Turned Out Nice Again Posted October 12, 2016 Share Posted October 12, 2016 Somebody needs to smash the Doctor cartel. Surely 90% of what GPs do could be delegated to nurses at 25% of the cost. There should be triage nurses in every surgery dealing with most of it. Link to comment Share on other sites More sharing options...
Freeholder Posted October 12, 2016 Share Posted October 12, 2016 My local surgery are usually fine. I have found that if I want to be seen more quickly the trick is to say I don't care which doctor I see or how early in the morning. Link to comment Share on other sites More sharing options...
happy_renting Posted October 12, 2016 Share Posted October 12, 2016 35 minutes ago, Turned Out Nice Again said: Somebody needs to smash the Doctor cartel. Surely 90% of what GPs do could be delegated to nurses at 25% of the cost. There should be triage nurses in every surgery dealing with most of it. I never see my doctor. The receptionist at my surgery is a lovely lady, so I get her to check my prostrate every month. Link to comment Share on other sites More sharing options...
JoeDavola Posted October 12, 2016 Share Posted October 12, 2016 29 minutes ago, Turned Out Nice Again said: Somebody needs to smash the Doctor cartel. Surely 90% of what GPs do could be delegated to nurses at 25% of the cost. There should be triage nurses in every surgery dealing with most of it. Spot on; this is exactly the conclusion I've come to the last few years. Have private companies attempted this setup? Link to comment Share on other sites More sharing options...
SarahBell Posted October 12, 2016 Share Posted October 12, 2016 1 hour ago, Turned Out Nice Again said: Somebody needs to smash the Doctor cartel. Surely 90% of what GPs do could be delegated to nurses at 25% of the cost. There should be triage nurses in every surgery dealing with most of it. We do at ours The smears, BP, pill repeats, asthma clinic, flu jabs, etc are all done by nurses. A doctor is for when you don't know what you want. but then they're only a gateway for something else (tests, consultant experts, etc) Much of A&E could be replaced by a flowchart and a dispensing machine for painkillers and antibiotics with a sign saying 'see your GP if you don't get better within a week' Maybe we don't even need GPs. Just a google search box. Link to comment Share on other sites More sharing options...
Hail the Tripod Posted October 12, 2016 Share Posted October 12, 2016 12 minutes ago, SarahBell said: Much of A&E could be replaced by a flowchart and a dispensing machine for painkillers and antibiotics with a sign saying 'see your GP if you don't get better within a week' If you could just buy ventolin and amoxycillin I wouldn't have seen a doctor in 30 years. Link to comment Share on other sites More sharing options...
CunningPlan Posted October 12, 2016 Share Posted October 12, 2016 4 hours ago, Hail the Tripod said: If you could just buy ventolin and amoxycillin I wouldn't have seen a doctor in 30 years. You can buy ventolin. You can get a private prescription from an online UK doctor. I think they are about £8 per inhaler which is about the same price as the NHS prescription and a lot less hassle. You can also buy it over the counter on the continent (everyone else was coming back with 800 fags - I would come home with 2 years supply of inhalers!) That is the reason I haven't seen a doctor in 20 years. Link to comment Share on other sites More sharing options...
One-percent Posted October 12, 2016 Share Posted October 12, 2016 11 minutes ago, CunningPlan said: You can buy ventolin. You can get a private prescription from an online UK doctor. I think they are about £8 per inhaler which is about the same price as the NHS prescription and a lot less hassle. You can also buy it over the counter on the continent (everyone else was coming back with 800 fags - I would come home with 2 years supply of inhalers!) That is the reason I haven't seen a doctor in 20 years. Cunning plan, could you provide more details? I've been working on gathering the courage to see the doctor/asthma clinic for a month, just to get more inhalers. Would really like to circumvent the system Link to comment Share on other sites More sharing options...
The XYY Man Posted October 12, 2016 Share Posted October 12, 2016 6 hours ago, happy_renting said: I never see my doctor. The receptionist at my surgery is a lovely lady, so I get her to check my prostrate every month. You jammy bastad...! I take it she is proficient in the "walnut-maneuver"... XYY Link to comment Share on other sites More sharing options...
Battenberg Posted October 12, 2016 Share Posted October 12, 2016 8 hours ago, CunningPlan said: Result - Mrs CP rang them this morning. Nothing was going to stop her lioness attitude to getting her son seen. Got a same day appointment. My approach was going to be to point out to them that they had received the best part of £6000 in capitation fees on my behalf and this would be only our second visit. If they didn't make an immediate appointment available I would take my custom elsewhere and they could use the free space on their list to have yet another whinging frequent flyer loss making boomer. That is why Mrs CP made the call. Please don't get me wrong but I do think that the medical profession listen more attentively to mother's instinct. If mum is insistent that something is not right then it properly isn't. Anyway, I'm glad he's being seen. I was fortunate to get my 14 year old son seen on Monday following a few days of being ill and he was in hospital within a few hours. Link to comment Share on other sites More sharing options...
