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GPs buried under trusts' workload dump

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Celebrating GPs’ success in diagnosing cancer


The hypocrisy lies where GPs pushed themselves to refer more suspect cancer diagnoses in line with the latest NICE guidance (lower positive predictive value , the translation into increase in cancer survival (reduced mortality) is limited by long referral to first treatment time in secondary care . Do not forget when more cases of ‘false positives’ are referred , this creates more ‘demands’ in imaging , endoscopies etc . Question is :how much has been sacrificed for those ‘true positive’ (false negative as well ) cases in terms of reaching first cancer treatment on time ? Hence, the so called ‘we cannot solve the crisis in NHS by pumping in more money’ narrative is a slippery slope fallacy . On one hand , the narrative is about improving efficiency and reducing waste but on the other , you open the door for more ‘liberal’ screening . Then , unless you really are to pump in more money and resources into the system ,of course , this is not sustainable. The truth is , the traditional role of GP as the gatekeeper is being eroded ,undermined and vilified under this ridiculous physiology of the government. Thanks to the academics and NICE. I see nothing to celebrate here because we are being used as the only means(like for many aspects in NHS) to ‘improve the outcomes’ (cancer survival in this case) by the government, since the overall resources are not increased proportionally . If the ‘desired’ outcomes could not be reached , we are always the only party to be blamed .

Posted date

18 Apr 2018

Posted time