There is a clue in the date.
We are paying for this via the back door other wise known as the global sum.
I force myself to try to be positive about PCNs.
However I have seen so many changes and reorganisations of health care provision in my career and so much of it has been for short term political gain, by providing sound bites for which ever health secretary and government happens to be in power at the time.
I fear this may end up just being another of those projects which fades away in a few years when the money dries up and political priorities change.
We need to indoctrinate children from the age of 4 with the message: 'Antibiotics do not help viruses'
This needs to repeated every day in classrooms around the country like a communist mantra.
Secondly we need a few characters on soap operas dying from antibiotic induced anaphylaxis after taking an antibiotic they didn't need.
These measures might influence Joe Public, the RCGP and Sally Davis are never going to.
My respect for her has increased a notch for ditching the nasty party.
Lets hope many more follow her lead and leave Rhys Mogg and all the other suit-clad,self-serving bags of organs to it.
Appraisal and revalidation consume an enormous amount of time and tax payers money for little or no benefit. Why is the process itself not being appraised and revalidated?
If a GP were as poor performing as 'revalidation' is as a process at weeding out poorly performing GPs, they would have been referred to the GMC long ago.
The man is ( not surprisingly) totally unaware of the world in which we work. I have worked in areas where huge numbers of patients do not have access to e mail as they are too poor to own a computer or smart phone, or are too old
or poorly educated to learn.
As usual, a wealthy Tory assuming everybody else lives the life of privilege he does!
Go and get a proper job Matt, before you start telling other people how to do theirs!
Just this week we had a patient come in requesting we prescribe long term dihydrocodeine as the pain specialist they had consulted had recommended this( there was a letter to back this up)
What hope in hell have we as 'just GPs' of turning the tide on this opioid epidemic when 'the specialists'are recommending them ?
So far today:
18 patients and 2 phone consultations in morning clinic
6 patients seen on home visit to retirement complex
practice meeting for 1 hour
prescriptions/paperwork/letters (approx 1 hour)
phone call to coroner concerning sudden death
12 patients booked in ( so far for afternoon clinic) and I will review all patients seen by our medical student
Arrived this morning 0830 expect to leave 7pm-watch this space!
I look forward to Dr Dave doing his bit for inequality by giving away everything he earns above average wage.
'..... increasing the tax for the very wealthy....'
That was my quote. GPs (well certainly not any I know, including myself) are not in this bracket. Most of us already pay high rate tax.
I had in mind the likes of CEOs, Merchant bankers,Amazon and dozens of other obscenely wealthy individuals/corporations who pay nowhere near their share of tax, yet expect their workers to be educated and health cared for by the state, which is funded by the tax payer.
I would also agree with you Stelvio that the reason SOME people are poor is due to idleness and being incapable of budgeting or saving and to improve that situation requires education and some reigning back of capitalism, which has forced consumerism into every nook and cranny of our everyday lives and unfortunately preys on those with the least impulse control in our society, who very often are also the poorest.
I agree a pragmatic approach is needed. For women who have been on c.o.c. many years with no problems, then this suggests in future we can give them a 12 month supply and not have to force them to come in for a review every 6 months.
Rather cliched but, I totally disagree with what he is saying but would defend to the death his right to say it.
I have to say this is first time I have felt positive about BMA in many years!
It may not make any difference, but at least for once, they are showing some backbone and standing up to this abysmal balls up of leaving the EU.
Dear Mr O'Shaughnessy,
instead of cheap, superficial, instant gratification crowd pleasing gimmicks, it would be nice for just once if you could focus on what is actually needed-proper long term investment in the premises and health care staff who actually make up primary care.
I won't even start on the fact this sort of technology will be utterly useless to the many thousands of elderly, confused, non English speaking and non smart phone owning (yes, it may be hard for you to comprehend but some people are too poor to own a smart phone) patients.
As stated above, general practice has always been way ahead of hospitals in our adoption of
technology and we are not 'scared' of it, but in our lifetime there will be no technology that can replace a human listening to a chest, palpating an abdomen or performing a rectal examination.
In case you didn't know and I suspect from your blog you are not aware, it is this sort of work which occupies most of our days, not staring at smart phones.
Dr David Turner
( A coal face GP,who is lucky enough to live in the real world)
....seemed to point to him having had a massive stroke rendering him comatose and the opioids administered were to make him comfortable.....
I listened to this news article and totally agree, it sounded exactly like this patient had another stroke then died peacefully, but seemingly we are not allowed to say this anymore because under the totalitarian regime in which we practice, nobody is allowed to just 'die' any more there must be somebody to blame for it and preferably a doctor.
Also did anyone hear that Bishop? The man referred to doctors being debarred!!
This man is to possibly stand in judgement over doctors and he doesn't even know the correct jargon, or maybe he really does think he is dealing with barristers?
Whatever the rights and wrongs and guilt or innocence of parties involved in this, one thing you can be sure of is the conclusions of any inquiry will include-tighter regulations of doctors!....brace yourselves!
Trend seems to be for patients to want 'something natural doc' then I remind them many modern drugs originated from 'natural' or 'herbal' sources.
referral to counselling within a month?
Better give the airborne porcine unit a call.
The problem is any newly appointed 'community geriatricians' will go in, assess and draw up long job lists for each patient and guess who will be asked to carry out tasks on said lists.....
7 days utterly laughable!
The only way things will ever change is if we stand up and say NO-you are the specialist, you recommended this rx, you prescribe it.
When the patient has been reviewed by you and stabilised we will take over prescribing.
Do you think secondary care's over 90% of NHS budget can run to you doing that?
Or should this come out of our 7% of NHS budget?