07-07-2021, 10:29 AM
31
Re: Nationalisation of GPs
As am aside. I recall the days, many years ago, where we, up in Easy Yorkshire, used to take our pets to the RSPCA vets, whenever the pets needed attention, or even putting down.Never gave a thought to insurance, or any kind of payment.
Sadly, that couldn't last forever, and either the RSPCA put a salary limit on the users, or there was already a limit and we reached it.
Either way, most ended up having to pay to see a vet.
I can understand that. I foresee that the NHS might well have to do the same - i.e. set a salary limit beyond which it is not free!
08-07-2021, 12:09 AM
32
Re: Nationalisation of GPs
Originally Posted by Twink55
->
I don't know where you live Annie but our Primary Care centre has at least 25 doctors to care for around 70,000 patients and also quite a few nurses to deal with injuries that don't need hospital care. They also have TV screens, in the waiting room, where they advise you not to seek doctors help unless it is something that cannot be dealt with by a pharmacist. These days people are better informed about healthcare so, unless you need prescribed drugs to treat your complaint, we no longer need to go to the doctor for a minor sniffles! Doctors are paid good salaries for their knowledge, so why would they want their time to be wasted on things that a pharmacist could help?
Your GP is there to diagnose what is causing your poor health & refer you to a hospital consultant, if they feel it may be too serious to just prescribe medication. If they are paid to advise us to take paracetamol & drink plenty of water for a cold, perhaps they are being overpaid.
A proportion of that number have left and not been deregistered and another significant proportion rarely seek GP healthcare services.
I don't know anyone who goes to their gp for a minor sniffle.
But the GP is certainly not there just to refer patients on. That's a serious misconception. They are in fact there to keep people out of hospital and look after their health needs so that they do not need emergency or specialist treatment. Sending people who don't understand healthcare to a pharmacist isn't helpful. Most medics loathe google self-diagnosis. It's usually wrong.
GPs are there to filter through the symptoms you report and decide whether they are something to worry about or not. They are there to ask questions, to diagnose and treat and prevent. They are also there as the first point of contact for mental illness. Also to prevent any mental illness from becoming a crisis. They are there for the first point of contact for dementia and Alzheimers. They manage chronic conditions. They have a difficult job and there seems to be a great misunderstanding in how difficult that is and how their pay does not reflect the challenges and responsibility that they have.
08-07-2021, 12:10 AM
33
Re: Nationalisation of GPs
Originally Posted by Tedc
->
As am aside. I recall the days, many years ago, where we, up in Easy Yorkshire, used to take our pets to the RSPCA vets, whenever the pets needed attention, or even putting down.Never gave a thought to insurance, or any kind of payment.
Sadly, that couldn't last forever, and either the RSPCA put a salary limit on the users, or there was already a limit and we reached it.
Either way, most ended up having to pay to see a vet.
I can understand that. I foresee that the NHS might well have to do the same - i.e. set a salary limit beyond which it is not free!
08-07-2021, 09:56 AM
34
Re: Nationalisation of GPs
Originally Posted by AnnieS
->
A proportion of that number have left and not been deregistered and another significant proportion rarely seek GP healthcare services. I don't know anyone who goes to their gp for a minor sniffle.
But the GP is certainly not there just to refer patients on. That's a serious misconception. They are in fact there to keep people out of hospital and look after their health needs so that they do not need emergency or specialist treatment. Sending people who don't understand healthcare to a pharmacist isn't helpful. Most medics loathe google self-diagnosis. It's usually wrong.
GPs are there to filter through the symptoms you report and decide whether they are something to worry about or not. They are there to ask questions, to diagnose and treat and prevent. They are also there as the first point of contact for mental illness. Also to prevent any mental illness from becoming a crisis. They are there for the first point of contact for dementia and Alzheimers. They manage chronic conditions. They have a difficult job and there seems to be a great misunderstanding in how difficult that is and how their pay does not reflect the challenges and responsibility that they have.
I've been used to Private Medical Service and National NHS medical service and I've always been astonished at the difference between the dialogue provided by the Doctor.
In Private, it's usually a neat & tidy appointment, a timely entry to the Doctor's room, a discussion about what & when, and leaving with a plan.
In the NHS, it's often very different.
Sometimes, it's been the same Doctor!
Add to that the fact that I could get a Private appointment with a simple phone call & be in there to suit my requirements.
Please don't lay all the blame on the patient.
The Doctors manage the NHS Surgeries & and management includes the organisation.
08-07-2021, 11:54 AM
35
Re: Nationalisation of GPs
Originally Posted by AnnieS
->
A proportion of that number have left and not been deregistered and another significant proportion rarely seek GP healthcare services. I don't know anyone who goes to their gp for a minor sniffle.
But the GP is certainly not there just to refer patients on. That's a serious misconception. They are in fact there to keep people out of hospital and look after their health needs so that they do not need emergency or specialist treatment. Sending people who don't understand healthcare to a pharmacist isn't helpful. Most medics loathe google self-diagnosis. It's usually wrong.
