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Subject:

Re: What hours is a practice expected to provide and by whom??

From:

Trefor Roscoe <[log in to unmask]>

Reply-To:

GP-UK <[log in to unmask]>

Date:

Tue, 19 Feb 2008 21:48:02 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (128 lines)

There is a QoF point for opening about 40 hours per week.

There is nothing in the contract about what is required. You are correct
about the skill mix and working how you want to for the population that you
serve. This is what a lot of the extended hours debate is actually about.

The audit that they have sent out that GPC has advised does not need
completing may define the average and thus cause problems for the 50% of
practices below average.

Please do not fill it in.

Trefor 

-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Paul Bromley
Sent: 19 February 2008 20:53
To: [log in to unmask]
Subject: Re: What hours is a practice expected to provide and by whom??

Sorry Russell you misunderstood my question. I understand the rules re
extended hours and that we rare likely to have to make up the other hours
first. My question relates to normal hours as they exist now. Is there a set
amount of MEDICAL GP hours per thousand patients per week?? I am anxious
that as a part-time GP (although I put in approaching full time hours
already), with the extended hours I will deffinitely be 'full-time'. I
thought the new contract allowed practices to look at skill mixes within
practices etc and get away from specifically looking at GP hours.

Paul Bromley

On 19/02/2008, Russell Brown <[log in to unmask]> wrote:
> Its 30 mins per 1000 pts, stratified according to your access survey 
> results.
>
> It will almost certainly involve Saturdays and an evening during the 
> week.
>
> Given you are closed at times during the week, you will have to make 
> up those hours in addition to the extended hours.
>
> For example, assuming you have 5000 patients, you will have to open 
> for 2.5hours on top of the contracted 0800-0630 hours. So if you close 
> all day Thursday, that's 10.5 hours you'll have to do before you can 
> do the 2.5 extended hours. If (like us) you actually gave reception 
> hours of 0830-1800, that's another 5 hours a week. If you close for an 
> hour at lunch times on the 4 days you seem to be open, that's another
> 4 hours. So you might end up having to provide about an extra 20 hours 
> on top of what you're doing now BEFORE you can start counting the 
> extended 2.5 hours.
>
> All for £2.95 per patient. I would be very surprised if that even 
> covered costs.
>
> Hope that helps with the pension question you asked as well...
>
> If you have 4 years to go, I envy you. I'm 38, so have a looooooong 
> road ahead.
>
> Russ
>
>
> On 19 Feb 2008, at 18:05, Paul Bromley <[log in to unmask]> wrote:
>
> > Can I re-ask this question as no-one answered. Anyone know how many 
> > medical hours/sessions we are expected to provide per 1000 patients 
> > at the moment? I think this is vital to work out where we should 
> > start from with extended hours. I ask because I work part time with 
> > 2 other partners at our practice, and to fit in half days we close 
> > all day Thursday. We have also been fortunate in that we have been 
> > able to close at 6 other days. The problem is that if we are not 
> > careful the fact that we are part time will be lost in all of this 
> > and we will be working approaching full time. If I had wanted full 
> > time I would have applied for a full time post a couple of years ago.
> >
> > Best wishes
> >
> >
> > Paul
> >
> > On 06/02/2008, Paul Bromley <[log in to unmask]> wrote:
> >> Can I ask the above?? Since the new contract there has been the 
> >> possibility of using skill mix to provide clinical care, so what is 
> >> a practice expected to give hour wise? One reason for asking is 
> >> that we are 3 part-time partners here and decided to go with this 
> >> for quality of life and additional time off. We have just under 
> >> 5000 patients, so how many sessions are we expected to provide as a 
> >> baseline since the new contract between the 3 partners?? I do not 
> >> want to be working as a full timer on a part-time salary. To get up 
> >> to what this government wants as a baseline it looks as though we 
> >> will initially have to dispense with the Thursady afternoon that 
> >> all 3 of us share and stay open till 6.30 from the 6 that 
> >> deputising presently takes over.
> >>
> >> Talking about reneging on contracts. This government needs 
> >> stringing up. How I wish I could retire at 55.
> >>
> >> --
> >> Best Wishes
> >>
> >> Paul Bromley
> >>
> >> www.informatiks.com
> >> Custom EMIS LV Software.
> >> vuE | GPLabels | GPDocs | eGFRChecker
> >>
> >
> >
> > --
> > Best Wishes
> >
> > Paul Bromley
> >
> > www.informatiks.com
> > Custom EMIS LV Software.
> > vuE | GPLabels | GPDocs | eGFRChecker
>


--
Best Wishes

Paul Bromley

www.informatiks.com
Custom EMIS LV Software.
vuE | GPLabels | GPDocs | eGFRChecker

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