Battenberg Posted October 12, 2016 Share Posted October 12, 2016 8 hours ago, CunningPlan said: Result - Mrs CP rang them this morning. Nothing was going to stop her lioness attitude to getting her son seen. Got a same day appointment. My approach was going to be to point out to them that they had received the best part of £6000 in capitation fees on my behalf and this would be only our second visit. If they didn't make an immediate appointment available I would take my custom elsewhere and they could use the free space on their list to have yet another whinging frequent flyer loss making boomer. That is why Mrs CP made the call. Please don't get me wrong but I do think that the medical profession listen more attentively to mother's instinct. If mum is insistent that something is not right then it properly isn't. Anyway, I'm glad he's being seen. I was fortunate to get my 14 year old son seen on Monday following a few days of being ill and he was in hospital within a few hours. Link to comment Share on other sites More sharing options...
ChumpusRex Posted October 12, 2016 Share Posted October 12, 2016 6 hours ago, JoeDavola said: Spot on; this is exactly the conclusion I've come to the last few years. Have private companies attempted this setup? Many already do. GP surgeries are all private companies who invoice the NHS for the services provided. Unsurprisingly, a huge amount of work is delegated to the nurses - all the injections, minor treatments, tests, regular checkups for certain conditions, etc. all tend to be nurse led. The job of the GP is the more complex one of making the diagnosis and choosing a treatment. It's not uncommon for practices to have a nurse led clinic to see the minor cases or the follow-up cases, and then refer up the more difficult ones to the GP. Link to comment Share on other sites More sharing options...
CunningPlan Posted October 12, 2016 Share Posted October 12, 2016 5 minutes ago, Battenberg said: Please don't get me wrong but I do think that the medical profession listen more attentively to mother's instinct. If mum is insistent that something is not right then it properly isn't. Anyway, I'm glad he's being seen. I was fortunate to get my 14 year old son seen on Monday following a few days of being ill and he was in hospital within a few hours. I think I would disagree with that. Dad's are far more a 'brace up' attitude. If a father thinks something is wrong that should set off alarm bells. Not much use in the end though. Gave him Gaviscon and said if he was still being sick every day in three weeks time to come back. Link to comment Share on other sites More sharing options...
CunningPlan Posted October 12, 2016 Share Posted October 12, 2016 55 minutes ago, One-percent said: Cunning plan, could you provide more details? I've been working on gathering the courage to see the doctor/asthma clinic for a month, just to get more inhalers. Would really like to circumvent the system I have used both www.healthexpress.co.uk and www.medical-specialists.co.uk. Both were quite thorough in their procedure for ordering and offered a next day delivery service. Info subject to all usual disclaimers! Link to comment Share on other sites More sharing options...
SarahBell Posted October 12, 2016 Share Posted October 12, 2016 15 minutes ago, Battenberg said: Please don't get me wrong but I do think that the medical profession listen more attentively to mother's instinct. If mum is insistent that something is not right then it properly isn't. Not always quickly. And a friend has the practice manager tell her she was just being an over-anxious mother. Her son finished 3 yrs of cancer treatment a few weeks ago. Link to comment Share on other sites More sharing options...
One-percent Posted October 12, 2016 Share Posted October 12, 2016 5 minutes ago, CunningPlan said: I have used both www.healthexpress.co.uk and www.medical-specialists.co.uk. Both were quite thorough in their procedure for ordering and offered a next day delivery service. Info subject to all usual disclaimers! Cheers, much appreciated. Will do my own due diligence Link to comment Share on other sites More sharing options...
spyguy Posted October 12, 2016 Share Posted October 12, 2016 http://www.bbc.co.uk/news/health-37617114 You're better off with google. More people are finding it out. Assuming the NHS will hive off geriatic care to special GPs then ghe demand fof GPs will plummet. The fun my family have had with GPs. Most havebeen idiots andor drunks. Link to comment Share on other sites More sharing options...
spyguy Posted October 12, 2016 Share Posted October 12, 2016 44 minutes ago, Battenberg said: Please don't get me wrong but I do think that the medical profession listen more attentively to mother's instinct. If mum is insistent that something is not right then it properly isn't. Anyway, I'm glad he's being seen. I was fortunate to get my 14 year old son seen on Monday following a few days of being ill and he was in hospital within a few hours. How about checking who a person is, and how often they ring up for appointments. I can u derstand a receptionist batting away Andy Capo who turns up for a sick note every other monday. But if you get someone who you never see ringing up to see a gp surely that indicates that something is amiss? I say the above as it does not seem as obvious to most GP surgeries as it is to me. Link to comment Share on other sites More sharing options...
