NHS=Negligent Health Service

[tom_e]

So what is the point of any GPs at all if they cannot do anything for risk of litigation? Seems like a bogus viewpoint to me but I'm not a doctor so I don't know anything.

I'm guessing what they're getting at is that it's a specialised area to be able to operate the kit and diagnose the condition and GPs aren't generally specialists. Which seems fair enough.

 

[Dis86]

Practices can’t be bought and sold

So how do they come under 'new management', so to speak?

 

[heeeed]

I would agree with buddy that to look in an eye in a primary care setting and be confident to prescribe steroids for an MS flare would be ‘brave’. When I call a doctor ‘brave’ it’s not complimentary. I have done ophthalmology jobs and would consider me better than most at checking a disc out, but I wouldn’t do that. Eye casualty is the correct place (locally we have a specific eye cas, not just general A&E)

 

[Buddy]

I hope you feel better soon Rilot. Unfortunately, you're barking up the wrong tree.

 

[heeeed]

So how do they come under 'new management', so to speak?

It will depend. They may hand back a contract to NHSE in which case the practice will be procured. Or they may be merged with another/taken over. This is normally because 1 party wants to hand back their contract but the process is tough and fraught with difficulties and may lead to significant liabilities in which case a merger/takeover may feel preferable. Or that both practices feel there are benefits of merging together. However it’s not legally allowed to ‘buy’ the practice/its contract.

 

[Rilot]

I hope you feel better soon Rilot. Unfortunately, you're barking up the wrong tree.

By going to AE? Where am I supposed to go? That's where I've been told to go.

 

[Uther]

We've got a fantastic new (2019) medical centre in the village, they don't seem to let anyone in though.

 

[Chris Wilson]

We've got a fantastic new (2019) medical centre in the village, they don't seem to let anyone in though.

Ditto.... Yet the number of doctors employed there has actually increased... You'd almost think a collective choice to not see patients has been reached... Yet wage packets continue to be taken.

 

[Minstadave]

So what

So what is the point of any GPs at all if they cannot do anything for risk of litigation? Seems like a bogus viewpoint to me but I'm not a doctor so I don't know anything.
I am not sat in AE, I am going to go there on Wednesday to see what's what. I can't drive at the moment for obvious reasons and so will need to get a lift there.

This is the trend of Primary Care and many other medical specialities too. More and more is pushed out of Primary Care into Secondary Care. An old school GP with 30 years experience may well manage your MS confidently but newer GPs won't.

 

[Minstadave]

By going to AE? Where am I supposed to go? That's where I've been told to go.

It depends on your local services. You need to be either in ED or GP should arrange urgent eye clinic review.

 

[Chris Wilson]

It depends on your local services. You need to be either in ED or GP should arrange urgent eye clinic review.

But the GP seems to have raised the drawbridge and is delegating assessing patient's needs to his or her receptionist.... He's effectively unreachable behind the skirts of the receptionists.

 

[tom_e]

But the GP seems to have raised the drawbridge and is delegating assessing patient's needs to his or her receptionist.... He's effectively unreachable behind the skirts of the receptionists.

Rilot has spoken to a GP who advised he go to A and E.

 

[montymint]

@Rilot Youre obviously lying. All appointments are face to face.

That's weird, I had a telephone appointment just last week.

 

[Minstadave]

But the GP seems to have raised the drawbridge and is delegating assessing patient's needs to his or her receptionist.... He's effectively unreachable behind the skirts of the receptionists.

The GP has sent him to the right place for his condition.

 

[Dis86]

That's weird, I had a telephone appointment just last week.

Nope. Must have been face to face.

 

[Chris Wilson]

According to NHS England:



Letter to GPs is here.

It's a bugger when the NHS have to instruct GP's practices as to how they need to be run and that doctors need to actually be there to see patients face to face who so wish such a consultation. One large practice in north Shropshire has a partner who refuses point blank to see her patients before 10.00AM or after 3.00PM as she has to take and fetch her kids from school. That's just playing at the job, and it's causing understandable resentment amongst proper full time members of staff. Decide if you're a mother and housewife or a doctor, don't ponce about trying to be both.

 

[bigmike20vt]

It's a bugger when the NHS have to instruct GP's practices as to how they need to be run and that doctors need to actually be there to see patients face to face who so wish such a consultation. One large practice in north Shropshire has a partner who refuses point blank to see her patients before 10.00AM or after 3.00PM as she has to take and fetch her kids from school. That's just playing at the job, and it's causing understandable resentment amongst proper full time members of staff. Decide if you're a mother and housewife or a doctor, don't ponce about trying to be both.

i strongly disagree here and you should be careful what you wish for.

I have no problem at all GPs being working parents............ of course with the small print that they should only be paid for the hrs they work, so if they work lets say 66% of their hrs, then they are only 66% of an FTE. so you would employ 3 doctors for the pay of 2 FTEs.

this works in other places so why not GPs? of course if she is claiming full hrs whilst working part time that is a disgrace and should be sorted out but that is another complaint entirely.

 

[Werewolf]

i strongly disagree here and you should be careful what you wish for.

I have no problem at all GPs being working parents............ of course with the small print that they should only be paid for the hrs they work, so if they work lets say 66% of their hrs, then they are only 66% of an FTE. so you would employ 3 doctors for the pay of 2 FTEs.

this works in other places so why not GPs? of course if she is claiming full hrs whilst working part time that is a disgrace and should be sorted out but that is another complaint entirely.

I get the impression Chris would much rather not have a women working as a GP if she's got kids.
I mean forget that a GP working 2/3 hours (and being paid accordingly), or potentially working 2/3 hours during the week but also hours at the weekend is far better than no GP, which is exactly what will happen if you have no part time GP's or make GP's choose between having a child and working.

 

[Minstadave]

I get the impression Chris would much rather not have a women working as a GP if she's got kids.
I mean forget that a GP working 2/3 hours (and being paid accordingly), or potentially working 2/3 hours during the week but also hours at the weekend is far better than no GP, which is exactly what will happen if you have no part time GP's or make GP's choose between having a child and working.

A woman/foreigner/Muslim.....

 

[Dis86]

I think people confuse the requirement to have to go through telephone triage and then a call back from a dr before being seen face to face as “problems getting a face to face interview”.

I can’t demand a face to face meeting with my GP without going through triage and then getting a phone call first.
With receptionists being the ones doing triage well, as I posted above it can cause all sorts of problems, leaving a lot to be desired.

So why the hell are receptionists doing it? As far as I'm aware they're generally not medically qualified.