It is likely, also, to have an effect on the willingness of GPs - and
especially the GP partners - to spend even more time on the numerous
meetings involved in implementing so many of the government's
initiatives e.g. PBC and the findings of the Lord Darzai Review (mind
you, I remain unconvinced that the review results were not written
before the review was started..) which are going to involve a great deal
of service redesign.
In my practice, I reckon that the time we are using on these meetings is
about the equivalent of half a partner - without mentioning the
additional time demanded from our practice manager.
I am not clear that this level of involvement will be affordable in the
future.
MaryH
In message <006b01c84480$df6092d0$0202a8c0@main>, Simon Bradley
<[log in to unmask]> writes
>This is going to be a disaster for Government as well as for patients and
>the NHS.
>
>There is much work that GPs undertake that is in the pen-umbra between what
>hospitals can do and what GPs can do. Currently this involves GPs adsorbing
>pressure and treating patients at home. If GPs are abused by a Government
>that negotiated and freely agreed a contract that GPs have delivered; a
>Government that on delivery say, “we did not mean what we said, we will make
>you do more work for the less pay”, they will find that we stop managing the
>pen-umbra. They will have lost the goodwill they makes us undertake that
>extra mile for patients in the community.
>
>Patients in the pen-umbra are stressful to manage and if they arrive in
>secondary care they will be seen by secondary care as suitable for their
>intervention. No one will be able to criticise the GP for their referral.
>Secondary care will see, admit and investigate. Wards will fill. Waiting
>lists will increase. Government will have to pour resources into secondary
>care to enable it to cope. Popular dissatisfaction with the Government’s
>handling of the NHS will grow as will satisfaction with GPs. Counter
>intuitively, when GPs do their gatekeeper job less well, popular
>satisfaction with them will increase and Government will find it has no one
>to blame: all this at a time when Practice Based Commissioning is poised to
>make significant efficiency gains for the NHS.
>
>Action is required.
>
>Simon
>
>Simon Bradley
>Stokes Medical Centre
>Bristol
>
>-----Original Message-----
>From: GP-UK [mailto:[log in to unmask]] On Behalf Of Mary Hawking
>Sent: 22 December 2007 08:13
>To: [log in to unmask]
>Subject: Re: Time to do something
>
>In message <08c701c8442b$df27f740$2101a8c0@STUDY>, Trefor Roscoe
><[log in to unmask]> writes
>>As the GPs on this list will know, the Government has finally picked a
>>fight.
>>
>>They are proposing to remove funding equivalent to over £12,500 PER GP from
>>the budget to privatise General Practice.
>>
>>Please get in touch with your LMC, your MP and anyone else you feel needs
>to
>>know.
>>
>>I am happy to link to the BMA papers/news articles etc if you wish
>Links would be useful
>
>MaryH
>>
>>Trefor
>>
>>
>>Listowner
>>
>
--
Mary Hawking
|