GPs control of most of the NHS budget by 2013

[sugarless sue]

Hi Folks,
Just a thought I had...

So this is the headline in the news at the moment "GPs control of most of the NHS budget by 2013" and the PTC is to be scrapped.

So is this going to be an opertunity to ask your GP for some more expensive treatments for better control of diabetes, my thinking is that for the first year at least they are going to have to spend massive amounts of cash on treatments to keep whatever budget they have for the following year.
If GP's don't do this in the beginning then the following year then the budget is going to be far less.
So it makes sence for them to offer genuine brand treatments and not the cheaper brands of the same drug.

What I want to know is, would it be worth us asking for say an "OMNIPOD" ?

I know my 15yr old son would have one in a flash, if they were available on the NHS. But we are in Liverpool and the childrens hospital has only one child who has an OMNIPOD, and the only reason they got that is that the diabetes parent group had a fundraiser to get it.

I think it would be reasonable to ask as soon as the changover starts at your GP's surgery.

Please leave your views on this idea, even if it's not popssible for us adults, surely it's worth trying for the children with diabetes ?

 Politics and Religion are always emotive subjects wherever you are so let's get back on track with the OP's original question and try and stick to that subject.

 

[Squadron Leader]

Patient Participation Groups are one way everyone can have a say in how the new budgets will be allocated/ shaped.

Last week the one I'm a member of had one of the Partners attend (admittedly at my request) to explain how the new GP Consortiums will affect patient care.

One thing that will be happening (in my area, at least) will be services such as Pain Clinics, Diabetes Care, Hearing Tests, etc. being moved out of the local hospitals remit and into the community. Leaving the more specialist treatment to hospitals. Yes, this is partially to cut costs but also to save time (apparently).

Now, I'm not the type to be complacent about what's being proposed and I will become involved in what decisions are made/ how resources are allocated. (The Partner asked "Have you been approached by anyone?" "Who by? KGB? CIA?" "No, by the Consortium" "Oh, them. No, not yet" "You will be..." )

I know one Practice in my local Consortium is very anti Type 2's testing BG's (I was a patient there for a time) and this is one thing I will be fighting tooth and nail against. I'll point out to them the cost of admitting people into hospital unnecessarily. (Cost: £500/day according to my GP) And that being "pro-active" (oh, how Dr's love that phrase!) is a much better (i.e. cheaper) option.

Yes, some Consortiums will be run by private companies whose biggest motive will be profits for their shareholders (as some GP Surgeries already are). Yes, we may need to fight for what we want, but now's the time to start - not in 2013 when the budgets have already been set.

...And here ends the party political broadcast by the KLAIR PARTY...

Kx

 

[Sid Bonkers]

I know one Practice in my local Consortium is very anti Type 2's testing BG's (I was a patient there for a time) and this is one thing I will be fighting tooth and nail against. I'll point out to them the cost of admitting people into hospital unnecessarily. (Cost: £500/day according to my GP) And that being "pro-active" (oh, how Dr's love that phrase!) is a much better (i.e. cheaper) option.

I must say I have never understood the logic behind this attitude, all I can think is that the vast majority of doctors just do not realise how we (diabetics) can help ourselves given the right information. It is just madness to just tell newly diagnosed diabetics to "eat a healthy diet and we'll look after everything by watching your HbA1c going up" Madness :evil: :evil:

Theres none so blind as them what cant see :wink:

 

[catherinecherub]

Is this privatization by another name, "Mutuals"?

NHS reforms. Mutuals will give staff :Right to Provide".
http://www.guardian.co.uk/society/2011/ ... ht-provide

"In theory, any group of NHS staff could turn themselves into a self contained Mutual to offer their services in Hospitals, it would be possible for Diabetes care to be organised in this way".

If you watch this video by Michael Moore, Support the NHS, you wonder if it is a done deal.

http://www.youtube.com/watch?v=9VyQhhDwmr8

Anyone wanting a pump for their children or themselves need to start putting a case forward now IMHO.

