GPs warn face-to-face appointments plan could lead to exodus of doctors | GPs | The Guardian


British Medical Association says blueprint could exacerbate GP shortage and see many leave the profession

 

============================================

This may be correct to some extent, but is it the Government or the GPs who are out of touch, as I feel patients will largely welcome face to face, rather than the impersonal telephone appointments or video if you are lucky. In fact you are extremely lucky to get any form of appointment currently.

Currently my own health is not good so I am contacting my GP more often than I would normally have done and when I have managed to get through, after, more often than not, having been in a queue for going on 30 mins and sometimes a hour, only to be told all appointments have gone and never even offered any face to face, for those gone are only telephone appointments . My practice does not extend to video and telephone is the only form of communication as they have not joined the email age.

So are my practice offering face to face, who knows for the Receptionists are not forthcoming.

In the past, well before COVID, I have said that some face to face are not required, especially  if it is just to get results of tests, but then you were never offered telephone appointments, only face to face.

So it has gone from one extreme to another, when it should be a suitable mix.

I sometimes get the opinion that patients are just getting in the way and that no one in the practice cares anything for patients, this is, to some extent, also the way with hospital appointments, but not as grave as with GPs.

It is also one of the reasons why A&E visits are more in demand than previously, as people know when you get there you will be seen, even though the wait will be very lengthy. But not so with GPs for you are not allowed to enter a surgery unless you have a face to face appointment, when you can get one.

GPs could well be voting with their feet and yes they are under great pressure and well over worked, but so are very many of us.

But by not seeing patients many diagnosis are going unknown, for much of a diagnosis process is by observing patients, which can’t be done over a telephone and also not in some instances by video, if you can get them.

This is leading to many conditions not being diagnosed until it is too late, as many with, say, Cancer have found to their cost.

There is a shortage of GPs and if some are leaving this will make a serious situation very much worse, but there are shortages in many areas and in some of these health is also at stake, such as lack of social care, but the Government is virtually doing nothing on this.

All parties need to be listened to, being GPs, Government and patients and a suitable package worked out for all concerned.

I feel it is going to get much worse before there are any signs of any improvements.

Source: GPs warn face-to-face appointments plan could lead to exodus of doctors | GPs | The Guardian

Ministers to crack down on overprescription of medicines on the NHS | The Independent


Government-commissioned review finds 10 per cent of drugs prescribed by primary care doctors are not wanted or needed

 

==========================================

 

This may or may not be true, for we can only know if we see how this conclusion was reached.

For medications are given to individuals and like all individuals we could all experience problems in many different ways.

Unfortunately the NHS does not treat people as individuals, especially in these times of non-face to face consultations. and then the problems in getting repeat consultations when needed. This is the same for both GP and hospital consultations.

They all treat the condition in a ‘one fits all’ approach, instead of a ‘person centred ‘ approach. Also and especially hospitals treat conditions in isolation, but many have multiple conditions and with GPs and some extent hospitals appointments are time time related., otherwise the appointment system get out of line and appointment times are then not met if appointment times are exceeded.

But, if you have more than one issue when seeing a GP and want to relate to your list, the GP could well say, just give me the top of your list and we will discuss the rest on your next appointment, and that is a major problem for when will that next appointment be, certainly not the next day or even the next week could be weeks or months. Even getting through to a GP surgery is a major exercise for it could take time to get even in a queue and then wait to be connected to the receptionists, to be then told all that days appointment haver been taken, no offer for any face to face for the appointments referred to are telephone appointments. It was said sometime ago that going on 80% of a GP consultation was from the patient and not any GP checks, but with a telephone appointment the only vehicle of communication is voice, no understanding of tone, body language and any other observations, so again the appointment is somewhat not sufficient.

As I said, even with a face to face you are usually restricted to around 10 mins, which gives no time for many patient to mention all they wish too and a patient is not an expert of medical issues only on their body and how they are feeling, much of which can’t be expressed over the phone.

