northern accent.
Lets hope we do not have a knee jerk response in terms of increasing punishments to non-BME so as to be seen to balance the books.