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GPs urged to be 'vigilant' as elderly 'harmed' by hospital prescribing


Everyone is chasing round like a slave to NICE guidelines sticking the elderly on multiple medications by protocol before swiftly getting them out the door of the hospital the minute their temperature seems stable. I appreciate that’s a gross generalisation and disservice to all those hard working hospital pre discharge teams but on a macro level that’s exactly what’s happening. The only people left practicing sensible pragmatic holistic medicine are GPs in general practice. But that takes time and resources, neither of what are currently available. The whole linking GP prescribing with hospital admissions scheme is approaching the problem from the wrong way round. It’s the massively resourced hospital specialists who pile on all the drugs, Someone goes into hospital and their case is picked over by no end of hospital staff, they have blood tests and scans and their treatment is tweaked and they are then rushed out as soon as is possible back into ‘the community’ frequently with a list of outstanding issues that need to be sorted out and very poor handover. Their care goes from a large team to a single individual who’s also got likly several thousand people already on his/her books and often grossly inadequate information...and the patient is given 7days worth of meds to tide them over. Jeremy Hunt thinks the medication errors are all the fault of primary care? This is a problem of inadequate resources and the inappropriate transfer of responsibility and risk away from the most highly resources part of the NHS onto the least. It saves the NHS cash, and of cause we pay for all that risk ourselves through sky rocketing indemnity fees. There’s so much wrong with the way the NHS is being organised there’s almost too much to describe.

Posted date

05 Jun 2018

Posted time