SarahBell Posted October 12, 2016 Share Posted October 12, 2016 5 minutes ago, spyguy said: How about checking who a person is, and how often they ring up for appointments. I can u derstand a receptionist batting away Andy Capo who turns up for a sick note every other monday. But if you get someone who you never see ringing up to see a gp surely that indicates that something is amiss? I say the above as it does not seem as obvious to most GP surgeries as it is to me. Ah, having been to the patient consultation group we learnt about the thing they do for people who've not been for a long time - they invite them in for a health check. At certain milestone ages, but only if they have capacity within the system for adding extra people in to appointments. Link to comment Share on other sites More sharing options...
spyguy Posted October 12, 2016 Share Posted October 12, 2016 2 minutes ago, SarahBell said: Ah, having been to the patient consultation group we learnt about the thing they do for people who've not been for a long time - they invite them in for a health check. At certain milestone ages, but only if they have capacity within the system for adding extra people in to appointments. 2 minutes ago, SarahBell said: Ah, having been to the patient consultation group we learnt about the thing they do for people who've not been for a long time - they invite them in for a health check. At certain milestone ages, but only if they have capacity within the system for adding extra people in to appointments. Token box ticking customer service. Offering to shove a finger up someones **** at 50 hardly makes up for not giving then an appointment when they have early stage cancer. Link to comment Share on other sites More sharing options...
The XYY Man Posted October 12, 2016 Share Posted October 12, 2016 27 minutes ago, spyguy said: The fun my family have had with GPs. Most have been idiots and/or drunks. Every single friend, colleague, and casual acquaintance of mine can tell a similar tale mate. In my case, their continual mis-diagnosis of his symptoms over a period of four-years cost my dad (now aged 73) the use of his legs for the rest of his life. The NHS is the most self-serving entity ever created in the history of mankind - and sadly it's "customers" are right at the bottom of the pecking-order. Shame really - because the *concept* of the NHS is earth-shatteringly good - and is quite-rightly celebrated, and revered, world-wide..! Pity about the reality... XYY Link to comment Share on other sites More sharing options...
One-percent Posted October 12, 2016 Share Posted October 12, 2016 On gaining my PhD, I contacted all known official contacts to change my title. I assumed that the bank might want proof, but no, they along with everyone else accepted my word and changed my details on systems and on cards and cheque books. the receptionist at the doctors (medical) surgery was incredibly upperty about it. Looked down her nose at me and demanded proof. Should have seen her face when I swanned back in with my certificate. one of the greatest joys I now have, and almost worth the five years of slog, studying, alongside working is when a medical professional ask if I am a medical doctor. Oh no, I'm a proper doctor is my reply. Those with a sense of humour get it and we have a good chuckle. Link to comment Share on other sites More sharing options...
spyguy Posted October 12, 2016 Share Posted October 12, 2016 Large psrts of the NHS has been captured by the employees. My nan used to be involved in a workers health coop pre nhs days. By the time shed died she was fuming with the nhs. She was keen on hiring and firing. Thd local GP killed my grandad- at leadt took 5 years off his life. He was proscribed t wo mutually dangerous drugs. Theres little accountancy in ghe Nhs. Link to comment Share on other sites More sharing options...
One-percent Posted October 12, 2016 Share Posted October 12, 2016 6 minutes ago, spyguy said: Large psrts of the NHS has been captured by the employees. My nan used to be involved in a workers health coop pre nhs days. By the time shed died she was fuming with the nhs. She was keen on hiring and firing. Thd local GP killed my grandad- at leadt took 5 years off his life. He was proscribed t wo mutually dangerous drugs. Theres little accountancy in ghe Nhs. Going off topic once again to 'tord spot, I understand that the hospital, which just in my living memory used to be the war memorial hospital was built on land gifted to the town and with money donated by the people of the town. So it really did belong to the townsfolk. Fast forward to the NHS, it was taken over, raised to the ground and that monstrosity was built in the 70s. Fast forward again to present times, there was recently a move to privatise and sell to the virgin group. Was a lot of muttering she about theft. I wonder how well it would hold up in court if challenged. Link to comment Share on other sites More sharing options...
spyguy Posted October 12, 2016 Share Posted October 12, 2016 1 minute ago, One-percent said: Going off topic once again to 'tord spot, I understand that the hospital, which just in my living memory used to be the war memorial hospital was built on land gifted to the town and with money donated by the people of the town. So it really did belong to the townsfolk. Fast forward to the NHS, it was taken over, raised to the ground and that monstrosity was built in the 70s. Fast forward again to present times, there was recently a move to privatise and sell to the virgin group. Was a lot of muttering she about theft. I wonder how well it would hold up in court if challenged. Depends on thd covenant. I used to go to dentist in yhe hospital. 30 years ago. Not been in since. Not a good look. I sat outide on a bench rdcentky, wsiting for a friend to finish shift. Its just an over priced old folks homd st the mo. Link to comment Share on other sites More sharing options...
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