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GPs buried under trusts' workload dump


  • GPs' working conditions are 'lonely' and 'damage' patient relationship, warns GMC

    Northwestern 's comment 15 Nov 2019 2:41pm

    I have a different view. I have worked in a deprived inner city practice for 30 years.
    It is hard work, demanding, and often throws up challenges which can be stressful. The bureaucracy is the worst and multiple regulators are atrial and tribulation that needs to be resolved.
    But I enjoy every single day. I work in a team with great colleagues, we have embraced different ways of working which has reduced our stress levels considerably. We use the telephone and on-line extensively. We have expanded our team to provide advance nurse practitioners and pharmacists. The right person does the right job.
    If we keep saying it is a rubbish job, which it is not, we will put of a generation of those who might follow us.
    I have been privileged to work and serve the patients that I have and my job satisfaction is enormous.

  • GPs requesting ambulance will have to provide a score for level of emergency

    Northwestern 's comment 27 Sep 2019 11:23am

    Actually there is good evidence for the use of NEWS2 in primary care.
    1. It reduces mortality and length of stay.
    2. It aids identification of a group of patients at high risk of sepsis
    3. It improves communication.
    4. A news score of 5 at one point which then deteriorated to 7 or more in an hour is a very sick patient
    5. It allows identification by the ambulance service of those patients it needs to respond to soonest
    6. a patient with a NEWS2 score of 5 should be in hospital within the hour and if 9 then within 30 minutes

    This is a good example of the implementation of (emerging) evidence based medicine.
    Don’t use it at the peril of your patients

  • 'Large' amount of unallocated GP pension cash still sat in NHS account

    Northwestern 's comment 17 Jul 2019 10:45am

    I took my pension three years ago. Capita has still not updated my last year and it took 8 plus requests through their helpline to get the second last year right. They would reply that it was done and when i checked with the Pensions Agency then that was not the case. My estimate is they owe me in xs of £4000 so far.
    Utter disgrace and shambles.