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I remember having the deal with NEWS scoring as a house officer. It's a useful tool for someone to identify if someone is ill who has little or no clinical training. I really cant see it being useful for us. The worry is it'll used against us if we ever miss anything and didnt admit everyone who has a raised NEWS score. I feel sorry for A&E
Do what the hospitals do and charge per visit/consultation. That way we get paid for what we do. Simples.
And what happens to the staff already hired or promised jobs by some PCNs? We have to stop this culture of waiting for scraps to fall from the table to fund general practice. We must demand proper, sustained funding guaranteed for several years. This is what the GPC need to do.
Dont no it anymore and push it back into the hospitals. Them the CCGs will have no choice but to reconsider their initial offer and then the market will find a balance
and what do hospital consultants get?
Referrals should only ever be 'rejected' if they suggest a different more appropriate service for the problem. Then they should forward the referral on. They should never just be bounced back and the problem not assed. This should not be acceptable.
Which will lead to a reduction in GP appointments and more people going to A&E. There is no extra time in the day, or staff to do this. I hope PCNs realise that
What frustrates me the most is at 6 clinical sessions I am considered part time. When in reality I do around 33-35 hours over three days but get paid for 25 hours. When will the media report that?
Cancelling of outpatient appointments for no reason and placing to the back of the cue happens all the time and yet nothing is done and very rarely reported. Hospitals have to be made to accept responsibility
Finally I hope the BMA will run with this an represent the profession that carried this motion at conference. We need a stop to doing rushed visits in our lunch hour. We need a properly costed model, with funded and allocated time for visits.
Please can we have this motion carried at conference. The idea of a home visit is a very british thing which is not sustainable in the current model. Trying to squeeze them into our day in our lunch hours is not safe nor sustainable. This has to change.
We've already has this lie from the Tories. How about the 5000 by 2020. They should be held to account. It's disgusting how they can just kick the can down the road like this. What are we supposed to do for the next 4 years?
Nothing will change as GPs wont change. We will still do unfunded work in our own time and take on more and not support our colleagues.
There is always a role for home visits but asking GPs to do them during ther lunch isn't sustainable. We also need to tackle the issue of home visits for patients who are not housebound.
There are better ways of doing this.
Has it been a year already?
I dont think a GP referral should ever be rejected. By all means offer use advise if you feel the patient my benefit from a different service. But an outright refusal to see is simply dangerous.
Well done to the surgery involved. I've done loads of SAR recently at a significant. Hopefully this will reduce this burden
For the chair of the royal college to suggest a fix to this problem of just photographing consultant notes is an utter disgrace and 'utter frustration'. You're the chair of the college. Fix it! Pathetic.
I've always wondered if these online GP services provide antibiotics for things like chest infections, sore throats, and how they can safely and effectively do this by not being able to physically examine the patient.
Please can we have some originality from our RCGP chairs?