Paul Caldwell wrote:
> my pct (east yorkshire) has just written to us saying that due to
> finances lack of, they are putting a block on all re-attendances at
> casualties and the pts will be turfed back to us. of course no money
> will follow for this extre work and the pts will have to be seen
> immediately. wot gets me about all these pronounicatrions by
> ministers, pundits etc what work can be sent back to us from the
> hospital is the view 1. that primary care is an endless sponge or that
> we are currently underworked 2. that although it takes money to that
> work in hospitals, it doenst in General Practice.
> capping: either we are small businesses using capitalist principles ie
> we re-invest profit in the business in the expectation we can make
> further profit, in which case if we are capped we wont invest OR we
> are employed and told wot to do. time for the gov to decide.
>
I am in general unwilling to assume that if one of my professional
colleagues exercising special expertise in emergency medicine/casualty
has felt the patient requires review by a similar doctor that they are
wrong.
I am inclined to assume, and say, that my colleague is in a position to
give an opinion on that matter better than mine would be, and that the
patient should therefore seek one from them rather than me.
This doesn't apply to all reviews, but round here there are few of those
in casualty.
I'm also informed, through the proxy of the media, that the
commissioners of various services desire me to provide better access for
general medical services. Not spending time doing other things seems to
me the the least I could do to seek to fulfill such expectations and
desires.
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