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GPs go forth

Helen Terrell

  • Do all GPs need standing desks?

    Helen Terrell's comment 14 Oct 2016 10:14pm

    I have had a varidesk which sits on top of my usual desk for the last 2 years. As someone who had a her first hip replacement at the tender age of 42 years sitting down for hours on end plays havoc with my hip flexors. Researching ways to keep the knife away from my other hip, I came across the standing desk. Research suggested that the standing desk made you more productive and reduced the risk of diabetes. I don't consult standing up, but when energy and concentration is flagging I can flick the handles and the desk goes up. I wouldn't want to be without it, but make you own minds up. So far I've postponed my other planned hip surgery but I would blame Pilates and the cross trainer for that too.

  • GP practices set to employ more pharmacists as pilot is expanded

    Helen Terrell's comment 02 Nov 2015 10:49pm

    What a shame that so many GP colleagues are so cynical about the integration of pharmacists into our primary care team. Let's not get lost in this pointless discussion about flu jabs. We take the patients statements on face value, if they say they are a carer, we believe them. It is them committing fraud not us.

    We are not in competition with each other. We offer complementary roles and the net output will be better for many of the patients if we work together. We have a list size of 6600 and have employed 2 full time pharmacists, having been completely unable to secure permanent General Practice help.

    We have no regrets. The two experienced pharmacists are full of enthusiasm for their new roles and are helpful and approachable. They offer continuity of care, home visits, manage our mail manager and are training to do diabetes reviews and initiate insulin. They are doing medication reviews, organising blood tests and follow up. They do also advocate discontinuing medication where no longer needed. They are not prescribing, but will be training to do this. They are working with the local care homes to review the patients proactively and systematically. They have revised and updated our repeat prescribing policy. They are building relationships with our local dispensing pharmacists and improving systems and processes. Feedback from the patients has been universally positive. They do need regular help and support, much as a foundation Dr would do. I think it's also fair to say that they have found it much harder than they expected- dealing with such complexity and having to write it all down!

    In contrast some of the locums we have used dictate their terms, squabble amongst themselves, won't be duty Dr, won't visit, won't check results and certainly won't review paperwork! I know who I would rather work with!

    It would be great to benefit from the NHS England development, but we are benefiting allready from our new team mates and encourage other GPs to give them a try.

  • How to secure funding for an in-practice pharmacist

    Helen Terrell's comment 11 Aug 2015 5:23pm

    I think it's a fantastic idea and its a shame there are such a bunch of cynics out there. It is important that the patients get access to a health care professional that they can communicate easily with and who understands their condition.

    Selected well, there will be no loss of quality for the patients and a full time pharmacist can offer almost twice as many appointments as a salaried Dr for the same money.

    Let's get real. Even if the government agreed that we need at least another 5000 GPs, they are going to take 10 years to mature and are going to be hard to recruit. The workload crisis is now and we need help now. The current workload is unsustainable and leading to clinical errors, defensive practice and mental health problems.

    Adding a full time permanent member of staff for continuity has great boons for both staff and patients. We have just recruited 2 full time pharmacists and they are extremely keen to make a difference and mindful that their brief is to make an impact on GP workload. It is obvious allready that this is a more complex area than we realised, but hopefully will mean that all those flawed systems will get sorted out properly and this time not with a sticking plaster.

    Our pharmacists are reviewing mail manager, looking at some Docman and doing eclipse queries. They are not prescribing but will be doing medication reviews and training towards this. Patient feedback has been great and they are excellent ambassadors for our practice. It is great to have hard working team members asking to help, rather than locums whinging because they don't want to do home visits, can't look at results, won't be duty Dr and by the way need to go home at 5 pm.
    We need to stop being so territorial and let some other well qualified professionals help us. By definition, they know their professional boundaries and are expected to ask us for help too. They will never replace us and I am sure they would not want to!

