another last man standing
Okay I’m all for this but had been doing this check for decades until midwives muscled in on the service. This ‘check’ was sometimes as useful as asking the Tesco checkout person for advice and reassurance and invariably the advice was ‘see your GP’ !!
That being said I feel that the six week check for mothers should also include the check for babies too as many issues can materialise when mother and baby are seen together. More work maybe but potential present or future problems can be dealt with before they become worse but my past obstetric experience may make me a bit biased in giving my opinion!
A bit less talk and a bit more action may be more appropriate to save the sinking ships HMS GP and HMS NHS but it may already be too late to salvage these wrecks. Has anyone got a life belt to spare for me and probably a few thousand others!
I lost count of the number of times that I picked up a congenital cardiac defect in babies at the six week check after they had been given the all clear by a junior doctor upon discharge from hospital. I suppose that’a called ‘experience’ so in my eyes the six week check wasn’t a waste of time. The midwives have taken over all obstetric care for years so if that’s what they wanted then they have to take full responsibility for such expectations. Some of us older doctors actually did more obstetric jobs than the six month GP rotation job and missed having everything taken away by the midwives but I accept that was then and this is now.
I suppose that this is just using our most useful instrument the retrospectoscope! It makes you wonder what guidelines we should really be using since NICE have a habit of backing down on previous recommendations.
Of course reducing treatments for apparent hypertension will reduce prescribing costs! Or am I just being a cynic?!
New headline: Management Consultants laughing all the way to their bank.
The greatest sadness is that this £1.2m would not be available for those who really needed it for real healthcare needs.
The Strawbs got it right from their prophetic album many years ago:Grave New World!
Okay so if we refer nobody and issue no prescriptions then the government will be very happy at the savings made. Of course as a result people will die younger so further savings made by reduced pension and benefits payments needing to be made by the Treasury!
So everyone is happy and therefore less need for antidepressants (or ketamine sprays) as a result!!
I forgot to add that problem solved so everyone happy! Who needs antidepressants!
Why not just have a ‘lucky dip’ tub at the Surgery or Pharmacy entrance so people can help themselves! Of course tub is to be left outside after hours!
This way we’re not directly involved in those ‘needy types’ clogging up our appointments! Monitoring? Well they’ll be self monitoring won’t they so still not our problem! Problems solved!!
I think that the ‘top GP’ is after a knighthood for his sterling work in supporting us grassroots GPs and not a run of the mill OBE. Please note my cynicism!
As far as investing more in general practice only five words spring to mind: bullsh*t is one and too little too late are the others.
And by the time he tries to implement the impossible he’ll find that there are no GPs left to reduce the bureaucracy for! He’a trying to slow down the speed of the NHS juggernaut that’s already been driven of the cliff and achieved terminal velocity!
So our wonderful chairman of the CQC is trying to be seen as a nice guy and supportive of GPs! Ha ha!I presume that this is to ensure that his future knighthood is safe upon him retiring from the CQC! I wonder when he last summarised any patient records if ever or if he can remember what a patient looks like!
This empathetic and supportive approach is bound to attract the 5000 extra GPs guaranteed by the DOH! LOL!
Why on earth would any doctor from Australia want to come here apart from to make a few pounds in a poor climate and poor healthcare system and only likely for the short term. This would,at best, briefly solve a problem for the very short term and not address the underlying difficulties. Or am I wrong?
Well there’s a surprise! Which only begs the question, as already indicated, how much more NICE ‘guidance’ is both misleading and based on lack of evidence? And then we run the risk of being litigated for being expected to follow such guidance.
Isn’t it wonderful working in such a system!
But if there aren’t enough doctors to begin with to look after patients because all the medics have left the country to work elsewhere then this isn’t going to work or help is it?
Of course he’s delaying the date for recruiting one GP let alone 5000 as there isn’t a gnats chance in hell of getting anyone interested by 2020 if ever as things are.
I bet that he’s not delaying any date for us to achieve targets for patients outcomes!
So now they tell us that the CQC needs to improve as the chairman jumps ship. Thanks a lot! Can we claim compensation for the trauma that the CQC has inflicted on many grassroots GPs! If the CQC has done anything good, which I am not convinced of, then it has been counterbalanced by its damaging behaviour!
We have no choice to accept that IT is the present, future and here to stay until Armageddon. I would be interested to know of the incidence of errors before everything related to IT controlled our lives! Someone somewhere may like to do some research on this since the DOH thinks we have so much time on our hands and are down at the golf course all the time too!
The damage done to grass roots GPs by the likes of CQC etc. has been incalculable. Is it any wonder that general practice is so unattractive.
I presume that he will go with not just a gong but a golden goodbye of some sort albeit in a hidden format while the rest of us struggle on!
Because of my cynical (!) nature I suspect that there are insidious reasons for the potential ‘flu vaccine shortage.
1) If people die as the result of contracting influenza because they hadn’t been vaccinated then it is a cost saving to the NHS because they aren’t here anymore to get the treatments for all their other pathologies!
2) If such people do survive ‘flu then we will have told them there is no treatment (cost saving) and anyway Tamiflu etc makes no difference/doesn’t work!
3) For those that need hospital admission they can’t have that as there are no beds available!
What’s the point of mass resignations when so many GPs have already walked away or intend to sooner rather than later. The threat becomes more hollow if there isn’t anybody left to resign!