Yes, GPs are over worked and there are too few of then, but don’t we all have stressed lives and who is to say how much effort it took a patient to try and get an appointment in the first place, is there any wonder why A&Es are so busy these days, as patients will mainly take going to A&E and suffer the long waits there for they know they will be seen, but again by an overworked, mainly junior doctor, not saying they are not fully trained, but long hours can lead to mistakes being made and they are made and one mistake is one too many.

The NHS has been underfunded for many years, but then so as Social Care which is another story, but as equally important, if not more so.

Money is not everything, for there has been much Government interventions into the NHS and mainly not for the better. Care of any nature is more than likely to be long term and costly.

Don’t get me wrong for we in the UK are extremely lucky to have the NHS, and I bless the Labour Government in the 40s for all their work and will to create the NHS in 1948. But in those days Doctors and Dentists and the BMA were not fully in favour of the NHS, as I am lead to believe they did not wish to lose their access to their private practices, so a compromise was reached. This was on the lines that if they agreed to be brought into the NHS not as employees, but as self employed they could retain their private practices and still work for the NHS. So even tough they are contracted to be in the NHS it is the practice and not the individual doctors. So they can withdraw from the NHS if they wish and still work on  private patients, which many |Dentists have done, so creating many problems for |NHS Dentistry, in that there is a very serious lack of capacity in NHS Dentistry, as so many people are experiencing in not being able to find an NHS dentist, and then afford it, for Dentistry was removed for ‘free at the point of delivery’ many years ago, although the NHS payment is subsidised through the NHS.

|Both the N HS and also Social Care need to be fully funded, but that takes money and one of then should not be left short to fund the other. This is not the fault solely of this Government, but of many previous Governments who have left the NHS somewhat underfunded and even more so, Social Care,  latter even true today, in fact very true and the question is will both be able to survive, especially social care, for the current lack of social care is already having an effect on the over use of the |N HS and if it were to get worse,which it is every day, or even disappear, the NHS would not be able to cope and that would mean disastrous consequences for all who need these services and have no ability to pay.

So urgent action is still required and the announcement a few weeks ago was way to little and way too late.

So medication is but one problem in many others. But I would not just say there is over prescription, which in some instances there will be, especially in some instances of antibiotics and in some anti depression. But please before any thing is done view the patient and not just the assumed overt prescribing.

 

 

Source: Ministers to crack down on overprescription of medicines on the NHS | The Independent

Education needs a total overhaul, not just new faces and minds | Letters | The Guardian


Letter: Helen Parker says brilliant teachers of all ages are ground down by the numbers and by administrators who lack imagination, courage and leadership


Yes, education does need a complete overall for what does our current education Syllabus produce, well not much, except ‘sausages’.

Sausages, well, Yes, for they are there to ensure students receive an education for them to pass exams to get a Certificate, which in reality is there to ensure a few to go to university and maybe some more to get a job.

But for many students it does virtually nothing, certainly not to enable students to live their lives. Does it provide for students to learn life skills, does the syllabus enable students to learn anything which will be useful in their forthcoming lives.

Well I believe not, for it did not for me, not that my school life was wasted for it was not, but that was down to me not school. There was a school Master whose job content included to enable students leaving school to have some idea what they would be doing when they left school. But for me that did not occur and it was up to myself to propel myself into a career into what I had no idea was was about. However, from my own endeavours I did come through and received the promotions that I wished for.

Was I lucky, I feel I was, were there any students who find their school lives were wasted, perhaps this was down to themselves , but the schools should be there to help them.

The teachers do their best, but the system is what is wrong, for education is not centred on students, but on a system, which assumes all students are the same, ‘one fits all’, which is never going to be right.

As per usual in the UK, the money available is way insufficient, yet another area where it is not, for there is health and certainly social care to name two more and there will be many other areas.

Again it is the system, for systems need to change for they should be there for everyone, but currently the system is there for the system.

Source: Education needs a total overhaul, not just new faces and minds | Letters | The Guardian

National Adult Social Care Strategic Partners: our response to the 2021 Queen’s Speech


I agree with all you say and I am supporting the petition, Solve the crisis in Social Care,
https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

Please could you support it also, and then share.

