GP needs stabilising. Get the basic service right before more new things. All focus needs to be on that. Get rid of QOF and replace with a few locality agreed targets as and when basic service can stand it.
I can see the attraction of prescribing this to end a tricky consult but suspect it will come back to haunt you eg. wanting more/stronger/different/perceived side effects from it etc.
Agree. Only use for sats that I can find is reassuring those with panic attacks. Young docs seem totally reliant on it.
GP contract is partly to blame. Allows everything to be cut and then fly tipped at out door.
An opportunity here for the GMC to win some much needed support of doctors if they can see it.
Dr vautry is right. Time limited schemes , non recurrent funding followed by the swift departure of managers to anther role is not helping.
the whole thing needs an injection of common sense. The front line seems powerless. Some evidence of reflection of say a complaint or SEA at the time of appraisal should be sufficient. The educationalist have succeeded in turning learning into a chore/hassle.
I suspect that those high up would rather not have lots of small organisations to deal with. Of course these people too will get old. Maybe they will not notice the loss of their local branch surgery and a well known doctor to coordinate their care.
as I tell all of my trainees, only take this if you intend to work there anyway. If recruitment is problematic - there must be a reason for it. We had this years ago, then QOF introduction saw GPs salaries increase with no recruitment issues.
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.