I took the liberty of forwarding this to a GP mate of mine and thought it
would be worth sharing his reply with the list.
PS Ignore the love and kisses bit it's not that kind of relationship -
honest!
----- Original Message -----
From: "Brian Crowley" <[log in to unmask]>
To: "richard BAILEY" <[log in to unmask]>
Sent: Sunday, March 14, 2004 5:43 PM
Subject: Re: GPSI
> B*[log in to unmask]
> (2) and (5) have always been the bulk of our work.
> We aren't opting out of emergency work, we're opting out of OOH work, the
> vast majority of which is neither an emergency nor appropriate for OOH.
> Still plenty of acute illness to be seen in primary care 8.00 till 6.30
> (4) as we know is mostly a waste of time, and yes, is already done to a
> large part by nurses and HVs.
> (1) can and ideally should be done by nurses but with appropriate training
> and supervision.
> As far as (3) is concerned, we don't do _routine_ chronic disease
> management, we do complex CDM. I defy any one to do that properly and
safely
> without a medical degree.
>
> Love & kisses
>
>
> ----- Original Message -----
> From: "richard BAILEY" <[log in to unmask]>
> To: "Brian Crowley" <[log in to unmask]>
> Sent: Sunday, March 14, 2004 2:54 PM
> Subject: Fw: GPSI
>
>
> > Thought you might like this!
> >
> > ----- Original Message -----
> > From: "ae_res" <[log in to unmask]>
> > To: "Bill Bailey" <[log in to unmask]>
> > Sent: Sunday, March 14, 2004 1:11 PM
> > Subject: Re: GPSI
> >
> >
> > I wouldn't get to worked up about GP's folks because
> > they are going to be phased out! Having listened to
> > George Alberti talk have glimpsed the brave new world
> > which the politicians are aiming for and the plan is
> > to do away with any distinctions between docs, nurses,
> > physios, OT's etc. First to go will be GP's. I expect
> > them to be a thing of the past within my lifetime.
> > Here's how it works. If you look at a GP's core
> > activities they break down into:-
> > (1) Diagnosis/treatment of minor illnesses.
> > (2) Assessment/diagnosis/referral of major illness.
> > (3) Routine chronic disease management.
> > (4) Screening/health checks - eg. children, elderly,
> > maternity.
> > (5) Emergency diagnosis/assesmet/tratment/referral of
> > acute illness.
> > If you look at those roles currently practice nurses
> > are being trained to do (1) & (3), Health visitors and
> > community midwives can do (4), leaving only (2) and
> > (5) to sort. With GP's opting out of emergency work
> > this is being taken over bu nurses and paramedics (at
> > least in our area) so you don't need GP's for that!
> > That only leaves assessment/referral of major illness.
> > Not hard to envisage a suitably trained nurse taking
> > over that role. Think it won't happen!? Think again.
> > In our area one practice has already replaced retiring
> > partner with additional nurse support. In the short
> > term with no on call and most of the income coming
> > from capitation, item of service and target payments
> > makes a lot of sense. One less £6,000 to deduct too
> > for out of hours. But it is the slippery slope. GP's
> > are doomed!
> >
> > Fred.
> >
> >
> >
>
>
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