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Your email gives me, I think, none of the things I need to know in order to actually do the thing you want me to do, assuming we have not already - it isn't the sort of thing I'd necessarily recall, certainly at home at the weekend. On the subject heading - you are obviously an excellent chap, but a heading to an email that says something of what it is actually about makes it easier to recognise, find, deal with, and so on. The header called From: in an email already says from whom it is... I've guessed that it'll be something I should find on https://www.primarycare.nhs.uk/ So you want me to register (assuming I have not already) Now, can I read the terms and conditions before ticking to accept them? Nope. So can you rely on my agreement having been obtained with understanding of to what I am agreeing? Nope. No contract, no possibility of enforcing them, and if I have already ticked it, I am unlikely to actually bother to find out what they are. (If they are statutory, or embodied in my contract as a GP, then the line is another redundant one.) But you want an NHS Net address or an .nhs.uk one. Here is a problem:- I ran an .nhs.uk mail domain (homefieldsurgery.nhs.uk ) for years, since almost immediately after the system went live, after the X.400 debacle. However more recently the NHS has been trying to eliminate this system, and presuambly because of that the server no longer accepts our mail and we have let the system lie dormant. I took up an .nhs.net address almost as soon as nhs.net was announced. I took the one that I usually would, as would many early adopters, along with the promise of an email address in nhs.net for life. [log in to unmask] Unfortunately, yet again, with another spasm of reorganisation of the NHS administrative bodies, my email address and account has been deleted yet again. SO I can't do that. The Practice has a general admin mailbox, but I can't remember it (it fails my carpark test) and in any case I don't really want to go in to work at the weekend in order to play with email. That only works in the working week, which may be common. (I don't memorise "home organisation codes" whatever my home org is and whatever the code is for - I suspect it is something more important to you than me. A lookup system would be in order there, by the way.) So I perhaps should be contacting the local team you mention. However, I have no idea who they are... giving a link to a list of the locales and their teams would not be ridiciculous. Finally, I forget if I mentioned this, but every Executive Ctee, Family Practitioner Ctee, Health AUthority and now CCG which has administered the NHS since 1949 has had the practice area of each Practice. TO describe yourself as bottom up and avoiding top down direction doesn't go well with the centre demanding repetition of work, supply of information, already held in organised form by the administrata. You did remark that we are busy, I'm glad you noticed, to actually walk the walk rather than talking the talk, use information you already have rather than demanding it be re-collected. The area for my Practice, by the way, is "the city boundary of Exeter, as shown on the Ordnance Survey 1:100 000 map". Reading between the lines of your last email, it seems chaos and confusion is spreading, and that some of the software isn't working. Imaging the surprise at an NHS admin software system being poorly implemented and yet use of it demanded as a time-critical administrative action. I do wonder whether this is being done as well as anyone might expect or hope, and feel that the manner of its operation is not good. > " primarycareweb Info (NHS ENGLAND) 17:55 to infoprimarycar. Good afternoon all, I understand that a number of people have been trying to contact me directly regarding the 2013/14 Annual Self Declaration for General Practice. Firstly, please accept my apologies if you have contacted me directly, either by email or by phone and I have not responded yet. There have been a significant number of enquiries to respond to, and we are trying very hard to respond to all of them. Practices have raised concerns that they received my previous reminder email, despite having submitted their declaration. We are using a single distribution list for all users of the Primary Care web interface and therefore all users will receive this email. I accept that this may generate a few unneccesy ils for those who have already submitted their declaration. If you have submitted your declaration, you will have a PDF receipt which was generated on submission, please therefore rest assured that no further action is required, your declaration will have been received. If you have yet to submit your declaration and are having difficulties either with the declaration itself, accessing the website, the catchment area submssion, or permissions to submit the declaration, then your area team will be able to assist. Enquiries which can not be resolved by your area team will be then directed to me or a member of the central support team. Finally, in a very small minority of cases, my previous email may have been taken slightly out of context. There is no doubt that General Practice is working very hard and work pressures across the whole system are significant, hence a weekend email. When the declaration is closed on 01st November 2013 I would be more than happy to hold a Webex to receive your thoughts, comments and feedback regarding the declaration process this year, in order that we can refine it for 2014/15 Should you still wish to speak with me I will endeavour to return any calls as possible Thanks Gary Gary Williams State Registered Paramedic - SRPara (HPC Reg. No. PA10476) Senior Manager – Analytical Services (London) Specialist Areas – Primary Care, Pre Hospital Emergency Care, ALS, APLS and Mental Health http://www.hpc-uk.org [log in to unmask] NHS England, Southside, 105 Victoria Street, London SW1E 6QT Direct Line: 020 7932 3835 Mobile 07876 852 226 Fax: 020 7932 3800 www.england.nhs.uk www.primarycare.nhs.uk " -- Adrian Midgley http://www.defoam.net/