If I hadn't cancelled my subscription years ago I would now
The essence of general practice is continuity - it's the only reason the gatekeeper system works. Without it care will suffer and secondary care pressures will rocket. The man is a dangerous fool
Come back Jeremy - all is forgiven. I might even vote Labour next time (can't believe I just typed that)
25 a day is unreasonably low. Let's be honest - not all our consultations are long and complicated, and they are balanced out by the 'quickies'. We must not turn away ill patients just because our quota for the day is full - that is morally indefensible. There are many other ways of reducing workload which I would readily support e.g. scrapping unnecessary bureaucracy.
One problem is that many just think weight loss = referral for CT chest abdo pelvis, forgetting the old fashioned history and examination which usually leads to more appropriate targeted investigation.
I have a friend who is a radiologist who tells me that radiology services are overwhelmed by demand for this blunderbuss approach which has a very low yield.
More than 25 contacts/day is fine. Let's be honest, the quick appts make up for the complex ones. It's hard to spend 25 mins with a verruca or an IGTN
Count me out
Completely agree - Dieticians have got it all wrong - I remember a laughable letter from a dietician in which a type 2 diabetic was advised to swap from deep pan to thin crust pizzas!
Also a low carb diet should be extended to type 1 diabetics - it reduces the margin of error when calculating bolus doses leading to fewer hypos and better control.
Hard to believe that anyone intelligent enough to acquire a medical degree really thinks that JC and the current Labour party are the best option to govern the country
Utterly ludicrous. The day I start skyping old biddies in care homes is the day I retire.
What a remoaner!
Welcome back and completely agree
There is only one way to reduce the spiralling demand that is overwhelming all front-line medical services - charge them. Free at the point of abuse is ruining the NHS. No other civilised country runs its health service like this.
I am not a 'cardie' but don't like sending patients away with a face like a football without treatment. I put the blame entirely on those dentists who refuse to see such patients acutely because they are full - why should I see their extras when I have more than enough of my own?