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GPs buried under trusts' workload dump

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Out-of-hours provider forced to rely on one GP for 850,000 patients overnight


Several counties have just one GP overnight with nurse practitioners to see many patients(loosely used term)as some of them are actually not primary care or emergency Nurses practitioners but specialist nurses in hospital such as asthma,urology or cardiac failure nurse who moonlight in OOH. Such NP`s do home visits as well. Although they could be experts in a small area of their expertise they are not trained in all areas or have experience in broad range of specialities they tend be overcautious and refer more or miss some important problems which present as trivial symptoms. Not unexpected with the funding cuts and NHSE want GP`s/Federations to take back OOH for free!!! Some of these have more than 1 million patients each. Also some OOH have some GP`s in a their primary base triaging and a skeletal staff elsewhere but CAN BE listed in the bid for each CCG as "triaging clinicians", the joy being the same GP who being counted as one triaging clinician for each CCG contract but each CCG unaware that the the same person is being counted as a clinician in each of the CCG covered!! The catch phrase used by OOH now is "service delivery within the financial envelope".

Posted date

18 Feb 2016

Posted time