Indeed, if we are to extend our patient contact hours we will have to
withdraw from all such management activities as PBC. I currently have
the same patient contact time as I always did, but work at weekends
and in the evenings on many things which help to suppprt and manage
the NHS, this is something I would have to give up if I had to extend
my hours of patient availability.
Cheers Geoff
On Dec 22, 2007 9:56 AM, Simon Bradley <[log in to unmask]> wrote:
> 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
>
>
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