The Man Who Launched The Murderous...
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Re recent posting by Squad
33 Answers
Reading this mornings posting by Sqad, regarding his home visits in his capacity as a GP reminded me of my mother 'sending for the doctor' if, as a child, I was ill.
I had to change into fresh pyjamas.
The radio was turned off.
A chair was placed at the side of the bed.
A bowl of water and a fresh towel were placed at the side of the bed.
A clean spoon was placed at the side of the bed ( just in case the doctor had run out of the lollypop type sticks that he used ).
She would keep an eye out for anyone parking anywhere near our front door, and told in no uncertain terms to 'move', as the doctor was coming.
Yes Squad, how times have changed.
I had to change into fresh pyjamas.
The radio was turned off.
A chair was placed at the side of the bed.
A bowl of water and a fresh towel were placed at the side of the bed.
A clean spoon was placed at the side of the bed ( just in case the doctor had run out of the lollypop type sticks that he used ).
She would keep an eye out for anyone parking anywhere near our front door, and told in no uncertain terms to 'move', as the doctor was coming.
Yes Squad, how times have changed.
Answers
I think there was a little bit of snobbery regarding the doctor in those days though. My Gran`s era treated the doctor as someone to look up to. My mum made me very presentable for the doc too and I wouldn`t go to the GP`s surgery looking like a scruffbag. However, our childhood doctor was very stuffy and standoffish. I much prefer the more modern attitude where...
11:14 Sun 16th Sep 2012
Sqad. I was told by my GP last week that he wasn't "allowed" to refer me to a vascular surgeon as urgent which he would have preferred. I have to go as routine but he hoped to be able to move the appointment up if he could.
Who is not allowing him to decide if I am urgent and do you know why?
Bit off topic but ties in with what you have said.....I think.
Who is not allowing him to decide if I am urgent and do you know why?
Bit off topic but ties in with what you have said.....I think.
There is no way that the second opinions won't be referrals to specialists, sqad, but in the new world, the services of those working in the hospitals will be commissioned directly by the clinical commissioning groups (CCGs), not the PCTs - the PCTs go in six months' time, all very much change from 1 April. If so many referrals for say hips, or specialist diabetes treatment have been commissioned by the local CCG in response to their local patient needs, then the referral can still happen. At present if a GP refers to hospital, the hospital has to do it, whether it can afford it or not, which has partly led to the current hospital overspends.
Neti - no, it shouldn't. GPs get paid for activity (by the NHS) but the fee to the private consultant is for his time and expertise, it doesn't go back down the chain.
Neti - no, it shouldn't. GPs get paid for activity (by the NHS) but the fee to the private consultant is for his time and expertise, it doesn't go back down the chain.
Gness - probably funding issues - PCTs and CCGs have only so much money to spend. It's not right - in fact in many instances it's wrong - but if there is only so much work contracted and paid for, the GP can't just refer, there would have to be a special case put to the commissioners to pay for the referral. The organisation to whom the patient is referred has to be paid from the local budget.
gness.......the doctor decided who and when to refer in my day.....but now due to shortage of money, there are protocols...Boxy is the expert.
On the plane a couple of weeks ago, I sat next to a cardiologist who told me that there were now protocols for the treatment of certain heart conditions.......in MY day I decided upon the treatment.
Talking to him, there is a lot of discontentment among hospital staff and resentment of the very narrow gap between GP salary and Consultant salaries........many of the "boys" are looking for and taking early retirement from the NHS.
On the plane a couple of weeks ago, I sat next to a cardiologist who told me that there were now protocols for the treatment of certain heart conditions.......in MY day I decided upon the treatment.
Talking to him, there is a lot of discontentment among hospital staff and resentment of the very narrow gap between GP salary and Consultant salaries........many of the "boys" are looking for and taking early retirement from the NHS.
Gness, it's up to the GP then, to put it to his CCG (who will be commissioning the services of the consultants on behalf of his patients) that he wants to be able to do that. It's GP-driven from next April, the services will be commissioned (locally and nationally) based on the needs (current and anticipated) of the patient population in the local CCG area.
