GP surgery staff question

[muddyboots]

Farmed out where?
nhs trusts?
Unlikely all routine blood tests would be directed back to their G.p

Hospitals give out the shortest prescription amounts they can to keep their prescribing rates down.
Gp's are constantly audited by the nhs who publish prescribing results costs by practice and push cheaper generic prescribing.


Just read the Summary.

https://publications.parliament.uk/p...cc/173/173.pdf

if you ask your gp for a blood test...they will send you to various blood clinics...your gp gets paid for the blood test...but another clinic does the actual test...the nhs has to pay for both services...its madness...some gp surgeries have sacked many staff and are now just money making setups...i dont want to shame gps but some local surgeries have been taken over by foreign money makers and have sacked most of their staff and just rake in the money...remember if your gp refers you for a cancer investigation it costs them a lot of money for their practise....so you must kick up a fuss if they wont refer you!...its time to close surgeries and put all services back into the hospitals and nhs....your life may depend on it

[Hamble]

if you ask your gp for a blood test...they will send you to various blood clinics...your gp gets paid for the blood test...but another clinic does the actual test...the nhs has to pay for both services...its madness...some gp surgeries have sacked many staff and are now just money making setups...i dont want to shame gps but some local surgeries have been taken over by foreign money makers and have sacked most of their staff and just rake in the money...remember if your gp refers you for a cancer investigation it costs them a lot of money for their practise....so you must kick up a fuss if they wont refer you!...its time to close surgeries and put all services back into the hospitals and nhs....your life may depend on it

Every Health Authority has a local Clinical Commissioning Group controlling the budget of services in their area.

https://www.nhscc.org/ccgs/

GP's are contracted to do blood tests.
GP's are not allowed to order some blood tests because expensive ones are rationed/discouraged unless clinically indicated.

If the G.p does not do the test the cost is on the tab of other nhs provision funded by the CCG.

Regarding cancer treatment.If anything Gp's are over cautious and will refer to a hospital based consultant (as per guidelines) any patient they
suspect may have cancer.
Any Dr missing a diagnosis could face suspension and summons before
Manchester disciplinary panel.
Tests do not cost the G.p anything.

[Ric]

Regarding cancer treatment.If anything Gp's are over cautious and will refer to a hospital based consultant (as per guidelines) any patient they
suspect may have cancer.
Any Dr missing a diagnosis could face suspension and summons before
Manchester disciplinary panel.
Tests do not cost the G.p anything.

I know of a gp in Southport who has misdiagnosed two people who had cancer and she's still practising gp.

[Hamble]

I know of a gp in Southport who has misdiagnosed two people who had cancer and she's still practising gp.

That is truly awful for those cancer sufferers.

[said]

had a cancer op in Feb ..since I come out of hospital everything has been a complete joke . its not everyday you loose an organ and wonder if you are now okay , and then hear nothing off anyone , no support staff , not a phone call ... I did start to wonder wonder about the NHS staffing levels

Days later I was struggling to get a booking to have my staples removed on time , no one would take the job on from Southport to Netherton clinics , so I handed the task back to the surgery along with a complaint , lo and behold the local nurse got in touch who then said it was a 2 day job due to the number of staples !! , I grinned and bared it and had it done in one go . yes it did sting . A follow up redressing of the wounds was done .

Then my blood tests to monitor me , despite a letter from the hospital the receptionist argued over giving me an appt because she could not find the letter on her system , the letter turned up after a search .
Amazing how the words "Cancer op" and "follow up tests" also eluded her ! , I was not asking for a blood test for the fun of it ..
I went throu the covid bloods taking routine and then my scan appts did not turn up as expected ... because the blood results had not turned up at the hospital to trigger the next test stage ! , despite a reminder to the surgery receptionist to post them I still waited , follow up blood tests are also not done despite a discussion with the Dr ... surly this is a routine task and should not be open to mistakes like this as its just an entry on the computor system to make a booking .

Last weeks appt in the hospital with the consultant , I get to see the blood test result is missing from the system , last one was in Feb when the op took place , I now have an emergency scan booked , and more bloods were taken . It will be interesting to see the results

No one seems to have ownership of a persons case for following up on the welfare of the patient , for all they knew I could of gone home and dropped dead on the floor , I have had to chase every single bit of care to make sure it was done .

It seems to be a geographical lottery as to whether you receive the attention you need or not. All GP's surgeries should be moving back to pre-Covid services according to:

https://www.england.nhs.uk/coronavir...er-final-1.pdf

Some people in the South are receiving phone calls from their Doctor's surgeries, checking up on their health if they have underlying conditions or if they have recently had operations etc., But locally it would appear that patients are being transferred from on place to the next in a circle - you can forget the 111 calls too.