More information can been here, https://1drv.ms/w/s!Aq2MsYduiazgoEy6ROxeV0abd2mT?e=PICUib

It is essential that the social care funding is sorted for that is a main area, but also are

Care workers pay and conditions
quality of care
quantity of care
social care not being free at point of delivery, as is health
And others

We are united in our view that the Government’s proposals for the future of social care – promised again in the Queen’s Speech for later this year – must be brought forward urgently along with a clear timeline for action.

As senior members of organisations representing people who draw on, work in, commission, provide and regulate adult social care and support, we are united in our view that the Government’s proposals for the future of social care – promised again in the Queen’s Speech for later this year – must be brought forward urgently along with a clear timeline for action.

This was an important opportunity for the Government to make good on its promise to ‘fix social care’ and move the reform debate further forward, building on the many lessons that have been learned during the course of the pandemic.

One of those lessons is the clear and important…

View original post 436 more words

UK needs £102bn boost to NHS and social care, says major report | NHS | The Guardian


Funding from higher taxes would cut avoidable deaths and improve equality after the Covid pandemic, yes it would, but with Social Care it can’t wait for over a decade for it needs its funding now, like yesterday.

COVID, if we did not know it already that England, even the whole of the UK needs Social Care like never before. The funding increase has to be now, before any more deaths take place.

The funding situation was bad enough before the start of austerity cuts in 2010, they made it much worse and now COVID has left Social Care so decimated that no one is safe.

To not do anything, shows that this Government has no consideration for anyone in need of Social Care, it is as though they are being left to fend for themselves and this they are unable to do, hence their need for Social Care.

To do nothing means that this Government has blood on its hands.

There is a petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care, Which needs your support

 

Source: UK needs £102bn boost to NHS and social care, says major report | NHS | The Guardian

John Lewis set to permanently close Sheffield store in huge blow for city centre | The Star


This is a very real bombshell for Sheffield, even though, for many years, well before COVID-19 I did think how are John Lewis able to keep this store open. For when I did go in there were virtually no customers. But it did appear to survive, but that survival is no more.

With John Lewis going, on top of Debenhams, even though I did not care for Debenhams, but many more people did, I can’t see what is left in Sheffield City Centre, except Marks and Spencer. However, one substantial store does not make a successful city centre. This does not say that there are not many smaller shops within the City Centre, but a few big named stores are essential to pull in visitors. A few years the City Council said that Primark was a lead store in The Moor development, but while many do like Primark, this store is nowhere to be placed in the league of John Lewis, let alone Marks and Spencer.

A very sad day for all the Partners in John Lewis and my thoughts are with you all, but where does it lead for the finances through Business Rates for Sheffield City Council?

Without any further delay the current Tory Government needs to repay all that was withdrawn from the Government Grants to Sheffield due to 10 years of Austerity Cuts, let alone the additional costs related to COVID-19, which the Government promised to cover. It has covered some of the costs, but not all.

Sheffield is not alone in this financial disaster, but Sheffield is my home and therefore the one Council I feel most about.

 

Source: John Lewis set to permanently close Sheffield store in huge blow for city centre | The Star

Joint statement on the future funding of adult social care


Yet another saying the Government needs to, urgently, provide the promised review of Social Care including the substantial funding required to ensure Social Care can continue.

I have been saying this for some time and support the Petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

In my promotions of the petition I have been saying the following

‘The issues raised in the petition were mentioned on Boxing Day in a Sky News report, Social Care – The Other Health Crisis., https://news.sky.com/video/social-care-the-other-health-crisis-12172633, regarding an investigation they have done into the crisis in social care.

They highlighted many of these issues and called on the Government to abide by the promise made by Boris Johnson in 2019 in his election winning speech outside 10 Downing Street, one promise that is still outstanding.

