Breast screening and bowel screening and cervical screening pick up a large proportion of cancers......and they don't count as 2 week wait cases either.
To imply that these have been 'missed by GPs' is fuckwittery of the extreme calibre so often demonstrated by the gin-soaked simpletons masquerading as a 'free press' in this country.
My reserves of fucks left to give about when a post-NHS future arrives and what it looks like are becoming conspicuous by their absence. Ou tax bills may well become much larger, but they will be easier to pay when we are free of the abuse of obligated philanthropy.
Can remember our last 'win' myself.......and everytime I looks left and right I see fewer GPs.
Correlation = causation sometimes.
I've recently watched the excellent Chernobyl miniseries on Sky.
All this reminds of the Soviet system. The Bureaucracy exists to serve the bureaucracy alone. It must be inflexible and strive only to perpetuate itself. Outcomes and consequences are irrelevant. Hypocrisy is to be celebrated. Logic will not be tolerated.
Impeccable logic Dr Weston. It doesn't work for you, and its 'voluntary'.
My practice has 30,000 patients so it works for us as we can be a 'network' of one, and use the funding available to directly employ more staff to help us manage our workload.
Networks, where no obvious links or collaboration already exists are a bit like shotgun marriages and are unlikely to be successful as the funding on offer is not sufficient to be truly transformational.
SSRIs don't work that quick (i.e. in a week) if they work at all (as a general rule).
If a GP is looking to practice defensively in the future, they will simply refer EVERYTHING URGENTLY to mental health (who are already swamped) and NOT prescribe SSRIs so they can't be blamed if the patient doesn't present for their arranged follow up after a week. On the whole this will be bad for patients.
It very strange that a Coroner doesn't feel able to see the utterly subjective nature of the 'follow up at 7 days' bit of the guidance (its a finger in the air at best) and seems to coming from the standpoint that most suicides are preventable (which of course they are not).
No it's 6,559 away as we were 1000 down last year.
I somehow doubt they'll be negotiating for reciprocal rights for UK doctors to work abroad.
I've always fancied working in New England.......but I can't.
The Anarcho-Socialist Collective (aka Tower Hamlets) wants us all to be salaried, and we must put the survival of the NHS as a free at the point of abuse publicly delivered service before the interests and safety and health of the GPs, Nurses and practice staff upon whom it depends.
I've yet to hear a satisfactory explanation of what additional value the video component of Skype adds to the traditional phone calls we've been doing for DECADES.
Perhaps its the added frisson of 'Emperor's New Clothes' it brings?
I agree with the sentiment but to improve care for one sector of society, I will have to provide less care to another. It's no a zero sum game.
Who should should we degrade care for NHS England?
Would you like to commission some extra services?
I think the DoH must have appointed Alan Partridge as legal counsel. "After all, the Police are hardly likely to arrest someone if they were innocent...."
Apparently this article was written by Beth Gault, If it had been written by April Fuller or some other play-on-words it would be funny.
As it stands its worrying, because it seems to be from the 'lets take a semblance common sense and a whiff of a good idea then turn it into a massive bureaucratic nightmare which sucks time and resources out of primary care' school of NHS England 'brain fart'.
Anyone fancy coming to Gloucestershire? Drop me a line......
Bloody hell. We used to go on exactly the same summer holiday - not Appledurcombe caravan park by any change?
This time the conservatives have managed to reduce life expectancy by more than the increase in routine secondary care waiting times.
Who say we haven't had an increase in budget? We have, but all we've done is apply for funding available to all.
We have also worked out that 'noctors' are not a direct replacement for GPs, they are 'force multipliers' and utterly invaluable as part of a 'team' where different people have different roles.
I've never met a GP that spent the majority of their day doing things only a PP could have done. I doubt you have either.
Gentle moving back on topic.....
The absence of 'data' about GP activity has indeed been our downfall. As thousands of small practices all using different computer systems and appointment books in different ways, it not just been trying to compare apples with oranges....it's been fruit salad.
Larger Networks using the same systems and interrogating their phone systems in the same way should be able to create rich activity and demand data to help us argue for our share of the pie. It's a no brainer.
This as been in the 2 week wait referral criteria for over a decade!
Talk about old news.
We've been talking about changing the formula to better apportion resources to need/deprivation for years, but shied away.
In one fell swoop it decimate Babylon's business model and help attract ACTUAL (not virtual) GPS to places of need.
Stop pandering to them by seeing them if they don't make the 'Accident and/or emergency' criteria. The clue's in the sodding name.
Doctors aren't going to take this responsibility on without political leadership.......so we're stuck with it.
Just build bigger A&Es.