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All of us at Pulse are truly saddened that
@KailashChandOBE
has died this evening. Our long-term blogger and friend, a tireless campaigner for justice, and a staunch defender of general practice and the NHS - his legacy will live on. Rest in peace, Kailash
'Imagine the outrage if Ryanair tried to fix a pilot shortage by providing some condensed training to flight attendants to become co-pilots of large jets, rather than supporting them through proper flight school,' says Dr Ebrahim Mulla
#physicianassociates
Very sadly, further GPs have died with Covid. Dr Augustine Obaro and Dr Abdul-Razaq Abdullah both practised in East London. Dr Obaro is remembered as 'generous and very involved with the community', and Dr Abdullah as 'compassionate, popular and respected'
'The time for niceties has passed. There are no magic resources in the NHS. Every minute spent discussing a moody teenager is a minute less spent seeing a palliative patient,' says columnist
@dr_musgrave
We're very sad that the first female GP has died with Covid-19. Dr Poornima Nair, 56, of County Durham, was described by her practice as a 'much loved and valued colleague and friend' who fought the illness with 'great strength of character'. RIP Dr Nair
'How many more patients have to die before the powers that be recognise that physician associates are not adequately trained to assess undifferentiated illness with minimal supervision?' asks
@DrHFRyan
#physicianassociates
Exclusive: GPs are driving across England, staying in hotels overnight and driving up to four hours on a daily basis to get locum work amid a shortage of shifts available.
'GPs should have the power to say to patients who are phoning about trivial things that it is an inappropriate use of NHS services. We have created a nanny state, and we need to move these patients away from being too reliant on their GP,' says
@Dr_Ellie
According to the now-deleted case study, the PA held a ‘minimum’ of 27 10-minute appointments each day and asked the on-call doctor to review patients for an ‘urgent opinion’ only ‘once every two to three months’.
Non-doctors cannot ‘distinguish between serious and less serious conditions’ meaning their ‘default position’ is to send patients to hospital, said the former NHSE regional director
BREAKING: NHS England imposes GP contract with focus on access, with practices told they will have to offer patients an ‘assessment of need’ on first contact and will ‘no longer be able to request that patients contact the practice at a later time’.
A BMA survey of 2,000 junior doctors found that two-thirds do not think the NHS will survive the next decade while a ‘disturbing’ 53% are thinking about or making plans to leave the NHS as a result of the Government’s response to the industrial dispute
.
@TheBMA
urges the Government to prioritise GP hubs for limited
#CovidVaccine
supplies, rather than having the vulnerable elderly travel to mass vaccination centres
Exclusive: GPs are facing the worst burnout crisis for over a decade and must have the support to demand national leaders address spiralling
#workload
, says
@ClareGerada
'We GPs cannot bend space-time to create new appointments but as long as NHSE continues to churn out initiatives to suggest we can, everyone – hospitals, patients, media – will be misled into thinking that access failure is our fault,' says Dr Copperfield
'Stop scapegoating hard-working colleagues – whether PAs, ANPs, paramedics, social prescribers, GP assistants or reception staff. They are essential in a future for our
#NHS
where all contribute their talents,' says Dr Shaun Meehan
'The GP bashing ramped up this week. I can't imagine how unhelpful this coverage must be for already overworked GPs. The constant barrage of messages claiming they're refusing to see patients will always penetrate the public consciousness' says
@jkaffash
Breaking news:
@BabylonHealth
confirm to us that Dominic Cummings, the PM's most senior aide, advised them on their comms strategy for ten days last year. Shadow health secretary
@JonAshworth
says this 'raises serious questions' of conflict of interest
'The wise generalist will become more important than ever. As one of my patients said, when I explained I was not a cancer expert: "I know you’re not an expert in prostate cancer. But you’re an expert in me’."
@DavidAHaslam
on LTCs
'Like most GPs, I long for the day when I can go into work and do my job as a GP without a single distracting interaction trying to deal with hospital-related appointment queries and bureaucracy,' says
@CNagpaul
'We GPs cannot bend space-time to create new appointments but as long as NHSE continues to churn out initiatives to suggest we can, everyone – hospitals, patients, media – will be misled into thinking that access failure is our fault,' says Dr Copperfield
Breaking news: A GP practice has stopped offering a face-to-face reception after staff suffered 'excessive verbal abuse and physical intimidation' from patients
'With the more widespread use of PAs, the Government has basically settled on a cheaper alternative – PAs are not just supporting GPs, they are taking on the work that should be done by GPs'
@jkaffash
on how we've gone from 'good enough' to 'this'll do'
Dr Dave Triska -
@dave_dlt
- was nominated by a number of GPs for his ‘optimism and pragmatism in spades’. He has been printing 3D visors, setting up hot hubs and sharing his ideas with colleagues across the world
#UnsungGPs
Exclusive: People who don't have an email address or mobile phone are unable to book a Covid test or receive results.
@age_uk
and GPs describe this as a 'massive oversight' and 'real disadvantage' to patients
The number of GP appointments is going up - the only area of the
NHS this is happening, says
@KamilaRCGP
. 'It is not right to normalise the workload GPs have,' she says
#PulseLiveLondon
'The criticism of GP access is unfair and ignores the hard evidence from NHSE’s own data that general practice delivers more than 300 million appointments annually, 44% of these on the same day,' says GP Survival chair
@johnghughes3
It concluded that patients live longer when they had access to fully qualified GPs, continuity of care and there is higher funding of general practices.
BREAKING: GPs could be set for industrial action after final talks with the Government failed. The BMA expects the Government to impose a contract now and has said it is exploring all options when this happens. Read more here:
Welsh health chiefs take a swipe at
@NHSEngland
’s GP package.
