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.
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.