--- "Dunn Matthew Dr. (RJC) ACCIDENT & EMERGENCY -
SwarkHosp-TR" <[log in to unmask]> wrote:
> Not necessarily that much of a problem. We probably
> need to change the way
> we work.
Why should we always change what we do just because
someone else wants to drop their responsibilities?!
> Basically we can accept that a lot of
> primary care will come to us
> and deal with it (if you want to go down this route
> it may be worth
> negotiating with your PCT to take on all or a
> proportion of the out of hours
> primary care in return for all or a proportion of
> the funding- they may well
> be pleased to have it taken off their hands) or
> alternatively send the
> primary care problems to the primary care team.
I doubt any funding would follow this. More likely to
argue that as we are here already and it wouldn't be
that many extra patients we should do it anyway!
> Establish that your A and E department is not a drop
> in primary care centre
> and people will stop using it as such; see and treat
> all primary care
> problems and you'll be seen as a drop in centre.
Exactly! As Reforming Emergency Care says we should be
streaming patients to primary care we plan to do just
that! It is the PCT's responsibilty to ensure they are
seen!
> First option needs a bit
> more empowered triage at present but will transfer
> some of our current
> patients to other providers; second option needs
> more staff, but will
> attract more money.
We should be streaming to inpatient specialities
anyway!
>
> The key is to keep talking to your PCT and work out
> and integrated system.
I wish you luck! At the last meeting I had with PCT
(bearing in mind that practices can opt out from
December '04 whatever!) the PCT reps were coplacent to
the n'th degree. When I pointed out that they ought to
get on training the NP's they were planning to run the
service with they replied that they couldn't appoint
any until they knew how many they would need! Bearing
in mind they have less than 18 months to get this
sorted that seemed an extraordinary view!
>
> > Some GPs may
> > even look at a career in OOH primary care - priced
> at a minimum of £50
> > per hour it will not be difficult to earn £100k.
Not many I think.
> Trouble is that (for a partner on parity) by working
> entirely between 08:00
> and 18:30, weekends and bank holidays off average
> pay is estimated at 80-
> 85k from NHS work with the new contract; and I know
> a lot of GPs who reckon
> they should be able to make between 100 and 120k.
Really! That is not the feedback I'm getting from
local GP's. Many reckon they will be worse off. A bit
like the consultant contract - the headline figure
will apply to about 1:1,000. Most will be little
better or even worse off.
Cheers Fred.
|