this seems pretty meaningless, most GP surgeries are running at far more than 60% fill rates. I would like to see the figures with 95% and 90% appointments filled as this would compare more directly with in hours
This was a well balanced speech And optimistic in many respects, however it was not clear how funding is going to be rebalanced from secondary to primary care. CCGs were impeached to fight the fight to get the funding.
Oh and Simon Stevens has a beard now so you need to update the picture!
Stick or carrot?
Beat us up and make people stay for 4 years or change conditions to actually make people want to stay.
Being forced into poor JD contracts and held to ransom for 4 years is certainly going to increase the emigration tide for people getting basic qualifications and experience, we may see a few FY2 and 3s float through GP in 8 or 9 years time but otherwise this is far from a solution!
Can I recommend proqol.org
its a bit "American" but helps you look at and assess "compassion fatigue" which I think is something separate to burnout.
A very interesting thread here, thankyou.
I counted them out, hope someone counts all the laggers back in! I bet some may be tempted to jump ship.
I will add my thanks. As qof gets reduced and indicators absorbed back into the global sum there is a net loss for high achieving practices. Whilst some points are arguable, and the case is well made in the article re osteoporosis/lithium etc on the whole I suspect QoF has made a difference to care and the case for it is easier to make than any case for the effect of the CQC etc.
Thanks again; Top man and honorary qofmeister!
Agree this is good news perhaps too little but clarity and universality is welcome. Is this Partner only or salaried employee?
If Partner then a positive driver for Partnerships in a climate where the incentives to Partnership are disappearing.
I suspect there will be a rustling of the bottom drawer as terms in agreements get reviewed!
Chimes exactly with yesterday's pr offensive in the Daily Mail no doubt sponsored by Mr Hunt, see their letters page GP waiting times are due it immigrants. Ipso facto if gps stop seeing these people A and E wait times will be sorted.
There seem to be different "deals" being proposed, we have been offered the Devon deal but with a caveat of a 1 weeks notice of termination/discontinuation.
The deal seems to be using 2012/3 figures as a baseline for all the qof payment in 13/4, not just the retired indicators. Can anyone in the SW confirm?
Niall Dickson states: The important point of contact is the appraiser, that you’re happy that the person who is appraising you really understands your practice and so forth. I would cling to this as non GP Appraisers (nurses or managers) are much more of a threat than non GP ROs. The system started out as formative not summative helpful not a tick box. The value (arguable I know) lies in the possibility of reflection, considering how to improve and in being helped , not in being counted or stamped
P.s. has anyone read this carefully. We are being set up for 7 day availability for advice , e mails and access as "your GP Practice"
I am rather worried about the "one size fits all" modelling and instant solutions re access. If it was all this easy we would have been doing it. We had some work done by the Primary Care fOundation which runs rather contrary to some of the solutions. What fits inner cities may not fit rural practice. A top down solution rather reminds me that's how Darzi centres started life, what credit do they get? And 111?. GP led solutions may not be brilliant but we have all tried to manage demand and work as effectively as we can for a while.
We would be delighted to welcome a woman Partner f/t or Part Time station drive Ludlow.
Getting doctors is difficult enough without v=creating artificial barriers. Do these female MPs feel they should resign on sex grounds?
"That there is someone whose job it is to know how someone is, ensure good care is in place, and make sure there is access to good advice both in and out of hours"
If its my job lets start with 111 get rid or let us reconfigure completely. A limitation on further top down rubbish would be helpful.
QOF and CQC and super CQC ditto. Im happy for some kind of externa;l assessment but let US decide what the goal posts are and what they are for
Money, you acknowledge we are working hard, yes we are, we acknowledge budgets are limited but any idea that taking on more can cost less needs to be robustly denied.
Within the speech I can find little of substance and indeed much to agree with. My worry is simply this is words I rather fear the next bit the actions....
And I also worry about where all the additional resource is going to come from
I would love to understand 90% better. We do not have 111 in Shropshire it fell over within a few hours, we are told that the local OOH organisation will continue pro tem. We are a small county but I think there are many other areas which add up to more than 10% of the country. Any other geographers without 111 be prepared to add their county/area?
"working well in" what "90%" Do I detect spin?
Just wondered what your consultancy rates are per hour to advise GPs; just completing viability exercise on tender preperation. Do you have an estimate for beurocracy and overhead costs for tendering compared to the top slice commission a WP would take from a sub contracting practice.
If several people are going to take profit then costs to the tax payer must rise, or is there intangible value in creating a whole range of service industries?
As an appraiser we get to chat to quite a few GPs. Senior clinicians are deeply worried about succession planning, recruitment is becoming an issue. The sentiment seems to be "I care deeply about where the NHS is going and from a purely personal point of view who is going to look after me and my family when we grow old?"
Workload? an 8 session Partner is working 50+ Hours a week. It is however still a great job which is why so many of us are still here!