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.
No. Like you we never thought there there would be 5000 more GPs.
Unlike you we got off our arses at the earliest opportunity and actually DID something.
We've had PCNs for 2 years. We have physios, paramedics, frailty nurses and mental health workers in practices. We'd like more, so we'll have more. No one idea is a silver bullet, but they all add up to something significant.
The number of GPs in Gloucestershire is actually going up, and number of vacancies going down. Funny what a bit of strategic 'naive wishful thinking' will do eh?
We are not ignorant to the concept of supply lead demand here in Glocuestershire.
If like you, we do nothing, we'll all continue to experience the same year on year demand increase that people us to simply meet with existing resources and capacity. Supply lead demand pales into insignificance besides this problem.
My assessment of the financial impact is similar to ObiOne's. This is welcome.
We merged last year and are now a single practice Network with 3 sites, already doing a lot of what is specified.
Change is never popular, especially with doctors. Opportunities will go unnoticed even when they dance naked on top of a piano singing 'opportunities are here again'.
I agree Zoe. Goodwill buys a lot, and as you've demonstrated some of that good will can be bought for free!
Like the shopping on Rodeo Drive scene in Pretty Woman.....a little sucking up would be welcome.
I think a lot of small partnerships would REALLY love this as it is the perfect excuse to walk away guilt free, even if it does cost a bit.
Unfortunately, Northern Ireland is the last place that the 'market' will step in to take up the reigns.
I hope that Kingsman Medical Investments is denied their application for change of use to residential and they are left with an empty building earning NOTHING.......
"Most patient groups contributing to NICE 'have financial interests'"
However, a slightly higher proportion of Popes have been Catholic.
Dear Lord, please protect us from the rent-a-gob idiots at 'The Patients Association'.
We're doing this already, which is why we merged in the first place. Some funding would be nice though.
If Carr-Hill were to change to allocate funding to actual 'need', then Babylon's cherry-picked list would be worth ten bob and a pickled egg.
I use the term 'review if worse or EVOLVING' in my safety net. It implicitly acknowledges uncertainty in diagnostic practice, and that TIME is part of the process.
Of course most things go away of their own accord and we are none the wiser. I can live with this.