charlotte brown

1.2K posts

charlotte brown

charlotte brown

@ckbgp

加入时间 Mayıs 2011
104 关注50 粉丝
charlotte brown
charlotte brown@ckbgp·
@DrSteveTaylor @Parody_RCGP Im a newly retired gp partner and cannot get an appt at my gp for a fairly serious issueI phoned told to do e consult so did. Reply was I need a f2f and sent a booking link then a text to say the link wouldn’t work I needed to phone. I’ve been round this 3 times still no appt
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charlotte brown
charlotte brown@ckbgp·
@NiallHignett He talked about fields that meant so much to generations of his family ! Not true then !
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Stephen Kinnock
Stephen Kinnock@SKinnock·
1 in 3 GP partners now earn more than the PM, so the BMA's claim they lack resources for online bookings simply isn't credible. We’ve backed general practice with £1.1bn extra funding & by employing 2,500 more GPs - because people deserve a modern service thetimes.com/uk/healthcare/…
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charlotte brown
charlotte brown@ckbgp·
@Pharmacistdaz It’s the antibiotic prescribing that I have spent the last ten years trying to not overdo that is now in free fall. Plus every dysuria being diagnosed as a uti. So dangerous
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Pharmacist Darren (on 🦋) 💚
Pharmacist Darren (on 🦋) 💚@Pharmacistdaz·
So the Sunday training session, held by an absolutely fantastic GP, on the use of the otoscope for this condition was just my fever dream.
Parody RCGP@Parody_RCGP

Pharmacists earn £15 for managing an ear infection after doing a 2 hour webinar. Yet ENT consultants aren’t able to see these same patients in General practice as it would be considered not appropriate. I would be smiling too if I managed to get more of that wonga secured!

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charlotte brown
charlotte brown@ckbgp·
@MrAndrewCotter The dinner and the walks- totally out of whack now. Mine is not happy. At least yours don’t whine Love olive and Mabel
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Andrew Cotter
Andrew Cotter@MrAndrewCotter·
An hour and a half of this every afternoon at the moment.
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Claire 💙
Claire 💙@clairebubblepop·
Said this before but I’ll say it again. Just one lifetime ago in the UK, our grandfathers could buy a home, buy a car, have 3 to 4 children, wives could stay home, take annual vacations, and then retire… all on one middle-class salary. What happened? We had same day GP, ambulances within minutes, dentists, good education, decent public transport, clean river and beaches. So AGAIN WTF happened?
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charlotte brown
charlotte brown@ckbgp·
That’s it last patient seen after 35 years in NHS. Feeling a bit…. Euphoric !
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charlotte brown
charlotte brown@ckbgp·
@G_D_Phillips1 @ed_itu Oh dear oh dear oh dear. Showing a lot of ignorance right here. Looks like you know as much as wes about primary care
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Gerrard Phillips
Gerrard Phillips@G_D_Phillips1·
Sad but true. Frankly, as a secondary care consultant, I often hear these stories. Many of my patients either can’t get to see their GP/can only see a non doctor/have to wait 2-3 weeks even if it’s something urgent. I know there are many good GPs but overall my perception is the service is grossly overwhelmed and therefore failing.
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SJ
SJ@ed_itu·
My 16yr old had surgery for pilonidal abscess. After I ran out I tried to get dressing’s prescribed at Gp. They refused to prescribe the dressing til wound assessed by them, but next appointment is 4th Sept….absolute madness. NHS for you….& I’m an NHS nurse!
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Andrew Cotter
Andrew Cotter@MrAndrewCotter·
We're all ready for this one.
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charlotte brown
charlotte brown@ckbgp·
@DrGoblin3 We send pp provider our lmc provided letter and do nothing else but the ones on nhs wanting it are taking up so much reception time
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Dr Goblin
Dr Goblin@DrGoblin3·
This Mounjaro situation is out of hand. Patients demanding it when they don’t qualify, or qualify but there’s no pathway in our patch yet. Or private providers sending us love notes that require medicolegal defence strategies that all takes up time. Sick of it.
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charlotte brown
charlotte brown@ckbgp·
@AbbieTBee junior in 90’s i worked 140 hrs/wk on a 1:2 BUT. Gtteam/Learnt loads. Free accommodation /no loans free food ( even at night) given tea and toast by nurses on ward might have had 20 meds (hand written) and paid about the same as you now ! Strike hard this old doctor says
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charlotte brown
charlotte brown@ckbgp·
@DrGW0 I chose not to have sedation for mine ! There should not be a choice !! Awful
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Dr Graham Webb 🌎
Dr Graham Webb 🌎@DrGW0·
I had an endoscopy probing today. Is anyone humanly capable of calmly breath through their nose when a 1/4 inch tube is being pushed down your throat against the inflamed region that's causing you to gag and vomit? It was like being waterboarded.
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charlotte brown
charlotte brown@ckbgp·
@PhilSmithIsBack It’s why I always take my own history from a patient this is the art. This is the 20 years of experience. Get the history right and it all follows. Tick boxes and ‘others’ don’t work !
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Phil Smith
Phil Smith@PhilSmithIsBack·
Taskification and substitution in the NHS - a hypothetical case of how splitting up pt care into "tasks" misses the diagnosis & costs more: A recently married 45 yr old Pt develops bloody diarrhoea over 4 weeks. "The protocol" says they need a blood test, stool MCS & FIT test 1/
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Dr Steve Taylor
Dr Steve Taylor@DrSteveTaylor·
Failed to renew my Direct Debit 2020 because I felt @rcgp had failed to protect General Practice Dr Stephen Taylor MRCGP (1995-2020) 25yrs of paying a DD after passing an EXAM that entitled me to write MRCGP after my name If not RCGP should not be in charge of the entry to GP
Dr Steve Taylor tweet media
Parody RCGP@Parody_RCGP

