Watching ITV1 Good Morning Britian about a petition to change all GP consultations to face-to-face… what a contraversial topic!! Here are my thoughts about this… I have been working in hospitals for more years than GP surgeries so first of all I think I know exactly how the pressure on the A&E and hospital departments are. From my experience in various GP surgeries, some places have a lot of face-to-face appointments but others have a telephone based triage. I am an advocate for face-to-face, as it is part of my character and expertise I believe you get a lot from those consultations. However the demands to access GPs is OUTRAGEOUS. We contact at least 45 patients same-day appointments in a presumably 4hours sessions. I am not adding the other routine ones or the admin work from blood tests, prescriptions and letters which are not even included in the session time or visible to anyone (people just seeing tip of the iceberg of the GP work) Now if people want GPs to see everyone face-to-face, we would be worse on the accessibility scale where patients would not be able to access their GPs. We are human-beings and physically cannot be available to see everyone with all their complex issues as I can guarantee you there are no GPs who could see the patient and give them everything they want as well as get them in and out of the room and finish their medical notes in 10 minutes. Even any specialist in the hospital or Emergency clinicians definitely get longer than that. The bottom line is if we want the NHS with its current state to survive, we need to think what patients need the most. Is it a relationship with their GP by getting everyone face-to-face or is it accessibility to get appointments when needed? It’s a dilemma that can never be fixed. If any surgery chooses one way or the other, people will complain they are losing on the other bit. Is there something clever that people could suggest to solve those problems and stop the public complaining ??!! Any thoughts? #GPcrisis #Healthcare #ITV #GMB #SavingtheNHS #Doctor #GPappointments #Emergencycare #Primarycare
Dr Abdel-Rahman Nafie’s Post
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An extremely realistic response as expected from the RSCEd. Trying to further pressurise overstretched groups from the busiest specialties is not a long term solution. The only realistic solution is to increase capacity and investment.
RCSEd responds to an article in the Sunday Times (08 December 2024), in which Scottish Health Secretary, Neil Gray, discussed offering NHS staff the opportunity to work evenings and weekends to reduce waiting times for planned surgeries. Read more: https://lnkd.in/eK_XT7WH
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Unique accounting procedures in the private sector.
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This is a long awaited / much needed fix but the reality is that it's also just allowing trainees who were already coming through the system to take the jobs they've trained for. They were already in the system and working the jobs - just not being paid for or given the right titles. Maybe a few were sitting out of work but it's doubtful that they wouldn't have carried on as GPST grades or worked as locums in the system in some way. I'd see this initial step as a retention scheme rather than a recruitment scheme. It'll have a positive impact and should be welcomed. It won't be the silver bullet to reduce waiting times for a GP appointment though. Increasing university places and GP training slots is the only long term solution. This should be accompanied by a workable program of international and permanent recruitment for the short to medium term. The previous government pledged to recruit 6,000 more GPs in 2019 with a procurement exercise launched to promote international recruitment - however it failed to give practices sponsorship licenses and didn't address the fact that it's impossible to qualify without already working in the NHS. Workarounds for this red tape would really be beneficial to international GP recruitment.
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wsj.com
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