<Big snip>
Mary asked:
>Does being ill - even in hospital! - remove your 24 hr responsibility
>for providing care for your patients under TOS?
Nope. Death or handing over to another GP on HA list would do it. Being in
a coma, paralysed, or just on the other side of the world would leave you
open for failing to provide adequate cover for your patients. Wonder why
that contract seemed such a good deal those years ago?
>Anyone see the snippet saying GPs are going to be drafted to work in
>Casualty? or was it another nightmare?
This old chestnut keeps coming back. Ever since some civil servant mandarin
read a paper that GPs were cheaper to use in AEU than even Consultants there
have been rumours that we will be drafted in to help.
It _is_ folly that we choose to use our most inexperienced doctors at the
front line in AEU and then wonder why it takes them time, money, loads of
investigations, admissions and a few disasters to learn.
At the end of the day I'm sure it comes down to money and time. I did 9
years in AEU when GP was not so demanding. No way I could do so now.
So what to do? Reduce all the stupidities clogging GP and pay appropriate
rates for AEU work. Our Co-op was advertising rates for working Xmas and I
was non too keen on £50 per hour but was more so on £100. Let's start with
those figures? Or maybe a basic rate plus piece work say £10-50 per patient
seen depending on complexity?
>Would it require primary legislation? ;-<
Don't think Blair has descended quite to Stalin's
level.........................but give him time! ;-))
Paul Attwood
GP Ramsgate
Semper in excretia sumus solim profundum variat
(We are always in the sh*t, only the depth varies)
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