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Further £2.65m to extend GP surgery hours



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Published Date: 26 June 2008
FAMILY doctors were yesterday handed an extra £2.65 million in the Scottish Government's latest efforts to encourage more to open their surgeries in the evenings and at weekends.
GPs have been reluctant to extend hours, with many prepared to lose money rather than provide the extra appointments.

Shona Robison, the public health minister, yesterday announced that £2.65 million would be made available to GP practices to
fund nursing cover during the extended hours' period.

But doctors' leaders said the move would simply further fuel GPs' anger, with the belief that the extra funding for extended hours was not a good use of scarce resources.

Speaking at the NHS Scotland conference in Glasgow, Ms Robison said the extra money would enhance the service being offered by some GPs. "Patients have told us that they need more flexibility in accessing GP appointments and we are working with GPs to deliver that," she said.

"We know that GPs don't work in isolation and nurses are a critical part of the care that practices provide."

Ms Robison said around 45 per cent of GPs in Scotland had registered to provide extended hours or had shown an interest in providing the service. She said that more might still sign up before the deadline of 1 July.

Figures last month suggested that just 16 per cent of Scotland's 1,000 GP practices had committed to providing extended hours, while others had expressed an initial interest.





The full article contains 249 words and appears in The Scotsman newspaper.
Page 1 of 1

  • Last Updated: 25 June 2008 10:41 PM
  • Source: The Scotsman
  • Location: Edinburgh
  • Related Topics: Health of the NHS
 
1

Charles Linskaill,

Edinburgh 26/06/2008 01:14:48

IT IS NOT ENOUGH!,...

I AM A GP AFTERALL!

And this my Friends,...'WILL BE' The attitude!

And Stop the Use of the 'WORD' Doctor!,..Will You',?

THE REAL, "DOCTORS" Work in our Hospitals 24/7 on a shift work Rota!

Never Expect a 'GP' To respond to an Emergency,..

or for,.. 'over the phone advice' for say a child with suspected Meningitis,

When the 'Clock',,.. 'Strikes Five'(pm)

In-fact the,..'True case of matter' Is you GP has their 'Receptionist' to get 'rid of you' in these matters!

"Further £2.65m",?..

"Sorry I Still, Cant See or Speak to you after 5pm"!

And the 'Sad Story IS'

Make IT £200Million and the 'Attitude Would Be The Same!
2

Charles Linskaill,

Edinburgh 26/06/2008 01:22:29


The 'ABSOLUTE' Tragedy IS!

A "GP" These Days will NOT even spare you the time!, for a 3minuite phone call, that may save you Child's or Baby's Life, in you time of, ..'NEED'!

But then! Why Should I Speak to you,?

I only earn £100k per Year!
3

Charles Linskaill,

Edinburgh 26/06/2008 01:45:59
Take this scenario!

Mother with young Baby/Child

5.30pm (1730hours)

Baby develops a Rash and not to well!

Anxious Mother needs and Wants Advice!

Anxious Mother has no means of transport, bus journey to Hospital 1hour away!

Anxious Mother, is young, and feels foolish to phone NHS 24/7 for something that might be nothing!

Anxious Mother, has a telephone, she just wants to pick it up and dial her own GP for Advice!

She trys!

She gets the GPs receptionist!

(Doctors still working in the Surgery)

Anxious Mother, is told by GPs receptionist,

"Sorry It is out of Hours, we cant Help"

Baby/Child Dies! It turned out to be Meningitis!

Well seeing £2.65million is not Enough!,,'HUH,?
4

Boy Wonder,

26/06/2008 09:47:03
#1 to #3. Have pity. All our Chuckles really wants is the chance to be good mother!
5

Dr JS,

ABERDEEN 26/06/2008 11:06:35
CHARLES LINSKAILL

your recurrent posts are really beginning to concern me of late. I am beginning to wonder if BOY WONDER is correct in his assessment that you are suffereng with some sort of mental illness.

Meningitis is not something to mock. Your scenarios are childish. There is a difference between primary care and emergency care and your scenario (too often repeated I might add ) is clearly a case that requires an immediate accident & emergency attendence. YOU ARE DESCRIBING MENINGIOCOCCAL SEPTICAEMIA....... this warrents a 999 call, and I think most sensible parents would know about this.

You are using a report that highlights moves being made to improve access to mock our training, ability, intergrity, clinical judgement. etc. you should be ashamed of yourself sir.







