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Helen Salisbury: It's time to push back against the destruction of general practice bmj.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from bmj.com Daily Mail and Mail on Sunday newspapers.
Helen Salisbury: Blurring the boundaries of the medical profession bmj.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from bmj.com Daily Mail and Mail on Sunday newspapers.
Not long ago, a surgical colleague told me that all the patients attending his outpatient clinic arrive “pre-scoped” the investigations have been done before the clinical encounter. As a result, he knows exactly what to expect in terms of pathology, although each patient will differ in the way they react and the choices they make.
By contrast, I often do not know what my clinic holds in store, even when I know the patients or they have filled in an online form ahead of their consultation (as this is not mandated in our practice, most patients tend not to do so). Until I … ....
General practices in northwest London have been told by their integrated care board that they must work together to reorganise their services.1 This means that patients requesting same day appointments will be seen in an acute hub staffed mostly by non-doctors and that GPs will be “freed up” to concentrate on more complex cases. The plan has its roots in Claire Fuller’s 2022 report on integrating primary care,2 which is being elaborated on and put into action with help from the management consultancy KPMG.
But it’s a spectacularly bad idea. It was roundly rejected by local medical committee leaders last November,3 and it … ....
Helen Salisbury: Pharmacy First and the new GP contract offer—moving deck chairs on the Titanic bmj.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from bmj.com Daily Mail and Mail on Sunday newspapers.