GP in East Durham, England
Joined June 2011
- Tweets10.3K
- Following867
- Followers1.6K
- Likes10.5K
KS retweeted
GP surgeries funding has been given to hospitals for them to spaff it up the wall on gaslighting.
Therefore GPs have to make choices on how to allocate resources.
And they do it like no other NHS organisation can.
KS retweeted
🗣️ Practice staff said "guidelines say it can only be prescribed in a hospital setting, it's not for general prescription to the public."
How on Earth is the GP at fault
for following local ICB prescribing guidance which *rightly* lists co-dydramol as red 🔴?!
Man says GP refused repeat painkiller prescription - full story ⬇️ bbc.in/4yJbufn
KS retweeted
Four weeks to see a GP is pretty good in my books.
Name me another professional that would do this for 35pence a day and be quicker?
When any left shift funding has gone to trusts for this year already!
KS retweeted
Another relentless day sat in front of a screen doing total triage and losing 25 face to face appointments for my patients who will have to wait longer to see me. I didn’t become a GP to look at a screen all day. GPs forced into this by govt. Thanks @DHSCmedia @NHSEngland
KS retweeted
Sir Jim Mackey, speaking at the board meeting today, cited improved GP access as a reason for an increase in referrals for secondary care earlier this year. Survey evidence suggests people are finding it easier to make appointments.
He needs to look at the data @YvetteCooperMP
Revealed: NHSE plan to ‘grip’ GP performance ift.tt/cVYFtxm
KS retweeted
Gynaecology see patient and recommend a Gynae procedure to be done by Gynaecology under GA.
They to ask the patient (I'm copied to the letter) to book an appointment to see the GP, to ask for a referral back to Gynaecology.
@Parody_RCGP
@DrNeenaJha
@DrSteveTaylor
KS retweeted
Please could people stop asking patients request an expedite letter from their GP. YOU'VE made the clinical decision about when they will be seen, and the delay. Own it and sort it out.
KS retweeted
A&G was meant to support GPs, not create another barrier to specialist care.
If referrals are blocked, concerns dismissed and diagnoses delayed, the system risks undermining clinical judgment and patient safety.
Patient safety has to come first.
healthcaretoday.com/article/…
KS retweeted
Hospital to Community
Advice & Guidance hasn’t reduced referrals it has delayed them
The problem is the long waits to see hospital Consultants
The additional work & time is now delaying & reducing GP availability too
Hospitals are shifting their waiting times to the community
A&G was meant to support GPs, not create another barrier to specialist care.
If referrals are blocked, concerns dismissed and diagnoses delayed, the system risks undermining clinical judgment and patient safety.
Patient safety has to come first.
healthcaretoday.com/article/…
KS retweeted
NHSE says A&G is not supposed to be a way of rejecting referrals. GPs increasingly think that is exactly what it has become, and I think they are probably right. myemail.constantcontact.com/…
KS retweeted
Virtual Wards cost a lot more money than District Nurse and GP input
But let’s move hospitals to communities
This isn’t community care
@YvetteCooperMP @andyburnham @JamesFrith @DianaJohnsonMP
In case you missed it:
A study of more than 236,000 patients found no consistent evidence that NHS virtual wards reduce hospital admissions, length of stay or readmission rates.
eu1.hubs.ly/H0xLfzQ0
KS retweeted
Lots of hospital consultants follow my account. You should take a look at this the next time you try and use block and defect to punch down on GPs.
(I know lots of you are fantastic - but we have an actual body count).
The report referenced is here in full and makes damning reading vindicating what GPs have been saying about patients coming to harm due to the broken primary-secondary care interface. Three shocking examples hssib.org.uk/patient-safety-…
KS retweeted
Advice & Guidance
Or as most GPs are beginning to realise ‘Block & Deflect’
In the end patients are being denied the opportunity for a second opinion or a specialist consultation
GPs are re-referring, increasing workload for no real benefit for patients
england.nhs.uk/statistics/wp…
KS retweeted
We did try and tell them.
Face-to-face GP appointments slashed and patient safety at risk after Labour imposed changes to booking process, doctors warn trib.al/HfkIyIH
KS retweeted
Referrals new work on single point of access (SpoA model) where specialist advice requests and referrals into a singular digital route. Its been a disaster for patients, a nightmare of unfunded work for GPs, a medicolegal quagmire 🧵
Most GPs have seen a referral rejected inappropriately and nearly one in 10 have seen a patient harmed as a result since the NHS began moving to a 'single point of access' model earlier this year, GPonline polling suggests.
Full story: gponline.com/gps-report-pati…
KS retweeted
Neighbourhoods🤔
Since 2015 in 🏴 1474 community GP practices have closed, leaving 6149
We take it for granted that wherever you live there'll be a GP
But when the GP is suddenly half an hour's drive away & a road is blocked in the winter it’s a problem
bbc.co.uk/news/articles/c1m1…
KS retweeted
Funding for NHS primary medical care would be billions of pounds higher if growth over the past decade had kept pace with hospital uplifts, government figures suggest.
Full story: gponline.com/gps-denied-bill…