GPs are there to filter through the symptoms you report and decide whether they are something to worry about or not. They are there to ask questions, to diagnose and treat and prevent. They are also there as the first point of contact for mental illness. Also to prevent any mental illness from becoming a crisis. They are there for the first point of contact for dementia and Alzheimers. They manage chronic conditions. They have a difficult job and there seems to be a great misunderstanding in how difficult that is and how their pay does not reflect the challenges and responsibility that they have.
08-07-2021, 12:15 PM
36
Re: Nationalisation of GPs
Originally Posted by The Artful Todger
->
Well that last sentence is certainly undeniable. Their pay doesn't reflect their challenges and responsibilities. IT FAR EXCEEDS IT. .
The local surgery is now a Help Desk.
The GPs will answer questions, or they will Google the answers, or they will talk to the real experts & pass on the guidance.
In the recent pandemic, they've come close to proving that we don't need them!
If they can provide a fix, without seeing the patient, why wouldn't they all move into one big centre at the local hospital?
09-07-2021, 12:59 AM
37
Re: Nationalisation of GPs
Originally Posted by Tedc
->
Surely, the lack of understanding about the actual service they supply, is down to them?I've been used to Private Medical Service and National NHS medical service and I've always been astonished at the difference between the dialogue provided by the Doctor.
In Private, it's usually a neat & tidy appointment, a timely entry to the Doctor's room, a discussion about what & when, and leaving with a plan.
In the NHS, it's often very different.
Sometimes, it's been the same Doctor!
Add to that the fact that I could get a Private appointment with a simple phone call & be in there to suit my requirements.
Please don't lay all the blame on the patient.
The Doctors manage the NHS Surgeries & and management includes the organisation.
09-07-2021, 08:14 AM
38
Re: Nationalisation of GPs
Originally Posted by AnnieS
->
A proportion of that number have left and not been deregistered and another significant proportion rarely seek GP healthcare services. I don't know anyone who goes to their gp for a minor sniffle.
But the GP is certainly not there just to refer patients on. That's a serious misconception. They are in fact there to keep people out of hospital and look after their health needs so that they do not need emergency or specialist treatment. Sending people who don't understand healthcare to a pharmacist isn't helpful. Most medics loathe google self-diagnosis. It's usually wrong.
GPs are there to filter through the symptoms you report and decide whether they are something to worry about or not. They are there to ask questions, to diagnose and treat and prevent. They are also there as the first point of contact for mental illness. Also to prevent any mental illness from becoming a crisis. They are there for the first point of contact for dementia and Alzheimers. They manage chronic conditions. They have a difficult job and there seems to be a great misunderstanding in how difficult that is and how their pay does not reflect the challenges and responsibility that they have.
In my primary care clinic GP's are there to diagnose complaints & treat those that they able to. If they are unable to help the patient, then they refer them to specialist doctors who have more experience in that field.
I like the GP's at my clinic & they are good, but they always seem to be under pressure! I believe that is because too many people go to the doctors when they don't need to be there....... and as I am on friendly terms with a few, it seems they think that way too!
Many of the older doctors are still at the clinic, but some have retired. Many of the new ones are younger & have foreign names, but speak perfect English. They may have more work to do, but the number of doctors at the clinic have always increased.
I never suggested that they didn't deserve their pay, but I do believe that most people make the doctor their first place to visit, when a pharmacist can offer equal advice on over the counter medication. I once lost my insulin on a 3 day trip to Canterbury, so I went into the Boots pharmacy there. They got permission to go into my medical records, to check which insulin I needed & immediately provided me some! The alternative would have been to go to a hospital, get checked & wait for the hospital pharmacy to provide more insulin..... but that would have been a waste of hospital time, when Boots did the job much faster!
09-07-2021, 10:01 AM
39
Re: Nationalisation of GPs
Originally Posted by AnnieS
->
So what have you used private healthcare for? Because my understanding is that they only deal with straightforward stuff. private healthcare does not like risk.
Your understanding is wrong.
09-07-2021, 10:29 AM
40
Re: Nationalisation of GPs
Originally Posted by Twink55
->
I never suggested that they didn't deserve their pay, but I do believe that most people make the doctor their first place to visit, when a pharmacist can offer equal advice on over the counter medication. I once lost my insulin on a 3 day trip to Canterbury, so I went into the Boots pharmacy there. They got permission to go into my medical records, to check which insulin I needed & immediately provided me some! The alternative would have been to go to a hospital, get checked & wait for the hospital pharmacy to provide more insulin..... but that would have been a waste of hospital time, when Boots did the job much faster!
What your pharmacist did was access your medical records as a third party. I haven't given permission for mine to be used in this way. I was in two minds but said no because I don't know in whose hands my information will end up in the future. I haven't even installed the NHS App. I see they are making that "less sensitive" which is good but I'm still not sure I want it. NHS staff have reportedly been deleting it in droves.
|
|
