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GPs told to refrain from referring as hospital declares early-season black alert


'Whenever possible please refer patients to the community urgent care support team ... The joint emergency team will respond within two hours and will attend to patients who are aged 65 years and over in their home environment.' Did they remember to add: 'They will diagnose a UTI and you will be called to see the patient later in the week, when they will be admitted to hospital and their subdural haemorrhage and / or acute kidney injury will be treated. The families will blame you for the delay in diagnosis but will be happy the hospital did everything they could. You will have to answer to the GMC, CQC, criminal and civil courts and 60 billable hours of solicitors time will be used to investigate and debate your 10 minutes of contact with the patient.' 'Following a prolonged hospital admission the patient will be discharged on a friday afternoon to a nursing home whose patients are registered with another practice so he/she can 'die at home'. No one from the hospital will contact the new GP surgery to tell them a patient is being discharged to a new home and GP to die. The district nurses will call that afternoon for the new GP to urgently rewrite the drug authorisation forms for morphine and other strong drugs. He/she will be encouraged to sign a new DNAR form without meeting the patient as the font on the hospital form is incorrect and not accepted in the community.' 'The patient will die at the weekend and the new GP will spend several hours messing about with documentation related to the death over the following week, as they met the patient on the preceding friday whilst visiting the home. The relatives will book an appointment with the births and deaths registrar for Tuesday morning and will write to NHSE with a written complaint that the death certificate wasn't ready in time. The certification will not be ready for a week as the hospital discharge makes no logical sense and is unreadable. The cremation papers will take longer as the old records are stuck with Capita and it is unclear if the patient had any operations in the year before death, or what kind of disseminated cancer they had anyway.' 'The hospital chief executive will use the experience of managing a bed crisis as a positive example on his C.V. He will be made redundant from his job and be paid £2000/day to advice a neighbouring trust on how to deal with a bed crisis. His original trust will employ the chief executive made redundant from the 2nd trust as an interim chief executive for £2500/day.' 'The CCG Chief Executive will talk at conferences about how they have the highest number of patients who 'die at home' and will encourage clinicians to treat patients 'as they would treat their grandma'. Her grandma is in a state funded nursing that smells of urine. The staff work hard but leave to a better run establishment for a more liveable wage when their English is good enough.' 'The family will start a charity and advocacy group for patients with subdural haemorrhage and acute kidney injury, resulting in an article in Pulse magazine titled, 'GPs urged to consider subdural haemorrhage and acute kidney injury in the elderly.' 'The GPs originally involved won't read the article as one will be surfing in Australia and the second will be tending to their garden as part of an aim to become self sufficient and forget his previous life as an NHS GP.'

Posted date

15 Sep 2017

Posted time