Some ccgs have started pilot where all oph and nursing home visits are done by a gp who works full time for them.and is employed by CCG
I may have continued to work full time if it was not home visits. Now I do surgery only and no visits
After exhausting surgery last thing you want is to see 3 home visits . It may take same time as surgery and you can’t asses or investigate.
Most complaint are generated after home visits.
I get nightmares about home visits that I used to do. There used to be visit before you start surgery, urgent visit during surgery, request for visit in afternoon after you have finished visits and visits after you have finished evening surgery before you reach home and visit while you are relaxing in evening. I became so aversed to phone ringing that I still don’t answer phone at home.
Never seen so many responses on this platform in favour of stopping home visits.despite all that I feel in some cases home visits are justified but should be done by some one else than gp and need to be funded.
I was single handed. No walk in centres . 24/7 365 days on call in 1980’s. Deputising would cost £13 per visit .capitation fee £18 per year per patient.
As we had nothing else left ,every intractable
Pain became neuropathic pain and gabapentin and pregabalin became escape rout for pain clinic, orthopaedic
And gps followed expert advise. Now we have to pick up pieces.
Well I started practice with no patients hence drug addict were attracted to change doctor,
In those days I always told patients , I will do every thing to help you but would not prescribe diconal or morphine.
No one wanted to register .always thought it should be fully delt by specialist clinic,
CQC has become GMC .Till some tragedy happen they will not change their attitude. Reduce strength of CQC by 50% and their remuneration by 60% and make them feel work pressure and performance.
How easy it to say “ you do it for free “. Profession will grumble but every one else is happy so nothing will be done
Well done surgery who had guts to fight it out
Those who recommend it, should have mental health assessment first
It is block contract for poor gps. Why would government change any thing and loose votes. These blogs have appeared many times in past and nothing happened. This time it will be no different..
Limited number pay limited taxes. Those who don't pay taxes have unlimited access. Any thing free at point of delivery is certain to be misused.
This is like fit note. Nothing changed and nothing will change. Coroners are not medically qualified in Uk.they are guided by us to say cause of death.
Day one acute gout. Uric acid one week later.
Uric acid 650. Not on medication. No obvious cause for secondary hyperureceamia. Give leaflet , tell what Uric acid level need to be achieved and see nurse so dose of allopurinol adjusted. That is it as far as I am concerned .
I say to patients gout is disease of kings and king of disease. They feel elated then I add it is associated with affluence., excessive alcohol and debauchery as described in history of gout. Give naprosyn or colchicine for future attacks.
When you have emergency in routine surgery , it takes at least 20 minutes to asses than you need to write letter.
Very ill patient should not be left alone. You need extra room and nurse to monitor. You have another 13 patients to see and nurse has booked patient. A scenario well known to us all. It could be your last patient at 6 pm when your staff want to go home and patient need to be transferred to hospital , what do you do?
At times I had to sit in surgery till ambulance arrives.
It may be that you did home visit and same scenario.
Not my problem. I will contact no one
Doing child development, hgv, foster child exam , claim forms, criminal injury compensatation form, dreaded IB132 from scocial services, audits , qof work , insurance form ,
And many many forms and paper work is donebon half day by solo GP . I would still not finish work and did the rest on Saturday and Sunday . They think GP can do all in 10 minutes. Those who propose are people who have zero idea about General practice and work involved.
2700 patient is not too small. This is single handed. Not gp’s fault. He must have worked very hard.
Good for CCG finance , not for patients
Useful to know this
A bit stupid to call it “fraud”. Patient come and register and leaves practice when they want . Those who don’t leave are on list. Lots of them move long way away and come to see same Gp because they did not bother to register elsewhere and not informed Gp of change of address.
Those who go to university don’t bother to register there.
GMC is investigating a doctor who asked child’s mother to take of face cover (nikab) I did not think they should have even consider that case but they have sent letter to doctor .
He is thinking of leaving profession
9p really!!!. Booked cruise today on hearing this. Should cover all expenses and locum cost.