6

Charles Linskaill,

Edinburgh 26/06/2008 11:23:15

Dr Js,

Far from "Monking" Menigitis" I take this situation very serious, on which because of you hours, you DO NOT! YOU CANT BE BOTHERED!
And further more if you based to read the post correct, instead of seeing what you only wanted to see, you would of seen this mother was a young naive new mum!

It is you Sir. That has to guestion your practice and mental state of mind, not me!
7

Symmachus,

The Colosseum 26/06/2008 11:24:13
Ave Carlos #1-3

The child has died due to the cretinous stupidity of the parents. They should be sent to the lions or flogged to death for cupla crassa.
What if you step outside and the baby is hit by a meteorite than has been broken off the surface of Mars - and Patrick Moore refuses to help, and Big Brother is on, and you're still on your tenth pint of Tenants Special, and the meteorite is infected with ibola virus?
What if you stop being so chilish. If you remotely believe this gibberish, then I pity any child that you might bring into the world. Perhaps Allah is telling you something?

8

Charles Linskaill,

Edinburgh 26/06/2008 11:26:52
*Typo error, mobile phone based*

"based" should read 'cared'
9

Dr JS,

ABERDEEN 26/06/2008 11:27:59
Charles Linskaill

As for your comment in post 2

"And Stop the Use of the 'WORD' Doctor!,..Will You',?

THE REAL, "DOCTORS" Work in our Hospitals 24/7 on a shift work Rota!"

We are the REAL DOCTORS! no other profession has the broad depth of knowledge compared to a GP. our knowledge spans all of general medicine, surgery, obstetrics , gynaecology, dermatology. Nowadays with sub- speciality training and super specialists it is all the more important to have a traditional generalist. You will, not to far in the distant future have "body part specific" doctors working in hospitals
ie surgeons who can only operate within a small narrow remit (whereas when I trained the "old boy" surgeons could be relied upon to do everything and anything. You will lose the general physician, and that is already being seen for exaple with cardiologists refusing to take part in a general medical on-call rota. (this is a tragedy as we are de- skilling doctors in general - worrying for me as im an old fogey and will soon have to be a patient!)

You clearly do not have any knowledge in the medical field, and base your opinions entirely on experiences, sensational headlines and common day fallacies.

If you knew ANYTHING about the provision of healthcare you would realise that without an adequate primary care system, secondary would implode within hours.
10

Charles Linskaill,

Edinburgh 26/06/2008 11:42:16

Dr Js ~9,

The difference Sir, is that the "Real Doctors" dot mind helping others and are not shy of their work, you on the other hand Sir, are the reverse of this situation, no-matter what they pay you.
11

Charles Linskaill,

Edinburgh 26/06/2008 11:50:33

#7,

As for you 'related one' behave yourself.
12

Symmachus,

The Forum 26/06/2008 11:56:51
Ave Carlos

Bravo! You excell yourself. The man without an O Grade in biology, the man who squawks on about babies, the man who can not write, the man takes his view of teh world from a tin of Tenants SPECHALL, teh man who probably works only in betwen day time TV programmes. He now lecturwes a GP who has doubtless spent a life time of reliefing pain and distress, a lifetime of study and dedication, a life of srevcie to the community.
Carlos - Jove has spoke. You are unfit to become pater familias, more like fundamentus grossus.
13

Dr JS,

ABERDEEN 26/06/2008 12:08:23
Charles Linskaill

85 per cent of all NHS consultaions take place within PRIMARY CARE. (over 250million last year)

a recent government satisfaction survey found 84 per cent of respondents to be satisfied with their GP care

your posts are emotionally driven and not based on any evidence. If GP's as a whole were disliked then I wonder to why 1.2 million people have recently signed the BMA "save our surgeries petition" over a million signatures, I would say is a pretty damning verdict of our level of support
(my own personal GPAQ and staisfaction surverys- have been of excellent standard)

As for not being helpful, You clearly have had a bad experience with your own GP and I suggest you re- register.

Workshy??? come and do a surgery with me lad and lets see the meaning of real work. Lets have a sensible discussion based on real fact and not distorted, biased views based upon a litany of lies.




14

Charles Linskaill,

Edinburgh 26/06/2008 12:10:46

~12,

The 'typo errors' is because I was commenting from a mobile phone, not the easiest thing to do!

Further more as far as your comment is concerned,..

YOU ARE WRONG!

A 'Rapist' Might spend a "Life-Time" Studying Doing what he Does!

