Am I nearly there yet?
Seems at present politicians have moved so far up their own arses and entrenched in their own views they forget that anyone else can actually hold and express a valid opinion. JR-M really needs to pull his socks up if he expects any respect. Arrogance is now ruling debate not argument and fact.
Para 3 of article. case find and test symptomatic people ? As hypertension has no defined symptoms [except when too late] what are pharmacists going to be looking for. surely for the intentions of case finding they simply have to offer opportunistic testing to anyone. why complicate the simple? - whoops sorry, forgot this is an NHS initiative.
Good on you Nigel.
Drop in FTE Partners is actually the most telling.From personal experience we know what the loss of a Partner means - our [taxable] earnings went up [Great?]. unfortunately our ability to manage the practice went down and has now been [taken over] merged. Roll on last man standing... but watch out for the tax bill.
Good on you mate... Talk it up then. - Sorry, "What was that you said?" Still cant hear much...
Obesity may be "Complex" but lets not forget it usually results from more calories in over calories out. by all means "Have the conversation" but we really must avoid Medicalising essentially a current social issue. If governments are so concerned then they need to get off the high horse, Tax the Fat and subsidise the alternatives. Clothe retailers need to stop adjusting dress sizes and revert to what was normal. stop fudging the issue, stop using PC terminology. We all need start singing from the same hymn sheet and provide consistent messages.
so what's new? All "New" initiatives are thin end of wedges. Why get sucked in? (again)
after 29years at the coalface I can assure you that bigger is definitely not better. with your experience if it doesn't feel right then it isn't right. its all another smokescreen to divert attention from the real underlying issues you have raised.
When will someone up there start to realise that Bigger is not Better. Possibly when local PCNs becomes PCN England? But what then after that??
Depends really on how much the governments of the day value experience within the NHS. Surely the simple thing to do if they do is to raise the thresholds? - Job done and workforce keeps working... Opting out of the pension contributions just pushes your earnings up which are taxed but at least you know where you are with this.
Resilience can only last so long if the fundamental issue of a depleting workforce is not reversed. I am now there and retired early[ish] with no regrets. I've done my time, starting with 1:2 rotas and 24/7, 365 red book contracts. I recall it being said for decades that a quarter of the workforce will be retired in 5 years. well it seems the final five years is now up. Clearly smelling the coffee for too long just means the incumbent Health minister just moves on... What can anyone expect?
1. Agree with chris Ho.
2. Let her speak then make her listen to others speak. If we only listen to the "party line" what is there to debate??
3. to all those who can only throw in there membership if they feel "Offended" - grow up
Hopes and Wants have done nothing to address the actual NEED. the words are meaningless.
And the point of the analysis being ??
A bit of title creep here I think. what happened to "Physicians Assistants"? As a GP I couldn't have learnt all I have done with a post grad course. Where are the Doctors? surely another layer of patient interface just muddies already murky waters.
agree with turn out the lights. the whole concept of PCNs is just another diversion away from the intrenched decline in proper General Practice. it will create yet another industry in "Managing" GP but nothing to restoring General Practice. All the funding for parapatetics will only create increased diversity and nothing for continuity of care or patient benefit.
seems the obvious reasons for discrepancies as always overlooked in an obsessional drive that all must be equal. When will this "Diversity" obsessed agenda finally see reality? Clearly to address this (im)balance the answer is that males now have to do less work or those that have chosen a 9-5 option resume weekend on-calls.
Never mind the online systematic questioning process to start with. It then does decry belief [or not!] that Capita devise a submission form that when completed is then too big to upload onto their own site. fortunately my PM was able to "dumb it down" to the required 3Mb required. How much more evidence is needed by DoH that their support service ain't fit for purpose?
Excellent article. the whole issue needs to be debated publicly. I suppose the big issue is whether as an individual you want to live well until you die or do you want to live on no matter what. Doctors have to remember we are managing those individuals. unfortunately Guidance and protocol are derived from populations and seem to be formulated to cover the lowest common denominator who is applying them. Protocols dumb down your ability to think. if your not thinking then individuals suffer not the population.
Agree with stelvio. you may clear a uti bug in 24 hrs but sx don't settle for 4-5 days. worse with the "Old Chest infection Doc.." It has always seemed very arbitrary how long a course of abx should be. Why not just advise patients to take treatment until they feel better? After all how many "Courses" are ever completed for the full length issued no matter what the current guideline is?