Well then we'll have to agree to a difference of opinion (and your opinion is BS as always).
Junior doctor strike: Union's pay demands unrealistic, says Steve Barclay
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Caporegime
Not at all true plus many Primary Care appointments are not for diagnostic purposes.
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Commissario
And they don't have to a lot of the time.
Many medical appointments are for ongoing issues where a phone/remote appointment saves the patient potentially several hours off work, and the doctor several minutes per appointment (which adds up very fast). For example a medicine review, on the phone it takes about 3-5 minutes a lot of the time, in person that's likely a 10 minute slot (and might mean the patent is sat around for an hour because other appointments have gone long, or an urgent unplanned appointment has had to be fitted in).
Caporegime
Exactly.
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Patient X rings up complaining of a lump in the neck. Are you saying the patient can examine, palpate and define its location as well as a competent GP can by direct access to the patient? Even with prompting from the GP and a level of calmness and mental acuity often lacking in patients? Language barriers? BS.
Caporegime
I wouldn't say that's always true, but there is certainly a risk of a Dr missing something by not seeing a patient f2f in some circumstances.
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You are avoiding explaining why the situation suddenly changed post the Chinese virus. Which it undeniably has...
Caporegime
But this doesn't hold water does it? They would be one of the 70% of F2F appointments.
However if patient Y rings up wanting to talk about his migraine medications, this is handled quickly and efficiently over the phone and they avoid the need to miss 2 hours of work, this is a good thing.
Telemedicine isn't a bad thing, it can be very useful if used well.
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Because a GP wont diagnose that anyway, they would refer to a hospital for an ultrasound regardless of what it "felt" like.
(Been there, done that, I know for a fact).
Again, your opinion is BS.
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Circa 30% increase in demand post covid (government data) - forced a triage system to cope. Have you had a look at the new NHS GP contract? They are doubling down on a triage system , as I mentioned before they don't have a solution for capacity.
Where do you think the patients waiting for hospital appts and operations go? They are definitely not sat quietly and symptom free.
Some hard numbers from last week :
We had 400 calls on Monday asking for appointments. We had 70 appts to give.
The rest of the week typically averages 300/day with around 60-70 available slots.
This does not include the pre-booked chronic reviews and follow-ups.
We bring down whoever needs as examination for a face to face appointment.
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Because the new way of working was found to be better and more efficient for the majority of the population whose mind isn't stuck in the dark ages and unable to adapt to something new.
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Empty waiting rooms, practice car parks and referrals to practices miles away whilst such previously vibrant local practices are no more, despite similar or greater GP staffing levels and no real change in local population numbers say otherwise. What about the language barrier with over the phone consultations??
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One claimed doctor here said, or certainly inferred, that their workload was exacerbated by primary care inaccessibility causing so many people to descend on hospital emergency departments, that's what relevance it has.
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Man of Honour
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Depressing. We’re turning into a developing nation. Crumbling infrastructure, corrupt politicians and raging inflation and debt.
So the issue is that you just don't believe the data?
Also remember before, people use to queue for an appt then wait to be seen essentially, as doctors were often running late.
Now that you have triage patient walk straight into the doctors room 95% of the time as they often pick a bring down time when they have cleared their triage list and a ready to see. Thus, fewer patients visibly seen in the waiting room.
Triage system also considerably reduces those that physically need to be seen.
Language barriers - we have language line which you can do over the phone.
This is with doctors sharing rooms and desk surfing. NHS has collapsed.
Caporegime
That's true across the country but not because GPs are doing less. Your logic is warped and you only pick and choose who you reply to I've noticed.
But you don't need an excuse to drag a subject off topic and into the mirky depths of your ignorance. Standard procedure.
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Caporegime
He hasn't looked at the data. He's pulling this out his behind.
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There is no data, GP's, with the support of the BMA, have refused to give it!!
Locally we could, pre covid, go without an appointment, wait maybe 20 minutes, see a GP and go home, (hopefully). Now the surgery has tumbleweed blowing about, phones go unanswered, and referrals, if you're bloody lucky, are to a practice 10 miles away. Number of GP's on nthe payroll? More..
Language? I am talking about GP's who can barely speak English, not the patients...