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GP SURGERIES : Closures / Amalgamations : GP Shortages And Government Targets / Waiting Times : Sector News - Page 6 - Carers UK Forum

GP SURGERIES : Closures / Amalgamations : GP Shortages And Government Targets / Waiting Times : Sector News

Discuss news stories and political issues that affect carers.
In which case , our NHS needs to change ... both it's employment criteria , and the use of trained staff within the disjointed system.

Change both and ... hey presto ... they will be onto a winner ?

When it comes to change ... several years may be needed.

Hospital Trusts have that freedom ... trouble being that the rate paid to temporary staff ... agency especially ... hardly any Hospital
Trust runs on anything other than a deficit ... and those deficits are growing.

Main NHS thread for more on those accumulated deficits :

https://www.carersuk.org/forum/news-and ... down-30995

( Without checking , a couple are approaching £ 100 million. )

" Special Measures " ... words that spark fear into ALL hospital trust boards !

Same thread for the latest on " Foreign " doctors and nurses ... clash between the Home Office and the NHS.
Mother saves one-year-old daughter from sepsis death by storming into GP surgery and demanding she is seen after waiting " EIGHT HOURS " for call back.

Rachael Pedrick became concerned about daughter Holly at their home in Wales.

She was suffering symptoms including vomiting, diarrhoea and " Sticky eyes. "

Holly was eventually diagnosed with sepsis and skin infection cellulitis
.

https://www.dailymail.co.uk/news/articl ... rgery.html


Ms Pedrick contacted her GP surgery to ask for advice who said that it could not book her an appointment and she would have to wait for a call back.

She said that she was eventually forced to storm into the surgery and demand to see a doctor after being left to wait for 'eight hours'.

Holly spent the night in Prince Charles Hospital in Merthyr Tydfil before she was rushed in an ambulance to the University Hospital of Wales in Cardiff on Christmas Eve.
GP surgeries to host foodbanks in local scheme


GP surgeries in Greater Manchester are being encouraged to set up food banks to help patients in need.

From this week, practices in Ashton-under-Lyne, Bolton, Bury, Manchester, Oldham, Rochdale and Stockport will be suggested to place a box in their surgery for people to donate food and essential products.

The initiative is proposed by a charity called Homeless-Friendly, which was set up by Dr Zahid Chauhan, a GP in Oldham, and launched by Greater Manchester mayor Andy Burnham.

The charity has stated that the aim is for practices to help alleviate poverty and health problems associated with poor diet seen in patients.

As part of the initiative, posters will be displayed in practices to highlight what items can be donated.

Homeless-Friendly has said practices can also work with their local authority to ensure the food donated is appropriate.

Furthermore, a member of practice staff will be nominated to manage the food bank and will be asked to discretely note who uses the bank and will pass on any concerns of patients using it to a GP.

Dr Chauhan said it is important to note the results of not eating or eating poorly, given that the impact of malnutrition in terms of obesity has been ‘well-documented’.

He said: ‘Perhaps people will say that we have come to a pretty point when practices have to try and help feed the hungry. But with community centres disappearing and pubs and places of worship closing, they are one of the last remaining hubs of the community.

‘By staging a foodbank, surgeries are not only improving health but taking a lead in raising awareness of the crippling poverty many people are now living in.’

Earlier this year, research suggested that people living in poor areas face greater health inequalities when it comes to just accessing GP appointments.

Pulse has previously reported GPs increasingly referring patients to food banks. A Pulse survey of almost 700 GPs found that over one in five GPs had been asked to refer a patient to a food bank in that year.



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It will rollout across the country ... as surely as night follows day ???
As NHS delays increase, we must not accept this crumbling system as the new norm.

It’s taking longer to see a GP due to the fallout from rushed hospital discharges. All services must be properly funded and staffed.


A&E figures have made headline news, reportedly treating the smallest number of patients within four hours (68.6%), their lowest since the 95% target was set in 2004.

Due to delays in seeing and admitting patients through A&E, ambulance services are facing significant pressures. In the last year 21,663 patients were forced to wait for at least an hour with crews, the highest number ever recorded by the NHS. And once admitted, 2,347 people waited for 12 hours or more on a trolley.

As a GP working in a busy practice, I see the knock-on effects for patients facing potentially life-threatening delays in ambulances. They have to be monitored by doctors and nurses while they wait – this can be during a busy morning and can lead to long delays for others waiting to be seen.

A GP friend in the north-west of England had to drive patients to hospital after they had been waiting for four hours for an ambulance. She had worked a 13-hour shift and was starting early the following day.

Nationally, the GP workforce has shrunk by 3.7% since 2015, with a further drop in GP partner figures of 16%, at a time when the registered patient population is rising to 60.2 million. The number of patients at our practice has doubled to 23,000 since I joined in 2010. Across England, practices have seen an average increase of 28% as many close or merge, and there were 2.7m more appointments last year compared with the previous year. In parts of the country where GPs can see twice as many patients, millions now face waits of up to three weeks for an appointment.

The problem is not just that there are fewer family doctors. Primary care is having to support more patients, many with multiple complex health conditions and frailty, who are waiting longer to see a specialist. Last year thousands of people did not see a specialist within the NHS target of two weeks of an urgent cancer referral, and one in eight are waiting more than 18 weeks for a routine appointment. This leads to repeat GP appointments, requests for home visits, and increased paperwork trying to expedite referrals and arrange more tests.

We are also having to deal with the fallout from early or failed hospital discharges, where patients need to be followed up to discuss or arrange tests and initiate new medications – sometimes with scant information as we await discharge letters. It is not uncommon for a patient to need an appointment the day, or day after, they are discharged to manage an urgent issue that could not be dealt with while an inpatient. This inevitably means that many patients who are still sick end up being readmitted to hospital for an acute condition such as ongoing severe infection, breathlessness or dehydration.

Many of these revolving-door patients are frail and elderly or have got dementia, and are not receiving support in the community due to social care budgets being stripped to the bone. In a health system that depends on all services linking together, it is perhaps not surprising that we are seeing the NHS crumbling.

But we mustn’t accept this failing system as the new norm. Instead, we need realistic funding for health and social care with a clear focus on employing more staff and improving their wellbeing and morale so that they do not leave the NHS disillusioned and burnt out.

• Zara Aziz is a GP partner in inner-city Bristol