I suspect an attempt to stop home visits will be met with the usual emotional blackmail:
'patients will suffer if you don't'
Home visits should be for bedbound, dying and nursing home patients only and yes we should get remunerated for the time and effort it takes to do a home visit.
More unfunded, bureaucracy-laden work being dumped unceremoniously on GPs desks.....it is barely news any longer!
I'm sad to say I agree.
Echoing some of the comments above, those who do not agree charging is a good idea need to come up with an alternative suggestion.
Sadly, in a capitalist society, people only seem to value things when they have a monetary value attached.
We were forced to form PCNs in a very short amount of time!
Simple rule: Systems work better when they develop organically and people feel they have ownership of them. Forcing people to 'work together and play nice' is rarely a success.
I suspect PCNs will go the way of so many other NHS re-organisations and quietly fade away at the next change of government.
When funerals are delayed it will be us GPs the grieving families get angry with, not the bright spark of a pen-pusher who came up with yet more paperwork for us!
While he is at it maybe he could apologise for treating the house of commons like the common room at Eton
Medicine on the cheap again.
Then again it won't be cheap if it ends up generating more GP appointments. Then again we won't get paid for the extra appointments generated so yes, it is cheap for the DOH, while being a crowd-pleaser for patients!
Having done a spell as a GP on military bases, I think we could learn from them in regards to sickness certification.
The medical certificates list all the possible jobs that could be undertaken on the military base and the doctor crosses out the roles the individual IS fit to do ( this prevents them changing the note themselves later).
This system means you a virtually always fit to do something.
As a soldier once said to me, even with both legs and arms broken you could sit in a guard room and watch a CCTV monitor!
Glad to see she has left the 'nasty party', my respect for her has gone up.
1) In general practice I have never had a woman presenting more than 12 weeks pregnant requesting a T.O.P.
2) Late requests for T.O.P. ( ie 20 weeks plus pregnant) are very rare in my experience. I saw one or two as a gynae SHO, but they were always in women who had learning difficulties, had been sexually assaulted or were under age and in denial, or all three. How anybody would want to force a woman in those circumstances to proceed with an unwanted pregnancy is beyond me.
3)As pointed out in one of the comments, there is already an effective 10 day cooling off period anyway. I have never seen a patient have a T.O.P. quicker then 10 days after consulting with me.To add another 10 days to that would be cruel and unnecessary.
4) As for paying for terminations, all patients I have referred have gone to Marie Stopes International, which if I am not mistaken (I will stand correction on this) is a registered charity.
5) I'm sure there are many 13-16 year old who abstain from sex, but this will be due to parental or religious views on pre-marital sex. I really can't see schools having much sway over the behaviour of teenagers pumped up with hormones.
Why has Massey not resigned? Anybody with an ounce of dignity, presiding over such a monumental cock-up, would have done the decent thing and fallen on their sword.
I suppose bloated salaries and future gongs count more to people like him than the reputation of the GMC.
It is an utterly pointless process which robs patients of thousands of potential doctor consulting hours every year.
Simple- we need GPS to stop being appraisers. The process is only possible because some GPs agree to take on these roles.
So come on appraisers why do you agree to do the DOH's dirty work for them and put your colleagues through this pantomine every year?
If you need to boost your income there is plenty of locum work out there, or do some undergraduate teaching-that is a worthwhile way to spend your time.
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 ?