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

[Notch7]

Do you mean GP`s are complaining that they now have to go back to how they should be working after their covid holiday .
Where they should actually be seeing patients face to face instead of guessing over the phone and then passing the buck onto someone else without proper investigation .

Ah yes the usual Daily Mail stupidity of claiming Drs are lazy

 

[IT Minion]

It's ****ing brilliant.

If you have ongoing conditions which your GP isn't qualified to deal with, or ever have to visit an out of hours GP then having a qualified specialist available by phone is incredibly helpful. I've sat in a Drs office before having to point them to the NICE website for standards of care before to get the medication I should have been given. It wasn't his fault, it was a niche condition and he'll probably be er encounter it again, but there were no consultants available that they could call and normal standard of care would have been dangerous.

I had this in a recent drs appointment where they bumped it up to a specialist who was able to identify further questions to ask and confirm the next steps. Bringing more modern joined up processes into the NHS is great.

 

[securespark]

Do other people have this experience?

I used to have bloods taken at Endocrinology in hospital A (whose consultant I was under) out of my area. They would analyse them in-house and adjust my hormone meds accordingly and the GP would alter my scripts to suit. But since COVID, my GP has taken the bloods at the surgery, sent them away to hospital B (which is in my area) and then they have been analysed and results sent back to the GP.

IDK why your poor missus has been mucked about like this. What I'd be asking the GP if I were her is why have I had to go through this ridiculous situation when all it should have needed was one blood test, possibly two if one was lost or the results were unclear, but no way three.

That's just ridiculous.

When I was in hospital with my broken ankle last year, I had many people coming to say they had to put a cannula in. And my heart would sink, because these were young kids, learning and I was their pincushion. Now, I understand they are learning and everyone starts somewhere, but they should have supervision if needed. On one occasion, after four attempts, I called a halt and asked to see the senior nurse.

Her attitude was very "What is the problem?", so I told her exactly what I've written above.

A few minutes later, it was done by her and I didn't even feel the needle go in. I asked her to do it with the student there, so he could see what was going on.

 

[gas112]

Ah yes the usual Daily Mail stupidity of claiming Drs are lazy

As i said you clearly do not have a clue about how a GPS surgery is now run

 

[gas112]

Of course it does, the GP needs to be involved in the process and £20 isn't going to buy much of their time and input, which could be several times on one case.

as i have said
if the GP wants the secretary to do a referral he presses a button and she does it
If he wants to do an A&G he presses another button and she then does that .

.
Stop talking about stuff you have not got the slightest clue about

.
When you play badminton with these doctors when you hear them saying the cock is coming they are not on about the shuttle

 

[gas112]

Of course it does, the GP needs to be involved in the process and £20 isn't going to buy much of their time and input, which could be several times on one case.

Go on what additional process does he need to get involved in to get the secretary to book a A&G as opposed for her to book a referral ?

 

[gas112]

Yes it does.

So go on what additional work do you think he has to do ?

 

[denso13]

if the GP wants the secretary to do a referral he presses a button and she does it
If he wants to do an A&G he presses another button and she then does that .

No, the GP needs to use their judgement in the first place and are involved with the process throughout, including referrals and possibly prescribing medication depending on the outcome. £20 is peanuts.

 

[gas112]

No, the GP needs to use their judgement in the first place and are involved with the process throughout, including referrals and possibly prescribing medication depending on the outcome. £20 is peanuts.

what are you saying he only uses his judgement some of the time depending on what he is going to recommend .
And are you saying he would only possibly prescribe medication when you would need it

 

[denso13]

what are you saying he only uses his judgement some of the time depending on what he is going to recommend .

No

And are you saying he would only possibly prescribe medication when you would need it

Eh?

 

[Deleted member 317777]

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.

It sounds like a bonus scheme to me!

 

[denso13]

It sounds like a bonus scheme to me!

You'd rather people just went on hospital waiting lists and are dealt with there?

 

[Koolpc]

I will have to introduce Notchy to my vet...

 

[gas112]

You'd rather people just went on hospital waiting lists and are dealt with there?

would you rather someone diagnosed you without actually seeing you ?

 

[denso13]

would you rather someone diagnosed you without actually seeing you ?

Depends what it is. But the GP will seek guidance from consultants and treat you without going for a hospital consultation under this new service. That is clearly more work for them.