 

[bowell]

Services such as Pain Clinics, Diabetes Care, Hearing Tests, etc. being moved out of the local hospitals remit and into the community. Leaving the more specialist treatment to hospitals.

Does this mean the GP will now be providing the Pain treatment /Clinic in the surgery ?
as far as i am concerned the GP has Not clue with pain control ,Are spinal injections going to be done now by the practice nurse with no Xray Equipment ?

Will only receive a 10 min time slot , Pain clinic normally with consultant nearly an hour

I have a very good GP ,But I would Not trust him with my pain control or the Nurses that are already doing the diabetic revues now both ,Are Not DSNs I then have to go back to GP to question or change things,because of limited diabetic knowledge of the nurses ,She stopped my test strips the other day . when pain consultant demanded I test ,I then had to go back and see the GP to get this over turned

Is this a case of the GP practice Manager Grabbing more of the NHS money Cake
Will there be any point seeing a consultants any more?

 

[Sid Bonkers]

I have a very good GP ,But I would Not trust him with my pain control or the Nurses that are already doing the diabetic revues now both ,Are Not DSNs

I now see athe Asthma nurse at my GP's as well as the Diabetes nurse and guess what, its the same person :lol:

Until I run into a serious problem I shall continue to manage my own diabetes thank you

 

[mistermetformin]

Seem to be a lot of new members posting to this thread today saying that the NHS is going to be privatised and the welfare state is in danger etc etc.

Do I smell a left wing troll epidemic?

:?: :?: :?: :?:

A certainty that the NHS will be privatised,one would have to be bonkers to think otherwise. 8)
Fear the worst.

 

[Unbeliever]

I have encountered 3 newly qualofied G{s in the last two years. Each of them have volunteered their opinion [entirely unasked} that testing is not necessary for T"s . It is in fact a BAD THING. it causes depression and tells you nothing BLAH BLAH Dianetes UK etc etc.

Now Gp's are not rained overnight as we all know{although I am n=beginning to wonder}.
I doubt if they have much training in diabetes but they all appear to have picked up on this aspect so this is obviously what they have been taught .It would therefore appear o be systemic as the youngDrs were in different practices.

One young locumeven queried the consultant,s instrucions to test daily.

 

[bowell]

From today, only the English have to pay for prescriptions
Northern Ireland
Scotland
Wales

Prescriptions Are now all Free of charge
http://www.telegraph.co.uk/health/8...ly-place-in-UK-with-prescription-charges.html

 

[JUSTFOCUS]

Yep (Boy)
Everyone is entitled to fair health care However some of us may have paid our taxes and ni controbutions when you werent thought about .
JF. it's nice to be nice boy :lol: :lol: :lol:

 

[goji]

One thing that will be happening (in my area, at least) will be services such as Pain Clinics, Diabetes Care, Hearing Tests, etc. being moved out of the local hospitals remit and into the community. Leaving the more specialist treatment to hospitals. Yes, this is partially to cut costs but also to save time (apparently).

Personally I don't see moving services into the community as a "good thing". I think it leads to a dumbing down of patient care. I have some complicated endocrine problems and a practice nurse simply doesn't have the knowledge to deal with them.

The GPs also lack specialist training in diabetes/endocrinology and don't want to take responsibility for diabetics as they see it as a boring 'practice nurse' job.

At the end of the day - I think they just want to save money by denying us specialist care.

 

[Squadron Leader]

Personally I don't see moving services into the community as a "good thing". I think it leads to a dumbing down of patient care. I have some complicated endocrine problems and a practice nurse simply doesn't have the knowledge to deal with them.

The GPs also lack specialist training in diabetes/endocrinology and don't want to take responsibility for diabetics as they see it as a boring 'practice nurse' job.

At the end of the day - I think they just want to save money by denying us specialist care.

Once again, I can only say what is going to be happening in MY local area, but there is no plan for a "dumbing down" of services. The plan is for the local hospitals to become "Centres of Excellence" dealing with more research, training and being at the cutting edge of medicine. They will still deal with the more specialised/ complicated/ serious/ demanding (delete as applicable) cases. So if, for example, you need a pain relieving injection into your spine, which will need the use of an x-ray machine, it will still happen at the hospital.

