@Anna_L_Mitchell @DrSelvarajah Solution to that is integrated prescribing so that you’re responsible for prescribing and monitoring for these patients, not GPs
@thedoctorkhan @thegradmedic @KitanAlabi fundamentally it all comes from central government who view the junior doc paybill as a global cost, which they don't want to see rise. So the baseline will gradually be suppressed to fund premia. And you've just made collective bargaining markedly more difficult...
@thedoctorkhan @thegradmedic @KitanAlabi Because they operate in an actual free market, without a monopsony employer. You can of course do this - but don't think that it won't have unintended consequences. Specifically, you are right - you can have baseline + suppl. But while junior doc funding is complex,
@NadiaKamil The trouble is you’ve just created a good way to realise that their SSRI won’t do them much harm but that grannies x med otoh, will. To look at it another way, what proportion of the people you refer to were both a) entirely serious at the time b) impulsive or distressed?
This iconic graph tracks how rapidly our planet is warming. Yet every time it's shared on Twitter, someone always asks, "Why does it begin in 1850?"
The answer is simple: it's when we first had enough thermometers to compute a truly representative global temperature average.
@Dr_KM_ @doctorrah N=1 but definitely more effective for migraine in (one off) larger dose. Maybe because reaches a higher serum concentration more quickly I guess
Public Health Minister @jenni_minto visited one of the first community optometry practices providing the NHS Community Glaucoma Service, Scotland’s new flagship eye care service.
Read more ➡️ https://t.co/EVDWnX9L6G
@elagnab@trishgreenhalgh@wesstreeting I mean, yes, it is, but as we’ve established that equates to a 36-40 hr week. So what you’re asking for if you want them all to be available 5 days a week is for them to work 60-80 hrs. Doesn’t sound that sustainable does it?
@elagnab@trishgreenhalgh@wesstreeting So the fact surgery website tells you that they are only available for consultations Mon-Wed doesn’t really help you know if they are p/t. If they arrive at 8, leave at 7, do an hour after kids in bed & spending Thurs am catching up on referrals/paperwork -> 40 hrs