Vioxx shambles must not be repeated
It is sad that the traditional role of the GP in our area is being completely eroded by the PCT. Fundholding was not perfect but at least it empowered us to refer our patients to our local providers. Now we are being progressively stripped of this role.
We can no longer refer directly to orthopods, but must go via a GPwSI triage system with a substantial waiting list, only for 50 per cent to be referred on eventually to a consultant with an even longer waiting list.
Minor surgery is to become the same, with very few procedures left claimable under enhanced services.
In our vastly curtailed mental health services we must now refer to a
CPN or similar link worker who will decide for us if, and to whom, any referral might go. This includes consultant referral.
Additionally, we have also lost most of our physiotherapy and counselling, thus exacerbating the situation.
Disempowerment of GPs is rife in today's NHS.
Dr Angela Tutin