Already in my area, breast cancer screening (mammograms) take place outside of hospital. The clinic is
situated in a shopping centre and is staffed by qualified nurses who only deal with mammograms. The local Hearing Clinic (also not situated in a hospital) is staffed by people who SPECIALISE in hearing problems. And are qualified/ able to deal with most hearing problems (hearing tests/ hearing aids, etc.). Anything needing more complicated treatment (cochlear implants, other surgery, etc.) are referred to one of the local hospitals. That's not going to change, but the same set-up will be spread to different areas of healthcare.

At my surgery we have a GP who specialises in Diabetes (and the Nurse who specialises in Diabetes is Type 2 herself). There are two GP's who specialise in pain management and will give joint injections. Another specialises in Asthma/ COPD (There are 14 GP's at my surgery, dealing with over 15,000 patients).

We also have a visiting Dietitian and a Primary Care Mental Health worker.

I can't say for sure what will be happening in YOUR area because I don't live there... But if you have concerns, get INVOLVED!

YOU have a say in what's going to happen where you live but you need to make sure your voice is heard.

Kx

 

[catherinecherub]

According to this article, none of it is set in stone,
http://www.telegraph.co.uk/health/healt ... forms.html

 

[catherinecherub]

Is Nottinghamshire the place to be if you are a diabetic?


http://www.medicalnewstoday.com/articles/221014.php

"GPs have improved care for 4000 diabetics in their region, Nottinghamshire, by providing a specialist support in local clinics in GP practices, the service avoids diabetics having to be treated in hospitals".

 

[bowell]

In Nottinghamshire, GPs have improved care for the 4,000 diabetics in their region. By providing specialist support in local clinics in GP practices, the service avoids diabetics having to be treated in hospital.

In local clinics in GP practices, Yerrr You know what that means !! the Surgery Nurse
be very lucky to get a DSN let alone see a diabetic consultant.



Interesting if anyone from Nottinghamshire has any real feed back on this

 

[bowell]

Cameron forced into humiliating climb down over NHS reforms as Lib Dems threaten to rebel


http://www.dailymail.co.uk/news/art...limb-NHS-reforms-Lib-Dems-threaten-rebel.html

 

[cugila]

Just 'window dressing' in my view, I wouldn't hold your breath........the final paragraph's say it all :

The Department of Health has insisted the policy is unchanged, but that 'some amendments' would be made.

A spokesman told the newspaper: 'The principles remain the same, as does the clear direction set out by the reforms."

 

[noblehead]

Cameron forced into humiliating climb down over NHS reforms as Lib Dems threaten to rebel


http://www.dailymail.co.uk/news/art...limb-NHS-reforms-Lib-Dems-threaten-rebel.html

I would say Nick Clegg and the Lib Dems are in a state of panic over the local elections in May, this 'love-in' between the two parties was never going to last and the first cracks are now beginning to show.

Nigel

 

[Unbeliever]

I would say Nick Clegg and the Lib Dems are in a state of panic over the local elections in May, this 'love-in' between the two parties was never going to last and the first cracks are now beginning to show.

Nigel

I think it is a good thing that he Lib Dems are managing to restrain the Tories. It is what I hope d for from the coalition.
I don't really believe that these are humiliating climbdowns. Much of it is testing the water to see what they can ge away with. This is probably why the protests are steadily becoming more vociferous and extreme. He who shouts loudest......

The situation will certainly be very interesing as we draw nearer to the next election.

 

[bowell]

the government has dismissed speculation it is preparing for a fundamental U-turn. And the prime minister and his deputy, Nick Clegg, are set to re-state their commitment to the plans.

Sounds like Nick Clegg just had a good whipping

http://www.bbc.co.uk/news/uk-politics-12953646

The Doctors will not have any time All doing extra work for Atos on the side
Finding all the sick and disabled Now Fit for the work house