Caroline Gee

GP Partner . Europe loving weightlifter. Answer to everything- lift heavy shit

[Caroline Gee @carolinegee13]

@co82942347 @DrEilidhMaria I do .

[Caroline Gee @carolinegee13]

@AdamGiddins Where did she eat ?

[Caroline Gee @carolinegee13]

@LucyGoBag Lettuce?

[@DrKatie.BSky.Social @doctor_katie]

#EMIS

Dear @NHSEngland @NHSDigital

In major situations like this, silence is unacceptable - even an acknowledgement of the understanding of the issues will be helpful - these must be public-facing too

Monday does not look good…

@BBCHughPym

[Caroline Gee @carolinegee13]

@TimesRadio @LucyGoBag @cazjwheeler As they should

[@DrKatie.BSky.Social @doctor_katie]

No other bit of the NHS would cope without a clinical system

GPs largely get on with it, used to things going wrong & having to adapt

When eg local comm trust services get hit we have “we’re closed now until Wednesday at least because of this”

[Caroline Gee @carolinegee13]

@ShaunLintern Not working in Preston

[Caroline Gee @carolinegee13]

@Parody_RCGP https://t.co/2oLtqGGYS1

[Dr Steve Taylor @DrSteveTaylor]

NHS ENGLAND FAIL

Example of the top down 2’ care focus
Average cost of a virtual bed in the patient’s own home £665.
3 times the annual spend on Community Care / person
Cuts
7%⬇️GPs
42%⬇️District Nurses
15%⬇️Nursing & Residential beds
Change needed at top
https://t.co/bta20fEMen

[Andrew Giles @giles_home]

A post on unfunded, and underfunded work in primary care.

Last year I did some analysis on LES schemes and freebies practices do, it wasn't exhaustive. 10 non-core things like phlebotomy, ECG, B12 etc that aren't funded in our area.

I revisited it today, some rough searches and maths suggests around 270,000 appointments worth a year of unfunded work, across a 350k population.

That's around 50% of all outpatient appointments per year, for the same population.

For FREE.

Except its not free, it's paid for by late nights and stress or by diverting time funded from contractual income to cross subsidise commissioning gaps, at a time when patients are expecting more and more.

Is that sustainable?

No one wants to stop, as it will be awful for patients, hospitals certainly can't do 50% extra, for free, but in practices it is taking care away from patients, either today, or in the future when the practice folds.

If you work in an NHS org, and the free work practices do is not on your risk register, flashing, with bells on, I think 2024 might be more painful than it already will be.

[Caroline Gee @carolinegee13]

@dr_irfan_malik 💯

[Caroline Gee @carolinegee13]

@DrSdeG Stunning

[Caroline Gee @carolinegee13]

@DrGoblin3 Our Fy2 s love their posts with us.They are supported +enjoy the 1-1 with a senior clinician.
They also rise to the challenge of diagnosing based on hx and exam and not over reliance on tests which will serve them well. Most of ours ask to come back to us in their ST yrs.

[Caroline Gee @carolinegee13]

@iDrSunny I’ve never been on a flight that had a medical kit! 😂.
You’re lucky if there is a small canister of O2 and a passenger that bought a BP monitor in boots!

[Caroline Gee @carolinegee13]

@Dr__Sarmy I’m almost feeling hopeful

[Caroline Gee @carolinegee13]

@cazjwheeler He seems to be appointing a cabinet of experts in their field. What a refreshing change

[Caroline Gee @carolinegee13]

@chriscraigCCC I always drank Baileys after night at 9 am . But with milk. Which made it ok

[Caroline Gee @carolinegee13]

@doctor_oxford @Jeremy_Hunt @Keir_Starmer @RachelReevesMP Never forget his treatment of junior doctors. Wolf in sheep’s clothing.

[Caroline Gee @carolinegee13]

@DrEilidhMaria Most accurate analysis so far

[Caroline Gee @carolinegee13]

@DrLindaDykes It’s democracy and we need to take note. We need to listen, understand, engage and act. Vile as he is, he’s speaking to a large percentage of people who are disenfranchised with mainstream parties. He’s popular on the doorstep, we need to find out why.