Interesting proposal. Certainly being called out of the surgery is stressful. I suppose larger practices have a GP on call doing triage and doing visits. In my rural practice we used to be the emergency service , Over the last 25 years the paramedic service replaced this role. We were never paid for rushing out we just did it and the patients were generally sensible. Inner city practice , nursing homes , entitled patients has been the death knell of this sort of service. Perhaps Practice networks may arrange this sort of cover. Retired rural GP
There was a paper in the BMJ about 20years ago . “ increasing inhaled steroids in exacerbations of childhood Asthma didn’t help”
This sounds like the 600 branch surgery is unviable or at least considered unviable. The arguments for closure are a convenient excuse.
The 2004 contract did away with the basic practice allowance which paid and incentivised the partnership model . The hamster wheel model of medicine whereby work harder and harder for the same money, add to that over regulation and you have suffocated and strangled GP . The BMA negotiated the 2004 contract and sold it to the profession as a triumph. It wasn’t .
I agree , the performers list is a nonsense
Imagine living in Berwick upon tweed or Carlisle , you can’t work if you travel a few miles into Scotland. What added value does it bring. If you stop GP but want to do something else like medicolegal or occ work you have to come off the performers list and find an alternative designated body, making coming back to GP a bureaucratic nightmare. It’s also another hurdle coming back from abroad and is helping to reduce GP numbers .
It is obvious / common sense that knowing your patients well improves efficiency and continuity.
On top of that patients want GP patients that offer personalised care . This is best delivered in small practices rather than the latest vogue for large mega practices . Fewer complaints.
As the data was previously sent, what has happened to it.
This is clearly unacceptable , the proposed time scale for doing it makes it even more so .
Interesting , but we’re all the subjects on a Mediterranean diet. Might not be relevant to U.K. NICE will probably be influenced by the study as may cut prescribing bill.
Will be interesting to read the BMJ
Even if the 85% is correct , which I doubt. This is self selecting population quite different in its characteristics to the ordinary GP population.
What is the secondary care specialist going to do PSA +- DRE .
If GPs haven’t got the skill to determine normality upon DRE they should refer and go to another CCG locality meeting.
The problem is the increasing number of men asking for a check up who are asymptomatic.
The significant false negative rate for PSA is a problem. By combining digital examination with PSA you can increase the sensitivity. You do need to explain that small cancers can still be missed . Recent change in LUTS May need referral.
Patients who can’t get to see a GP for several days, will vote with their feet. GPs are starting to have to operate in a market.
The government will see this as injecting competition .
“ Let’s make GP great again”
Pay partners a premium for being a partner.
Stop GPs going to CCG meetings and other pointless exercises.
Stop exploitation of salaried GPs. Some partners reduce patient contact go to meetings and pay salaried GPs less , win win all around for partners but not good for patients.
Encourage evidence babsed practice overseen by RCGP. RCGP stop politics.
Allow GPs to be trusted professionals.
Pay GPs to see patients.
This Big Brother.
Next step resource allocation to those not offering enough ( carrot ) or sanctions against those perceived as not offering enough ( stick)
All this was foreseeable when the Gov took over our computer provision .
The Civil servants have been planning this for years . Am I paranoid ?
A&E will be even busier . Our local pharmacist had a patient faint while doing a flu jab.
999 ambulance called.
Pharmacists have inadequate training in diagnosis and in particular where examination is needed. Absolute nonesense.
It would be interesting to ask the patients what they thought about the service. Asking Doctors if the service has improved is not going to produce an unbiased answer.
Having to work for the NHS for 4 years. Well most Docs probably do anyway. They will be so angry about this that they will be plotting their escape from day 1 of med school. They will take their 4 years experience and zip off to Oz etc. Comparing this idea to the armed forces is not a reasonable comparison . The armed forces are paid for one thing.
If medical students are paid and have no tuition fees this would be reasonable. If you join the armed forces at 2nd MB you get paid .
As others have said why pick on medics why not physics , nurses and indeed other degree subjects deemed to be of national interest.
It is surprising how often patients with private insurance don't think to use it. Always worth asking the question, otherwise why are they paying their premiums.
Why is the CCG in the red in the first place? Perhaps they weren't given enough money in the first place , perhaps the GPs refer more , perhaps more deprivation etc etc
Shame we don't have a National health service anymore. Why should this group of patient be punished?
Recently noticed a trend for hospital discharges to say "GP to chase up test result" on one occasion a biopsy result from endoscopy where cancer was possible.
As hospitals have ever increasing pressure to discharge patients they off load onto GP. It will get worse as Hospital beds are closed to save money.