GPs to get £20 bonus for keeping patients out of hospital

[gas112]

how is it going to do that?

the £20 goes to the practice not the GP

using the Advice and Guidance system rather than a referral increases the workload for the GP and the practice.


"GP practices are able to claim £20 for each 'episode of care', which could include several interactions with specialists."

Plan for GPs to keep millions of patients out of hospital

GPs will work more closely with specialists to support patients closer to home, the government says.

www.bbc.co.uk

You do realise that most practises are actually owned by the GP`S or several of them.
You clearly havent got a clue about how a GP`s surgery works the extra work you talk about for the GP is the press of a task button informing the secretary/admin to do an a&g instead of a referral so no additional work at all for the practise

 

[gas112]

WRONG

it increases the workload for the GP and the practice

so its not obvious it is open to abuse

go on amuse us how do you think it increases the work load ?

 

[Notch7]

Surgeries/Practices are private businesses owned by GP's. Been that way since the founding of the NHS.

I know thats the point I'm making

although GP practices arent really private in any sense, Drs and nurses salaries are set by the NHS, the amounts they get paid for patients are all set by the NHS.

Im not sure there is much private enterprise in reality

 

[gas112]

I know thats the point I'm making

although GP practices arent really private in any sense, Drs and nurses salaries are set by the NHS, the amounts they get paid for patients are all set by the NHS.

Im not sure there is much private enterprise in reality

Really no private medicals for taxi drivers/lorry drivers / car accidents / insurance report etc etc they used to get a payment for signing bodies off for cremation that stopped last year

 

[Odds]

Hard to see how it improves the service when the Guardian reports Patients’ satisfaction with GP services has collapsed in recent years as family doctors have switched to providing far fewer face-to-face appointments, new research has revealed. The proportion of patients seeing a GP in person has plummeted from more than four-fifths (80.7%) in 2019 to just under two-thirds (66.2%) last year. Telephone appointments have almost doubled over the same period from 13.4% to 25.4%. Those undertaken by video or online, including some in which patients fill in an online form but have no direct interaction with a GP, have risen almost eightfold from 0.6% to 4.6%.

 

[Notch7]

You do realise that most practises are actually owned by the GP`S or several of them.
You clearly havent got a clue about how a GP`s surgery works the extra work you talk about for the GP is the press of a task button informing the secretary/admin to do an a&g instead of a referral so no additional work at all for the practise

practices are a business, the money goes to the practice.

you clearly dont know

it absolutely does increase workload

a survey showed: "More than three-quarters (78%) said it was increasing their workload"

"Another GP, who wished to remain anonymous, commented: ‘It’s a massive time drain keeping an eye on this. It adds clinical risk and delays care. Often you get messages back telling you to do a load of tests or provide more information – it’s draining.’"

"But sometimes a referral results in an advice and guidance response listing investigations, treatment, and repeat assessments to be done. This can be a huge transfer of work, there may be tests I can’t access or can’t interpret, and clinical responsibility is still with the GP, I think.’"

Two thirds of GPs say ‘advice and guidance’ is blocking patients who really need a referral

Two thirds of GPs feel ‘advice and guidance’ is preventing patients who really need a referral to secondary care from getting one, according to the findings of a snapshot survey of Pulse readers.

www.pulsetoday.co.uk

the extra work you talk about for the GP is the press of a task button informing the secretary/admin to do an a&g instead of a referral so no additional work at all for the practise

gas112 is absolutely feking clueless

see ablove old bean

 

[Notch7]

Really no private medicals for taxi drivers/lorry drivers / car accidents / insurance report etc etc they used to get a payment for signing bodies off for cremation that stopped last year

thank you for proving my point: hardly any private enterprise at all

and yes I know very well about signing death certs, I used to play badminton with a couple of Drs so know rather more than you on this

poor gas112 is embarrassing himself as usual

 

[gas112]

practices are a business, the money goes to the practice.

you clearly dont know

it absolutely does increase workload

a survey showed: "More than three-quarters (78%) said it was increasing their workload"

"Another GP, who wished to remain anonymous, commented: ‘It’s a massive time drain keeping an eye on this. It adds clinical risk and delays care. Often you get messages back telling you to do a load of tests or provide more information – it’s draining.’"

"But sometimes a referral results in an advice and guidance response listing investigations, treatment, and repeat assessments to be done. This can be a huge transfer of work, there may be tests I can’t access or can’t interpret, and clinical responsibility is still with the GP, I think.’"

