Doug Jenkinson replied to Hotch
snip
10>And at the end of the day it will be no more possible to
10>measure their value than to measure the value of say a health
10>visitor. They will simply be part of a complex of medical care
10>personnel, one of many possible complex systems. The question
10>now is do we need them? To which I would answer a loud "yes".
10>We need them to relieve the ever increasing demand and workload.
10>The danger is that too much work will be delegated leaving the
10>GP with a more uncertain role. That is why the core services
10>issue is so dangerous. I am quite against the concept. GPs
10>will paint themselves into a corner. We should be employing
10>NPs and at the same time telling that surgeon (Mary Hawking
10>thread) we would be delighted to take on that subcut heparin
10>or whatever.
This is muddled thinking.
British GP painted itself into a corner years ago by taking
on more and more work - we have never been paid for Cx Sms.
Of course we can take on more and more work in GP, using PNs
or NPs or whatever. I simply am no longer prepared to pay for
another PN in my practice and have to take a subsequent cut
in my take home income.
We simply can't go on doing things like that within our
current resources, and therefore we have to define core
services in order to get resourced for other work.
The resourcing can come in various forms. Money is one, free
NPs, more GPs, mini-specialist GPs are others.
______________________________________________________________
Dr. David Jobson
The Surgery, Main St Surgery Tel +44 (0)1728 830526
Leiston Surgery Fax 832029
Suffolk Home Tel 831100
IP16 4JG email [log in to unmask]
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