GP A&E Triage – would be a good idea if we had planned for the numbers needed. We have not.. and GP partnership and continuity of care is in decline

Despite a lack of evidence, some CCGs are allocating scarce resources  to GP A&E Triage. Sofia Lind reports in GP Magazine 26th June 2014: CCG plows further half a million into PM’s seven-day opening model despite uncertainty over A&E impact

GP A&E Triage would be a good idea if we had planned for the numbers needed. We have not.. My old trainer used to say “every patient deserves and examination” as well as “if you do n’t put your finger in you put your foot in”. The risks of litigation increases by not examining the patient. Those doctors who are good at emergency medicine, as well as as triage, and GP primary care will be the “polished” and much desired doctors of the future… This does not necessarily mean they will be GP partners… and continuity of care will be in decline. This will mean more demand for private care in affluent areas, and more importance for working integrated IT systems (which don’t yet exist). The perverse incentive to reduce quality of continuing care is in conflict with the need to ration emergency care services within budget.

David Millett reports for GP Magazine 26th June 2014: GPs should not provide front-line A&E triage, says former GPC leader

In Cornwall, since 2012 GPs have been involved in A&E Triage. Observer article prompts big changes at Cornwall Regional, reported by DONNA HUSSEY-WHYTE Sunday Observer so there should be some evidence…. West Cornwall Hospital still has a skeleton GP manned service, but it seems to be adequate, with no increase in mortality or morbidity..

There is no plan. The lunatics are running the asylum – and we are condemned to a “managed decline”. (by our politicians)

NHS faces crisis in litigation as well as A&E. Introduce no fault compensation (NFC)?

 

This entry was posted in A Personal View, Commissioning, Perverse Incentives, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

1 thought on “GP A&E Triage – would be a good idea if we had planned for the numbers needed. We have not.. and GP partnership and continuity of care is in decline

  1. Pingback: Radical plan to save our overstretched doctors’ surgeries. “Every patient should be able to see their family doctor when they need to”. | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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