Show me the money!
Medical establishment for most of last 15 years: "prescribe gabapentin for chronic pain its much better than opioids and not addictive"
Medical establishment in last couple of years "don't prescribe gabapentin its addictive and gets abused"
Patients to GPs "take responsibility for all my symptoms there must be a pill for it and not at all related to my lifestyle or lack of engagement in physical/psychological therapy that I refuse to consider"
Most countries in the world have co-payment or an insurance based system. It works very well for patients (better services) and doctors (better pay and conditions).
It's the blind faith that the NHS funding system is the best that scuppers healthy sensible debate in the medical profession.
"Top" GPs saying its "clearly not right" frankly just don't understand how other health system operate in a far superior way to the NHS.
And the moronic PHE campaign song see your GP of your cough lasts 3 weeks
Agree Scottish GP. I am not convinced that treating a condition that almost certainly has a major psychological component with major surgery and lifelong major changes to thier endocrine system and demonstrates inconsistent outcomes is the right way to be managing many of these patients.
Just because NHS England passes the buck to us does not mean we have to hold onto it. Decades of being everyone's back stop should have taught us that. It is of course the patients responsibility to maintain a correct address. Not mine.
Wake up guys. This is the future. Probably only way to defend general practice is by being huge and united. Corner shop practices are a thing of the past. Change or die...
I just ham up the symptoms so it meets the criteria.
Whilst this looks good for patients and the hospital beware the invisible knock on impact on increased GP workload. Abnormal scan - have to break be news to patients and arranged further referrals and tests. Normal scan - often still no clear diagnosis made, more investigations and appointments. If referred in the first place all done at hospital.
Blah blah blah... not commissioned to do it. Trot on NICE
Protecting the altar of the NHS despite decades of abuse, burn out and broken promises. There are many other ways to fund healthcare that many other progressive countries use with excellent results for doctors, patients and tax payers. Unfortunately our profession has been brain washed that the NHS is the "best" and the only way to deliver healthcare despite it being horrific for them on a daily basis.
The profession only has itself to blame.
Not. In. The. Contract.
No further discussion required.
Just don't register the patients. Bring on NHS england trying to play the "contractual obligation" card. The patient safety card will win everytime. Make sure you have a signed letter from the NHS England chief exec saying they take fully responsibility for harm to patients coming from this decision.
Researches should screen their recommendations for BS!
There is nothing for GPs to manage here. Obesity is a lifestyle problem. Weight watchers or rosemary Connelly or just common sense.
Or the alternative. Seen in cardiology clinic every six months. Yeah. I'll think I'll go for that one.
£100k and above is the top 2% of earners. Most full-time partners I know are well above this.
CCG is reaping what it sowed. No sympathy
The CCG saves some money by advising GP on how to manage. Meanwhile the GP has to pick up this additional work that would have been done by the consultant.
Shame, shame on the CCG GPs who are presiding over this.
No contractual requirements to do this. Continue prescribing as you all feel clinically appropriate.