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Clare Dyer

  • GPs should have contractual duty to get '10% of patients using online services'

    Clare Dyer's comment 08 Dec 2015 4:01pm

    so I am to be disadvantaged because my elderly population do not wish to use a computer, but would rather speak to a person. what a load of rubbish. Yes it should be available but you cant force people to use it. Not everyone has a computer at home or wishes to use it for health care.

  • GPs should have contractual duty to get '10% of patients using online services'

    Clare Dyer's comment 08 Dec 2015 4:01pm

    so I am to be disadvantaged because my elderly population do not wish to use a computer, but would rather speak to a person. what a load of rubbish. Yes it should be available but you cant force people to use it. Not everyone has a computer at home or wishes to use it for health care.

  • NHS England in talks to set up 'complex care' GP practices

    Clare Dyer's comment 22 Jan 2014 6:55pm

    the problem is that if it requires a group of local practices to get together to initiate and back financially ( as nhs england are so slow) it will never happen as too risky. There a select group of GPs who would be ideal for this, ( i trained as a care of elderly registrar for 18 months prior to leaving hospital medicine, and would far rather see a complex patient than gynae or paeds) but you may destabilize other practices by taking away not only their complex patients but also those that bring them in the most income.

  • GPs to oversee all vulnerable patients under emergency admissions DES  

    Clare Dyer's comment 15 Nov 2013 7:25pm

    maybe i am missing something: We already offer same day appointments ( in person) or via telephone if vetting requests for home visits to all not just the >75. We have an emergency phone number that does not switch off during lunch or until 6.30pm. A&E can already get this information by calling us on the phone and we fax over patient summaries, or we speak to the doctor if they ask us to! We dont have fixed patient lists but we all have patients that 'belong' to us and will always choose to see a specific Dr if they are working that day ( we are all part time) and run a buddy system for when people are away. Ar we not doing everything already or have I missed something out? Admission prevention would be far easier if we had timely out patient appointments or telephone access to consultants for advice, not the ST3.

  • GPs to open until 8pm every day under £50m 'pioneer' programme

    Clare Dyer's comment 20 Oct 2013 10:04am

    please tell me how this differs from a co-op/ local GPs providing an out of hours service? It is not one practice providing extended hours just for its own patients, so where is the continuity of care etc?

  • The ‘lean in’ approach to general practice: lessons from Sheryl Sandberg

    Clare Dyer's comment 12 Apr 2013 9:25am

    As a partner in a small (4000pt) practice with 4 part time partners I cannot imagine living with the insecurity & unpredictability that locum or to a lesser degree salaried work brings. With 3 young children I need to have fixed working days but have the advantage of being able to do admin work from home if necessary. I do not take time off for ill children, they come to work or friends or my husband care for them. However becoming more involved in ccg etc is not possible when you still have a child not in school. Nurseries etc want fixed regular days not the odd one here or there.

  • NHS Commissioning Board reveals final specifications for new DESs

    Clare Dyer's comment 25 Mar 2013 5:33pm

    So the risk profiling is per day you offer the service & yet sign up by end of June so that us already 1/4 of year gone!! Hopefully our weekly district nurse/ monthly Macmillan nurse meetings will count.

  • Practices to case-manage patients at risk of hospital admission, under new DES

    Clare Dyer's comment 07 Dec 2012 4:56pm

    along with their annual copd, diabetic, cvd and dementia reviews and 6 monthly medication and bp checks. how much more proactive can we be!