Other perspectives were mentioned in the Community Care article, ADASS urges emergency workforce plan as NHS pressures and staff gaps risk ‘overwhelming social care’,

https://www.communitycare.co.uk/2021/01/08/adass-urges-emergency-workforce-plan-nhs-pressures-staff-gaps-risk-overwhelming-social-care/?utm_content=News%20of%20the%20day%20image&utm_campaign=CC%20daily%2011%2F01%2F2021&utm_source=Community%20Care&utm_medium=adestra_email&utm_term=https%3A%2F%2Fwww.communitycare.co.uk%2F2021%2F01%2F08%2Fadass-urges-emergency-workforce-plan-nhs-pressures-staff-gaps-risk-overwhelming-social-care%2F

Please support the petition by signing and sharing and in doing so give your support to Social Care being given the ability to survive.

For without Social Care many in need of care could have serious unmet needs, which could lead to their deaths, perhaps even more than attributed to COVID-19.

Please sign and share the petition to show your support for Social Care

https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

#socialcarefuture, a unique movement of people that draw on or work in the field of social care, has today joined forces with organisations representing local councils, charities and professionals to call on Ministersto break their silence on the future funding of social care.

Anna Severwright, convener of #socialcarefuture said “While the government has set out its ‘roadmap to freedom’, many of us who draw on social care to live our lives fear something akin to permanent lockdown unless further resources are committed urgently.”

“People and families in our network that draw on social care are already telling us that they are facing increased costs and reduced services because of this underinvestment in our lives. After the year many of us have had to endure, this just adds insult to injury”

“Today we are joining with others to express our deep disappointment at the invisibility of social care in the Chancellor’s…

View original post 237 more words

With no certainty over retail’s future, are John Lewis staff now being undersold? | Retail industry | The Guardian


Is this the final ending of the High Street as we have known it.

Store after store with many retailers has been ongoing for many years,  https://www.gov.uk/introduction-to-business-rates but COVID appears to have increased the process.

Many customers, myself included are now only shopping on the internet.

This coupled with the closing of stores is decimating many high street and this is not good, especially those who have no wish to  do not wish to use the internet or have no opportunities to do so.

But it is not just customers who are affected, for Local Authorities, (LAs), rely on businesses for some of their income through Business Rates. This is coupled with the Government Grants, Council Tax, etc. The LAs need income to pay for the various council services we all experience. With less income and this income from Government Grants has been reducing for the past 11 years through the Governments Austerity Cuts. Even though this Government has stated they will not be continuing the austerity cuts, they are not increasing the Grants to offset all the reductions. Then we have the costs related to COVID and Yes, some of this has been reimbursed by the Government. but not all.

Many of the Council services are essential and even though some people think not Social Care is one.

Social Care is a vital service for those who are in need of care and their families, who have and are still going all they can to provide much of the care needed. Currently family carers are providing over £130 billion in Social Care, so without family carers the costs to LAs would be very much more. But family carers are not able to provide more and without Council Social Care input their vulnerable relatives will suffer in many areas of live we all take for granted, the right to live a reasonable life.

The promised White Paper on Social Care, which has been promised for many years, has still not been published, it was urgently required at least 10 years ago, so now the situation in social care is exceedingly worrying. My own worry is, will Social Care be able to last until the Government, not only, publishes the White Paper, but enacts the measures, urgently required.

Without these measures deaths will occur and maybe in excess of those related to COVID-19.

So please support the petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

Source: With no certainty over retail’s future, are John Lewis staff now being undersold? | Retail industry | The Guardian

George Osborne’s legacy is all around us: his cuts left Britain helpless to resist Covid | Conservatives | The Guardian


This is so true, but to date nothing has been done to reverse cuts, even a proportion of them.

It was wrong then and therefore is still wrong now and even today all Local Authorities (LAs) are having to find savings, for costs and demand for services are forever increasing, while the Government Grant is not in any realistic proportion. In reality there were no savings to be made and this has been proven by COVID in so many ways.