A 'Criminal' Might spend a "Life-Time' Studying Doing what he Does1

This My Friend DOES NOT Make Him 'GOD' or Mr 'Right'!

Neither is the,..'GP' to be classed as 'GOD'!

I will challenge anybody if I think there is a Wrong!!

I do not care if it is, the US President!

I do not care if it is Number 10s Mr Brown!

They do not scare or put one over on me that is a 'Wrong'!
15

Charles Linskaill,

Edinburgh 26/06/2008 12:18:51

Dr JS ~13,

fair comment!, I am prepared to have non-heated debate on the subject.

Afterall you are the only GP,...'ok,..'Doctor' to bother to come on here with comment, maybe I was being slightly unfair with my comments,..
But NOT regarding the "Young Mother" in the scenario, to-which I will come back later for discussion.

16

JT,

26/06/2008 19:50:41
I just want to be able to get to see a doctor either first thing in the morning or after work. Is that too much too ask for. Unless its an emergency where you see a nurse practictioner first you prob wont get to see anyone on the same day. I once waited 6 weeks to get a repeat prescription (some drugs you cant get without seeing a doctor first) as all the times were unsuitable for me as they were in the middle of the day, and I work 45mins away from the surgery and dont have a car.
17

Charles Linskaill,

Edinburgh 26/06/2008 21:05:35

JT ~16,

Your 'Sentiments' cover the majority of our population, and you 'tell-it' in a soft and gentle manor, unlike me.

My 'Repeated Scenario' could well become realisation, all this 'New Mum' wanted was advice from the ones paid to give her and her Baby, primary care in the community.
She was NOT ASKING For the, 'Crown Jewels', just a 2minute 'Phone-Call, from her 'once was',..'Friendly GP'

My post was to bring some of the public's worries to our GP's attention.

If we Never and Don't Speak-up, it is possible that our GP's will Never be aware of our founded fears.
18

Dr JS,

ABERDEEN 27/06/2008 10:08:47
Do not worry dear citizens, you will soon be able to see a medical professional anytime... anyplace... with almost any problem!! why is this I wonder? it is because our beloved Lord Darzi (labour peer/patsy, with a background in surgery and thus a nu labour "world expert" on primary care provision) has decided that new "nurse led" treatment centres will be the new vogue of the NHS of the future!!!

As Ive been saying all along, the agenda is to "save money" and by having nurses leading care we will certainly get "care" at bagain basement prices, the only problem is "what constitutes real care"

I have personally worked with a nurse consultant, who triages in a primary care out of hours centre. She is able to deal with only very minor cases, and thus "cherry picks" which patients she sees. Anything "out of the box" is immediately referred back to the GP.

Is there no end to the folly and political interfering of this government? Why are the countless doctors, lawyers, teachers, police officers, firemen, army personell at their wits end? does there seem to be a pattern emerging??

Charlie Boy you will soon get to see a "well trained nurse" at any time of the day, in a beloved new PFI treatment centre, only problem is, your grandchildren will be paying for it, from both a health perspective and a financial one.



19

Dr JS,

ABERDEEN 27/06/2008 10:50:22
Try this scenario Charlie Boy

Patient goes to see a nurse consultant in a posh, brand new, state of the art, swanky, salubrious new "Darzi" clinic

pt is an elderly man, (remember our population demographics show us to be an ageing population)
who was cared for, over many years by his family GP, unfortunately this practice was "closed down" to make way for the new Darzi clinic. His old GP, sick of the constant political interference, and years of working like "old bruno the workhorse - in george orwells animal farm" decided to take early retirement.

Patient is on a statin to reduce his cholesterol. and is being seen by his newly trained nurse specialist, equipped with the latest proforma tickbox sheet to ensure the "highest quality of care"


patient says to nurse "ive got aches and pains all over nurse, my muscles ache, my head hurts, and my mood is low"

unfortunately for nurse.. this scenario is not mentioned on her state of the art tickbox sheet!!

are his symptoms related to the use of his cholesterol drug? are they an interaction with his other legion of medications, is he depressed at the loss of his trusted GP, or..... does he have a brain tumour??????

nurses cannot deal with these situations, they are not trained to deal with these scenarios. Neither are pharmacists.

Leave medicine to medics. leave health to health professionals. Remember "pay peanuts and get monkeys" charlie boy?????




20

Charles Linskaill,

Edinburgh 27/06/2008 13:04:02

Dr Js ~19,

At least you have a sense of humor, until the next time, all the best and thankyou for the conversation,

C Linskaill.

 

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