Breaking: The RCGP clarifies Post Nominal position They are concerned that continued use might fool patients or colleagues into thinking that they have a direct debit. The e same organisation that was happy for PAs to pretend to be doctors and cause harm. Make it make sense.

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charlotte brown
charlotte brown@ckbgp·
@chiversenz What discharged after bloods ecg imaging monitoring. Response to meds or specialist assessment over hours. I have ten mins and history and exam. I send v few in. And that PA is welcome to a diagnostic ‘face off’ anytime
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Burger
Burger@chiversenz·
I know a PA who works in the acute medical unit in a busy DGH I’m told 7 out of 8 patients referred by GP’s get discharged the same day What are those GP’s playing at Covering their arses as per usual
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charlotte brown
charlotte brown@ckbgp·
@Microbedoc2 Such a waste of time. Makes me so angry as a gp doing them and thinking of the waste of time nationally and money ( 600 ) per appraisal let alone admin.
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Jamie Murphy
Jamie Murphy@Microbedoc2·
The appraisal process for consultants - appreciate the CPD aspect, but the summary reflection with pointless prose fitting the GMC domains and themes is just a monumental waste of time. Why is it every regulator or NHS executive body seem to think things are made better with yet
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charlotte brown
charlotte brown@ckbgp·
@Jenny_1884 Nhs doctors pension retirement age now 67. Old scheme was 60. Can take at 55 but with substantially reduced benefits
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Jen k 🇬🇧🏴󠁧󠁢󠁥󠁮󠁧󠁿
Jen k 🇬🇧🏴󠁧󠁢󠁥󠁮󠁧󠁿@Jenny_1884·
What I don’t understand is that they want to up the retirement age to 70yrs for state pension & yet public sector pensions the retirement age is 55yrs. How does that seem right?
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发现

@DrSteveTaylor @Parody_RCGP @dave_dlt @NiallHignett @SKinnock @Pharmacistdaz @MrAndrewCotter @clairebubblepop