Two thirds of GPs say ‘advice and guidance’ is blocking patients who really need a referral

Two thirds of GPs feel ‘advice and guidance’ is preventing patients who really need a referral to secondary care from getting one, according to the findings of a snapshot survey of Pulse readers.

www.pulsetoday.co.uk

gas112 is absolutely feking clueless

see ablove old bean

notch talking absolute nonsense not understanding that the GPS own the practise .
Arranging an A an G is the press of a button the GP doesnt do it and it doesnt take any longer for admin to do than a referral.
Oh doctors getting told that they should have done the proper diagnosis first before actually referring or AanG perhaps its hard to do them over the phone . You know like doing telephone appointments for the likes of skin cancer etc

 

[gas112]

thank you for proving my point: hardly any private enterprise at all

and yes I know very well about signing death certs, I used to play badminton with a couple of Drs so know rather more than you on this

poor gas112 is embarrassing himself as usual

Hardly any private enterprise at all dont talk nonsense those are just examples of some of the stuff they do
how many hgv drivers are there in the country
how many taxi drivers
how many medical insurance claims is there per year
how many car accident claims is there per year .
Letters starting at around 120 quid going up into the hundreds
Poor old notch talking nonsense a member of my family is head of admin for one of the biggest practises in the country and its part of her job to claim all this money and do all this so called additional work.....


. Edit and its not about signing death certs its about cremation certs

 

[Notch7]

notch talking absolute nonsense not understanding that the GPS own the practise

gas112 is a ficko wot finks the £20 goes straight to the GP

Arranging an A an G is the press of a button the GP doesnt do it and it doesnt take any longer for admin to do than a referra

Ive already provided the evidence that is utter bolox

now go away and stop embarrassing yourself

Oh doctors getting told that they should have done the proper diagnosis first before actually referring or AanG perhaps its hard to do them over the phone . You know like doing telephone appointments for the likes of skin cancer etc

poor gas112 doesnt understand

which is why gas112 is a Trump supporter..........dumb slogans is gas112s limit of understanding


"Im gonna build a wall" says Trump.............fantastic says gas112 thats so clever

 

[Notch7]

Hardly any private enterprise at all dont talk nonsense those are just examples of some of the stuff they do
how many hgv drivers are there in the country
how many taxi drivers
how many medical insurance claims is there per year
how many car accident claims is there per year .
Letters starting at around 120 quid going up into the hundreds
Poor old notch talking nonsense a member of my family is head of admin for one of the biggest practises in the country and its part of her job to claim all this money and do all this so called additional work.....


. Edit and its not about signing death certs its about cremation certs

poor gas112 is utterly clueless

poor gas112 doesnt realise Gp surgeries charge for letters because they have to recover overheads
poor gas112 has obviously never run a business

a member of my family is head of admin for one of the biggest practises in the country and its part of her job to claim all this money and do all this so called additional work.....

shame you dont know nufink about it then

Ive forgotten more than you think you know about the finances of a GP surgery, its best you keep quiet Old Bean

 

[gas112]

gas112 is a ficko wot finks the £20 goes straight to the GP


Ive already provided the evidence that is utter bolox

now go away and stop embarrassing yourself


poor gas112 doesnt understand

which is why gas112 is a Trump supporter..........dumb slogans is gas112s limit of understanding


"Im gonna build a wall" says Trump.............fantastic says gas112 thats so clever

Now lets think where that additional 20 quid goes yep into the practise that then becomes part of the practise profits that then gets split between the GP`s who own it ...talk about notch being so thick that he cant understand it .
Its not utter ****** it is the press of a button
Poor old notch is struggling with the FACT that GP`s are doing far far less face to face appointments and attempting diagnosis over the phone .

.
Poor old Notch getting a semi and having to mention Trump in a thread about UK GP`S

 

[gas112]

poor gas112 is utterly clueless

poor gas112 doesnt realise Gp surgeries charge for letters because they have to recover overheads
poor gas112 has obviously never run a business



shame you dont know nufink about it then

Ive forgotten more than you think you know about the finances of a GP surgery, its best you keep quiet Old Bean

recover overheads comedy gold template letters etc press of a button to send medical records in many cases . Medicals done over the phone in a 5 minute phone call( has anything changed from last time ok letter will be with you)
Poor old notch doesnt know how to run a business that makes a profit on its services and not just cover overheads .
Comedy gold coming up with your knowledge about gp surgery finances those must have been some badminton games

 

[denso13]

https://www.itv.com/thismorning/articles/gps-to-get-20-bonus-for-keeping-patients-out-of-hospital-in-bid-to-slash

Thoughts ?

If it reduces the number of hospital appointments in a meaningful way then it is well worth it. More work for GP's but it could have a big impact on waiting lists/times.

 

[motorbiking]

headlines are just clickbait

invariably they do not match the article at all..............as is true in this case

no need to argue for the same of arguing Notch. I merely pointed out that.

My thoughts: you should read the article, which does not say what you claim.

Nowhere in the article does it say Drs would get £20 for keeping patients out of hospital.

is it exactly what the headline says. So Nwgs2 hasn't "claimed" anything. He's literally quoted the articles.

Drs arent like Tory MPs

Some are criminals.

Junior doctor jailed for running a dark web site which shared indecent images of children | The Crown Prosecution Service

www.cps.gov.uk

Former surgeon jailed for five and-a-half years after admitting offences including assault occasioning actual bodily harm and child cruelty during multiple male circumcision operations | The Crown Prosecution Service

www.cps.gov.uk

Should GPs have to disclose previous convictions to patients? | Regulatory Blog | Kingsley Napley

When it Matters Most.

www.kingsleynapley.co.uk