I thought there was a shortage of GPs - I am sure there are many unfilled salaried posts still advertised. Maybe a steady job rather than the uncertainty of being a locum has its advantages?
Clearly attempting to justify their salaries. I think redeployment would seem to be the sensible way forward.
Ridiculous - been doing weekly visit for many years - saves late calls - and during this crisis have done phone calls as routine and visits when necessary - been in twice this week and will be phoning daily as we have 26 cases. No requirement from government required as we look after our patients then best we can as all GPs seem to do.
All being bounced back in Northumbria
Don't like being told what I HAVE to do though have always done a weekly round anyway and we have moved to one home one pratice for our homes as the other practice told all their patients to re-register as covid hit - however I have still been going in if necessary as at present I feel the care staff need as much support as they can get. I am sure all of us are trying to support our acre home staff in whatever way we can and do not need PHE to try to justify their salaries by telling us what to do.
Surprised you don't have eye protectors - it would seem there is a never ending supply from our patients of varying designs but all supplied gratis and very touching. Completely agree about the clap - never heard it myself as not sure our street is a very clappy one and the pub next door is shut at 8 now!
This type of high handed action will just make sure that I will retire properly earlier than I had planned.
My 111 appointment booked today was for earwax in a 21 year old. despite my ringing twice he did not answer - maybe he didn't hear the phone?
'Show me where in my contract...'
They can change your contract at will - they just have - we now have to let 111 have 1 bookable appointment for every 500 patients a day - in our case that is over 50 - they did have a couple in each surgery - the one booked into mine this morning was for ear wax
Surely the point of the hot hubs is to treat those patients with a co-morbidity in addition to possible CV19. Unfortunately all our other illnesses have not gone away and although we can manage a considerable amount on the phone, some things just need to be seen. Am our hot hub today and tomorrow - as in Northumberland, we are a week of so behind the south so not busy but expect this to ramp up. I would be nervous of 111 directly booking though.
What would CQC say if a practice was found using out of date bottles or other equipment during an inspection?
I agree - and when it happens, I will be retiring. And I dare say a fair number more will as well. Or emigrating etc.
OOH is something one does as a choice. if the choice is that you are being put at risk and poorly paid, I would d never blame doctors for not doing it. We set up Co-ops years ago because it was becoming unworkable. We have to be careful it is not just dumped back onto us though through the PCNs.
'There probably are enough GPs in Scotland, but they have either taken early retirement or are working as little as they can get away with. A situation for which the BMA shares some of the blame.'
Not sure what the BMA has to do with this and if GPs do not wish to work overnight and they are not being enticed to do so by better rates of pay, that surely is not surprising. This has become a market economy and if OOH want to get GPs to work for them, they need to make the job sufficiently attractive, both financially and in respect to workload.
'In 1975, our 3 GP practice in Sussex had a combined list size of 7,500 patients - 24 hrs coverage, including out-of-hours calls and visits, was the norm on a 1:3 schedule, as was the Saturday morning surgery - a round of home visits was the norm Monday to Friday. Sunday was on a call-out basis.
The practice had 2 receptionists and 1 bookkeeper.
None of us were burnt out or 'demoralised.
What happened? You tell me.'
The demand went up. When I started in 1988, the number of consults per patient a year was about 3. It is now about 8. The advent of mobile phones has made Primary care instantly accessible so the work is far more. When I was a houseman, I did a 1:2 rota with 1:1 whenever my colleague was on holiday - so 2 weeks in a row. No-one would suggest that my job then was harder than juniors now doing their shift work as I was covering only my wards and was massively protected by the night staff nurses so did get to sleep. Comparing now and then is comparing chalk and cheese.
I understand the GP but these patients should not be going to A&E. By all means ring 111 but the majority should be advised self care with the vulnerable being directed to Primary Care.
58yo, 10 sessions. We have experimented recently with various ideas - one doctor who does the majority of the visits - usually 8 but depends on how many others in to pick up some of the rest - also depends a bit on who is visiting doctor. We have just appointed a paramedic who has taken on this role but we will be protecting him from calls which would not be suitable. We triage calls from those who are not coded as housebound and we have a fairly strict cut off of 11.30 after which they are triaged by the two doctors running the acute service that sees the on day demand.
I still do my own palliative care patients as much as I can and they are able to call or message me whenever. We also do weekly visits to 5 care homes which reduces the numbers of visits substantially.
I think removing the visiting would continue to erode the bond between the public and Primary Care. We need to be strict about visiting - the days of visiting children with chickenpox is long gone - but to remove it completely means we should probably pack up shop and live in the hospital.
This would appear to be consultants only so not relevant to most readers here. It allows consultants to be paid for overtime without it adversely affecting their pension contributions and tax allowances when they enter the taper of allowances at a certain income.
Home visits when appropriate are in my view an important part of Primary Care. I have two so far down for today, and both totally appropriate with one for a rapidly developing ca lung and the other in a younger man who is tetraplegic due to a spinal abscess and just out of hospital. I still strive for a degree of continuity of care and handing these patients across to the ambulance service would seem unlikely to be very helpful.
To be honest, I didn't know there were 10, 30 and 40mg versions. Only ever seen 20 and 60mg capsules. I note the huge cost of the 10mg version as well.Don't think this will require much work at all for my practice at least!