[local]

Were you out in Liverpool at the weekend Prof ?

[muddyboots]

That is odd.
in my area G.p practices have to serve a designated minimum amount of hours to the on call service rota.
The service charges the practice for services given to the patient.
A letter detailing requests and treatment from the out of hours service is recorded
in the patients notes.

Quote
"The new contract passed the responsibility for organising out-of-hours services from individual doctors to the primary care trusts. Practices could opt out of the provision of out-of-hours services and lose the £6000 and most did. Some PCTs worked with the GP co-operatives, but some gave the contract to a commercial provider, commonly Harmoni or Serco both of which have been the subject of major complaints and of failing to employ sufficient doctors. By 2013 most of the co-operatives had converted to social enterprises.[9] Many of the co-ops were involved in the provision of contracts to deliver NHS 111 services. According to John Horrocks, chief executive of Urgent Health UK, "It's not the same as it used to be, where everyone took their turn in a co-operative. It's more of a lifestyle choice. Now, you often find GPs who specialise in out-of-hours … typically, a shift rota is available on the internet and the GP is able to sign up to whatever shifts they want to work."

https://en.wikipedia.org/wiki/Out-of-hours_service

the out of service 7day gp is a private firm making a lot of money, the directors that own the company, are actually gps, the very same gps that refuse to see you at the surgery but get paid by the private company who in turn charges the nhs....in effect they get paid twice for your visit..without actually seeing you...as i said the nhs is a money making sham...look at out two largest surgeries in southport now private companies who have shed most staff and evade seeing you

[local]

the out of service 7day gp is a private firm making a lot of money, the directors that own the company, are actually gps, the very same gps that refuse to see you at the surgery but get paid by the private company who in turn charges the nhs....in effect they get paid twice for your visit..without actually seeing you...as i said the nhs is a money making sham...look at out two largest surgeries in southport now private companies who have shed most staff and evade seeing you

Which surgeries I guess one is St Marks ?

[Hamble]

the out of service 7day gp is a private firm making a lot of money, the directors that own the company, are actually gps, the very same gps that refuse to see you at the surgery but get paid by the private company who in turn charges the nhs....in effect they get paid twice for your visit..without actually seeing you...as i said the nhs is a money making sham...look at out two largest surgeries in southport now private companies who have shed most staff and evade seeing you

What is your out of hours service called?See list below.
For example mine is BARDOC (Bury and Rochdale Doctors On Call).

https://en.wikipedia.org/wiki/Out-of-hours_service

[muddyboots]

Which surgeries I guess one is St Marks ?

i cant really say as i dont want to get my family and freinds into trouble, foreign buyers have taken over many large surgeries to make money pure and simple, your health is not their concern...money is...you will struggle to get a cancer referal as it costs them, or to be refered to a specialist...if you have a problem you must complain to the qcq complaints and quick...they will shut them down, but dont hold your breath, as i said the nhs is a money making sham

[Ric]

i cant really say as i dont want to get my family and freinds into trouble, foreign buyers have taken over many large surgeries to make money pure and simple, your health is not their concern...money is...you will struggle to get a cancer referal as it costs them, or to be refered to a specialist...if you have a problem you must complain to the qcq complaints and quick...they will shut them down, but dont hold your breath, as i said the nhs is a money making sham

St Mark's building is up for sale. Wonder if they're moving or just closing down ?

https://www.rightmove.co.uk/commerci...-94532093.html

[Alikado]

St Mark's building is up for sale. Wonder if they're moving or just closing down ?

https://www.rightmove.co.uk/commerci...-94532093.html

It's the owner that is selling not the surgery selling the building.

[Hamble]

This is a very good history of how the out of hours G.p service operates.

Summary
1 Prior to 2004 GPs were working to a 90 year old contract clause which made them personally responsible for providing round the clock services

2 For many reasons by the turn of the century this had become unsustainable

3 The Department of Health also had an agenda to integrate out of hours services

4 The 2004 passed the responsibility for organising out of hours GP services from individual GPs to Primary Care Trusts

5 The amount of money given up by GPs equated to what they were paid for out of hours work prior to 2004

7 Full -Time GPs continue to work hours above the national average but there has been an increase in the number of GPs working part time

8 Any perceived inadequacies in the current Out of Hours GP services are the responsibility of the Primary Care Trusts not of GPs



https://abetternhs.net/2013/05/10/true-history/

[said]

Were you out in Liverpool at the weekend Prof ?

No way! Depressing place!

[local]

It's the owner that is selling not the surgery selling the building.

I would imagine they won't be renewing at £200,000 PA so the building owners are trying to get out of it.

The ownership of the building if you can be bothered looking might be interesting and turn things on their head!