My radical idea. Take general practice under the NHS , remove partnerships so everyone is an NHS employee. Practices run by GP consultants (salaried) feeding in to PCN boards for local equity and decision making, PCN boards to have a chief operating officer managing funding for PCN localities. Integrate funding and IT systems with secondary care so primary and secondary care become a hub and spoke model and removes them and us and the issue of their budget and our budget. Give primary care funding to make local decisions, scrap microtargets and give us KPIs linked to CQC (short medium and long term targets), workforce employed on need and stop making up roles. Clear training career routes and registration for clinical AND non clinical staff. Yes to national campaigns surrounding roles and services. Standardised national triage system for front door assessment of need (as per 111) to ensure those who need an appointment get one and those who don't are appropriately signposted.
In NZ we have megapharmacies that waive the $5 dispensing fee as a way to leech custo.ers from local pharmacies. Patients here are shortsighted not realizing that a local pharmacy is a first response Healthcare professional in your community. I think educating people on how a pharmacist can advise them is a helpful way to ease pressure on doctors and ED
An appt costs $zero 👀 Watching from NZ where a doctors visit costs A variable maybe $70 And my own ( as a patient) trust based "poor people practice $18
Well done Andi and Gandi. I wish you worked in Government to implement these changes
My radical idea. Take general practice under the NHS , remove partnerships so everyone is an NHS employee. Practices run by GP consultants (salaried) feeding in to PCN boards for local equity and decision making, PCN boards to have a chief operating officer managing funding for PCN localities. Integrate funding and IT systems with secondary care so primary and secondary care become a hub and spoke model and removes them and us and the issue of their budget and our budget. Give primary care funding to make local decisions, scrap microtargets and give us KPIs linked to CQC (short medium and long term targets), workforce employed on need and stop making up roles. Clear training career routes and registration for clinical AND non clinical staff. Yes to national campaigns surrounding roles and services. Standardised national triage system for front door assessment of need (as per 111) to ensure those who need an appointment get one and those who don't are appropriately signposted.
In NZ we have megapharmacies that waive the $5 dispensing fee as a way to leech custo.ers from local pharmacies. Patients here are shortsighted not realizing that a local pharmacy is a first response Healthcare professional in your community. I think educating people on how a pharmacist can advise them is a helpful way to ease pressure on doctors and ED
The Government needs to see this and consider it on a serious note!
An appt costs $zero 👀 Watching from NZ where a doctors visit costs A variable maybe $70
And my own ( as a patient) trust based "poor people practice $18
Could ESR be interpreted as NHS Jobs passport?
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