  • Add your name to Pulse’s letter to NHS England over GP workload

    Helen Terrell's comment 12 Jun 2014 9:23am

    Dr Helen Terrell
    Stockett Lane Surgery
    Coxheath
    Maidstone
    Kent
    ME174PS

  • Add your name to Pulse’s letter to NHS England over GP workload

    Helen Terrell's comment 04 Jun 2014 11:24pm

    Dr Helen Terrell
    Stockett Lane Surgery
    Coxheath
    Maidstone
    ME174PS

  • Add your name to Pulse’s letter to NHS England over funding for occupational health services

    Helen Terrell's comment 08 Jan 2014 10:12pm

    Please add my name to the petition

    Dr Helen Terrell
    Stockett Lane Surgery
    3 Stockett Lane
    Coxheath
    Maidstone
    ME17 4NJ

  • DH to investigate ‘bonkers’ rationing of diabetes testing strips

    Helen Terrell's comment 24 Jan 2013 7:56pm

    Surely more bonkers that the NHS do not make
    there own purpose built glucose monitors that
    only their sticks will fit, - Nhs could then
    control the price. We could then decline to prescribe
    all the new ones! I've watched my Dad( in his 7os) try
    to learn how to use his new one- osteoarthritic
    fingers far too clumsy. Surely a patient group
    with a decent OT could design a new one for the
    NHS to patent?

  • Hunt: This year will define GPs' role in the NHS

    Helen Terrell's comment 22 Jan 2013 9:18pm

    I'm an optimist! Lets embrace the digital revolution and go for it.

  • Paperless NHS 'will save £4.4 billion', says Hunt

    Helen Terrell's comment 19 Jan 2013 3:20pm

    Integrated care records are well overdue. I like the
    card idea Simon.
    It's time for the government to invest on decent kit
    and make it happen. I don't know how much will
    be saved financially but time definitely will be and time to care with compassion and communicate will be back.
    Jeremy next time you want to commission a report
    how about you ask Primary Care- I'm sure we will
    be a bargain compared to PCW !!!

  • Dilemma: Renting premises to a complementary therapist

    Helen Terrell's comment 07 Jan 2013 2:15pm

    I am sure that the future is to integrate
    all therapists under the NHS umbrella.
    Surely it should be whatever helps?
    I've seen a vast number of professional
    therapists over the years and regularly use
    relaxation and sleep hypnotherapy CDs.
    I think the best thing is probably to try out
    therapists for oneself. If gives you a chance
    then to guage their professionalism.

  • Pharmacists should fit IUDs, say MPs

    Helen Terrell's comment 05 Jan 2013 7:07pm

    I assume the pharmacists will be employing a
    nurse to assist them and act as chaparone. I assume they will build
    an extension to accommodate the couch and lighting needed. I assume that when someone costs this model
    they will realise it doesn't quite add up!
    Lets just sort out the communication, train more Drs
    and integrate the records. It will be cheaper, but really we do need to get on with it.

  • Deloitte report on the British Red Cross care in the home services

    Helen Terrell's comment 05 Jan 2013 6:41pm

    Having recently been home from hospital these
    results do not surprise me at all. I hope commissioners
    embrace radical change including
    pre op occupational therapy.

  • NHS Confederation calls for primary care to receive greater funding share

    Helen Terrell's comment 03 Jan 2013 2:04pm

    We can only realistically change the current situation by following patient journeys, adding up the cost and doing some systems mapping. I have no doubt that there are lots of unnecessary steps in each journey which could be avoided with better assessment and planning of need. With a move to a community model, finances will have to follow, but with less medication used and more appropriate therapy services hopefully the model could even be cheaper. Joint budgets between health and social care with real integration of records will make a huge difference to care and quality for our patients.

  • Palliative care GP recognised in New Year's honours

    Helen Terrell's comment 03 Jan 2013 1:52pm

    Congratulations to both of you. Thank you to Macmillan Cancer Support for understanding the potential
    in GPs to improve and facilitate better systems
    for our patients by giving us the skills to educate and train others.

  • Resources are out there for better acute mental health services - GPs just need to take them

    Helen Terrell's comment 05 Dec 2012 8:49pm

    I thought it was an interesting and inspiring lecture. There is little doubt that there is a great need for a generalist overview to help these patients who are clearly very vulnerable. A challenge in the time available, but engaging our excellent Practice Nurses is surely a no brainer.