@WelshGovernment
says it wants to 'improve access' to GP services across Wales, but vowed to do so through collaboration with GPs rather than 'accusations of underperformance'
We're very sad to say that a fifth GP has died with Covid-19. Dr Yusuf Patel founded Woodgrange Medical Practice in Forest Gate, where colleagues described the 'immeasurable pain' of losing him. A tribute said: 'He enriched many lives, we miss him dearly'
There was no evidence of benefit for
#amitriptyline
which the researchers said was the most commonly prescribed antidepressant for pain management worldwide
'Like most GPs, I long for the day when I can go into work and do my job as a GP without a single distracting interaction trying to deal with hospital-related appointment queries and bureaucracy,' says
@CNagpaul
#GPs
should have no more than 25 clinical contacts per day because anything beyond this ‘can lead to decision fatigue, clinical errors and patient harm, and clinician
#burnout
’.
The Government's cut-off at 70 years old for people who shouldn't leave the house during the Covid-19 epidemic is placing 7.3million people in the UK at risk, according to experts.
@Azeem_Majeed
says 60-69-year-olds are also at high risk
'Without this increase in funding, we are in the midst of Schrödinger’s recruitment crisis – not enough GPs, but lots of GPs out of work. Only this Government could pull off that trick,' says
@jkaffash
Vulnerable GPs and practice staff should now be prioritised for
#CovidVaccination
, says
@NHSEngland
, adding that the programme should be 'immediately expanded' to frontline healthcare workers
'Most GPs do not like a fight. They prefer to bumble along doing what they are good at, seeing patients and taking whatever cash government chooses to throw at them. I appeal to these GPs you cannot do this anymore.' Dr David Turner on industrial action
ARRS has failed to substantially reduce workload pressures for existing general practice staff, according to the research by the Queen’s Nursing Institute.
'GPs raised concerns until they were blue in the face that GP notes are written for GPs not patients, and blanket access will generate unnecessary anxiety... But there was little acknowledgement of these arguments from NHS leaders,' says
@sofialind_Pulse
GPs are advised to prepare for industrial action by registering with the BMA, with the union considering discounted membership in preparation, while the GPC will ‘provide detailed guidance’ on how independent contractors can strike.
‘Urging staff to be “resilient” and sending messages urging wellbeing activities to an overworked and overwhelmed profession are not solutions.’ - GP Survival chair Dr John Hughes
@johnghughes3
'The
#NHS
has always predominantly been an illness rather than a wellness service, but recently it seems to be becoming a rule-out-cancer-and-dump-everything-else-back-on-the-GP service,' says Dr David Turner
An ombudsman has said it is not GPs' responsibility to update patients about hospital waiting lists. They recommended Trusts include waiting list information on websites and acknowledgement template letters indicating clinical urgency and wait times
.
@sajidjavid
pulled out of
@RCGP
's annual conference today - after the Government and NHS published its 'rescue plan' for general practice this morning
'The NHS has always predominantly been an illness rather than a wellness service, but recently it seems to be becoming a rule-out-cancer-and-dump-everything-else-back-on-the-GP service,' says Dr David Turner
A group of GPs, led by
@DrSimonHodes
, have written an open letter: 'We are concerned about inaccurate and harmful media messages around GPs'. Fellow GPs can add their signatures by Thursday
On
#nationaldayofreflection
, we thank the GP teams up and down the country who have done an incredible job at delivering care to their communities. Our thoughts are with those who have died with Covid, their loved ones, and everyone affected by the pandemic in some way
GP Heroes day 8: Congratulations to
@MMS_ethics
Ruth Bromley, who with her team started
#TwitterDisco
to ‘care for those that care. Coming together once a month to share music that lifts us’ and collect money for charity.
#GPHero17
Breaking:
@TheBMA
's survey shows that the vast majority of doctors – 91% – want
#facemasks
to remain compulsory in healthcare settings when restrictions are lifted next week
England’s GP partners are tied into the five-year deal that aims to give them a vastly below-inflation annual pay uplift of 2.1% and it is unclear how they will fund staff pay rises promised by the Government.
'It doesn’t take a health economist to calculate that if even a small proportion of the unfiltered patients in primary care took themselves directly to the door of secondary care, the financial woes of the NHS would rapidly escalate,' says
@docmartin68
‘NHS general practice is being abused and subsidising lucrative private practice that is charging patients extortionate fees whilst expecting GPs to soak up the complicated administrative work pro bono.'
'"The way that GP practices operate financially is a murky, opaque business," Wes Streeting said, apparently unaware of the annual publication of NHS Digital’s Payments to General Practice.'
Many people with ME/CFS report ‘dismissive attitudes’ from some healthcare professionals and feel stigmatised, a Government interim report currently out for consultation states
#chronicfatiguesyndrome
Exclusive: GPs warn that
@NHSEngland
’s approach of offering patients a choice of getting vaccinated at a local GP practice or mass vaccination site is 'unnecessary duplication' which causes 'confusion'
.
@TheBMA
has written to
@Telegraph
in response to
@AllisonPearson
's 'completely unfair' column, in which she said she is 'not surprised' GPs have received a torrent of abuse
Such sad news, another GP has died with Covid-19. Dr Craig Wakeham, 59, was chief clinical information officer at
@DorsetCCG
and led rural village practice Cerne Abbas Surgery for 30 years. His colleagues say: 'He was also a devoted father to his two boys'
GPs and health leaders share their intense frustration over the failure of the Government and NHS leaders to defend GPs against a series of attacks in some sections of the media. They call for the Gov to 'step up and refute' these
A GP trainee has sadly died with coronavirus. Dr Abdorreza Sedghi moved to the UK to pursue a career in general practice and is remembered by East and North Hertfordshire NHS Trust for his charisma, personality and 'taking time to understand his patients'