Virtually all LA services are suffering and Social Care was and is decimated. As Polly states the poor, sick and disabled, those who could least afford any cuts to services, were the ones to suffer most, leading in some instances to their deaths, especially when the changes to welfare benefits are taken into account. For to claim welfare benefits the eligibility was tightened and claimants were sanctioned for the least failure to abide by the ongoing stringent conditions related to payments and eligibility to benefits. The loss of a miniscule amount of benefit had enormous consequences for persons on benefits, who were most likely living on a day to day basis from one benefit payment to another. For some, even the benefits they received were insufficient to manage.

But LAs are not the only authorities suffering for Health Authorities are suffering too, for while they have been receiving some increased funding the increases are in no way sufficient to maintain services at a level required. In fact the funding for the UK needs to be seriously looked at and it has to be sufficient for the 21st century and buffers need to be maintained to cater for the unexpected, for COVID will not be the last.

Also, with the state of pay scales in the UK, this left many who are in employment unable to manage. Many jobs have been lost over the last few years and even though other jobs have been created these will, more than likely, be at the lowest rate of pay (National Living Wage or even the Minimum Living Wage for persons under 25 years) and maybe part-time rather than full-time. Whereas the starting point for pay should be the Real Living Wage.

LAs do obtain funding in otherways, one being Business Rates, but these are also decreasing due to the effects of lockdowns and COVID restrictions limiting businesses opening.

The UK has never been good at pay rates for those on the lower levels of pay and George Osborne and his cronies did their utmost to ensure these pay levels were kept low, especially when costs were increasing.

One does not need to be a genius to see that this is wrong and not sustainable for a healthy and prosperous UK and which is equal to all.

 

Source: George Osborne’s legacy is all around us: his cuts left Britain helpless to resist Covid | Conservatives | The Guardian

Silenced: The Hidden Story of Disabled Britain Review – Have Attitudes Changed?


Attitudes have always been changing, and will always do so.

For in the 18th century persons with learning disabilities (LD) or now known as intellectual disabilities, but with different labelling, were more inclined to be looked after by their families and were a part of the community.

But on approaching the 19th century this form of accepting changed and persons with LD were more than likely to be placed in institutions where they were out of sight of Society and, of course, their families.

But in the mid-Twentieth century there institutions were, quite rightly, starting to be closed and persons with LD were again within the community and to a large extent their families under the heading of Community Care. But there was one major drawback, as Community Care was never, anywhere near sufficiently funded by Governments, which is still the case for Social Care today.

In 1948 the NHS was created and welfare benefits from 1906 -1914. However, the current and last few Conservative Governments have eroded some of the financial state of these benefits with a view to enhance employment.

But these Governments failed to see, either by design or ignorance that not all on benefits can gain employment and for some of those that do, their financial gain in doing so was minimal, as they were on the statutory minimum wage which in many instances was just above subsistence level and this is the case, even today.

For many employment opportunities on a salary above subsistence to be replaced by opportunities on only the minimum wage. this is in no way inclusion and this is for the general workforce.

But within this there are many persons with disabilities, who need, due to their disabilities more income to cover the additional costs relating to their disabilities.

Yes.as said before, there are welfare benefits, but these are again insufficient and Tory governments have put in place barriers which make it much more difficult to obtain these benefits.

This coupled with the state of Social Care in the twenty-first century are making lives even more difficult for persons with disabilities.

Much needs to be done by this Government to engage change, but have they the will to do this? I fear not.

For this and many other reasons I ask you to support the petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

Same Difference

Children’s TV presenters are often at the forefront of social change. Perhaps this is because – as one of the people interviewed in Silenced: The Hidden Story of Disabled Britain (BBC Two) remarked – “children are much better at inclusion” than their angry-letter-writing, Ofcom-complaint-making parents.

Ben Cajee, of the current CBeebies cohort, won praise for his age-appropriate discussion of racism in October, but in 2009 it was his predecessor Cerrie Burnell who inadvertently became an activist. Burnell was born with a right arm that ends just below the elbow. She hadn’t set out to champion the rights of disabled people – all she wanted was to introduce another episode of Balamory – but when parents complained that her appearance was “scaring children”, she did just that.

Where do such prejudices against disabled people come from? This documentary saw Burnell explore that question, finding the beginnings of an answer in…

View original post 629 more words