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The Gp Substitute Will See You Now

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naomi24 | 08:35 Thu 31st Jan 2019 | News
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//An army of more than 20,000 physios, pharmacists and paramedics are to be recruited to work alongside under-pressure GPs, NHS bosses say.
The new staff will work with GPs, taking responsibility for some of the 300 million bookings made with practices each year.
They will also provide continuing care to patients in the community.
NHS England said this should allow GPs to spend more time with the sickest patients.//

https://www.bbc.co.uk/news/health-46994187

Do some people demand unwarranted appointments with their GP, and would you be happy to see a GP substitute?

Personally, I think this is a good idea. Too many people visit their GP unnecessarily. As an example. I woke up one morning with considerable pain in my ear and found blood on my pillow. I called my surgery and was asked to attend within an hour to see a specialist nurse who was able to prescribe antibiotics to clear the infection. Great service. Job done.
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The pharmacist attached to my local surgery have for a long time been available to give advice on and treat minor complaints.
I think its a very good idea. We were working on direct service access long before I retired from the NHS and I only wonder what has taken so long. Provided that you have a clear and efficient method for getting the person to the right professional it will save both time and money and give a better service.
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danny, any pharmacist will do that - but they can't provide prescription only medication. I've often asked a pharmacist for advice and have bought the over the counter remedies recommended to deal with the problem. I very rarely visit my GP.
IT's an excellent idea.

My friends parents were both GP's they were continually annoyed at people that came in with very minor ailments, often simple colds or cuts, that could have been dealt with easily at home or with help from a pharmacist.

It might also cut the DNA's where people get better and then dont cancel the appointment.

oh PS I think "alternative" is a better word than substitute.....although in many cases, they are neither really. Its just taking away the GP's function as a gatekeeper/rationer of services.
Naomi,they can,and do, order prescriptions on behalf of the patient.
naomi the other hook which I have found with GP advice is that they are (at least round here) increasingly refusing to give advice to people over age 60 or 65 (it varies) and want them to have a GP appointment instead. If you already have a chronic illness or complications i can see the point but its quite annoying when you are otherwise healthy.
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danny, if your pharmacy is in your surgery, they will have access to your records and they will know your GP. We have a similar pharmacy at our surgery that will offer the service you describe - but I doubt very much you could go into a random high street pharmacy and expect the same.
Naomi, of course not.
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woofgang, That would be annoying I imagine, but I expect it's an exercise in damage limitation.
Excellent idea.
woofgang, the opposite applies to my surgery where every patient of 70 yrs and above is allocated a specific doctor.My doctor has arranged that if I ring in and leave a message for him to contact me he will do so.
Oh! dear.......anything to keep you away from your GP who is overworked because Drs are emigrating, retiring early and more women admitted to medical schools which on qualification do not contribute to the NHS.

My answer?

Invest in polyclinics for GP's with all the facilities for X-Rays and blood tests.

No home visits by GP's.....they are a waste of time and are inefficient.

Promote and increase the number of District nurses to attend to the sick at home...on request.

Invest in the ambulance service and hospital service especially A&E.

Training the Pharmacist to prescribe drugs may be quite a problem as diagnosis precedes prescribing and this would put a strain on the pharmacist who would be ill trained for diagnostic purposes.

GP's are under worked, overpaid and are not good value for money in my opinion.

My comments will never come to fruition as generations of Brits have been spoon fed by the NHS which is used purely as a Political tool.
Sqad //o home visits by GP's.....they are a waste of time and are inefficient.//
So what do you suggest for people who, like me, are housebound?
danny......if you need to see a doctor and cannot get out yourself, ak a friend to take you...OR if that is impossible, call the District nurse to asses you and if she agrees then an ambulance to either A&E or hospital admissions.
Sqad//, call the District nurse to asses you//
The District Nurse cannot issue prescriptions.


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Sqad, //No home visits by GP's.....they are a waste of time and are inefficient.//

Rather short-sighted. The last time I had a home visit I was very ill indeed and there was no way I could get to the surgery. I was carted off to hospital immediately for emergency surgery. Without that home visit, I would have been dead.
danny/ naomi.

The nurse would know if you just required reassurance, OTC medicines or an ambulance to hospital OR she could arrange for your prescriptions to be repeated. No need for a GR visit.

Same to you naomi, the nurse would certainly pick up the fact that you were ill and needed hospitalisation....no need to have a Dr visit, in fact if you called the doctor, he would probably just call an ambulance without seeing you.
home visits are a waste of time.
Sqad, //home visits are a waste of time.//
That may be your opinion but, as far as I am concerned, they are not.
Danny my surgery is brilliant. They do everything they can to make things easy, will do telephone and email consultations and have online appointment booking for non urgent stuff. They will already use their own practice nurses, funded by them, where that is best. This "new" project appears to say that the NHS will be employing staff to do similar but there will be more specialities available....again I suspect that a good proportion of it won't be newly recruited staff but a removal of the requirement for a GP referral. Again, knowing how things work (or used to) this will be about bulk purchase of services allowing patients direct service access.
It seems silly does seem silly to me that once I hit a certain birthday, I am no longer deemed sensible enough to get advice from a pharmacist....its especially silly as pharmacy meds cam be purchased online and its easy to lie about one's age.

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