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Am I a cynic? Strained Gp relationship
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<blockquote data-quote="Didnt plan for this" data-source="post: 813148" data-attributes="member: 170868"><p>Hi thanks for all the replies. </p><p></p><p>Shaggy1974 - I used to put in for six boxes of strips every couple of months (as and when I needed them) but found my GP would only give me half. At the last GP review my GP last year 'offered' me up to max of 150 test strips every month and said I needed to put the repeat prescription in every month, which seemed odd and inefficient, but I figured if that's their system, I will work with that. It did work in the sense it made me very cost conscious for all my supplies. But your position of only getting 50 strips a time and having to put in back-to-back prescription requests seems to me totally absurd! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite5" alt=":confused:" title="Confused :confused:" loading="lazy" data-shortname=":confused:" /> </p><p></p><p>Donnellydogs - yes thanks, I think I will push again for a telephone medication review with the GP. That might smooth the way. It was only second hand via the receptionist who said the GP was insistent on seeing me in person. Maybe I will try to bypass the receptionist and speak to the GP see if I can reason with him about doing the review over the phone instead. </p><p>I completely understand the NHS is target driven, and has been for a long time, and in some cases it may have improved things. And I would happily attend the reviews again and cooperate as I have done in the past, if it was a useful exercise in any shape or form (or if the surgery could even just explain its value or why it is required as a tick box exercise)!.</p><p>Having worked for both the NHS in a junior position and social services in a senior position, where targets and outcomes were strongly imposed, I think there are ways to show discretion, integrity, flexibility, even creativity with achieving targets. My issue is my GP being quite so obvious that the targets were their only (not even main!) concern, being unnecessarily heavy-handed, making misinformed sweeping statements with very little understanding shown of the daily challenges of living with diabetes and anxiety/depression (which aren't uncommon together). Then contradicting limiting my strips by telling me to improve my HBa1c (although I recognise testing is only part of control). I appreciate missed appointments only exacerbate the problems in the NHS, but at the same time I think that patient choice and patient experience should be given greater regard. In my case, last year I felt 'harrassed' to attend the annual GP review, and my efforts to discuss/understand whether it was required were totally ignored by the surgery. At the end of that review I did clearly state my concerns and frustrations and specifically ask they be noted for future reference. But obviously they weren't noted as again this year I have been threatened I must attend or all my supplies will be stopped. As you say, deplorable......luckily I know its just a silly futile</p><p>threat.<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite12" alt="o_O" title="Er... what? o_O" loading="lazy" data-shortname="o_O" /></p><p>But hey - there are worse injustices in the health service and I realise I am lucky to have an insulin pump..... But its exactly that kind of issue about the different types of GP set up (salaried, partners, etc) that I need to understand better, before making any decision, thanks for the advice.</p><p></p><p>Ann34 - i don't know about the new contracts coming in - I will google search it - only what i have seen in the media over recent years about GP commissioning. That underlies my concern about my deteriorating relationship with my GP practice was whether as a (expensive) pump user, not complying with the GP, even if it is an unpleasant experience, would adversely affect my diabetes care (or even funding) in the long run. I know that officially this wouldn't/shouldn't happen......but ..... I really need to do more reading about all this online so I am better forewarned and forearmed.....</p><p></p><p>Thanks all, appreciated</p></blockquote><p></p>
[QUOTE="Didnt plan for this, post: 813148, member: 170868"] Hi thanks for all the replies. Shaggy1974 - I used to put in for six boxes of strips every couple of months (as and when I needed them) but found my GP would only give me half. At the last GP review my GP last year 'offered' me up to max of 150 test strips every month and said I needed to put the repeat prescription in every month, which seemed odd and inefficient, but I figured if that's their system, I will work with that. It did work in the sense it made me very cost conscious for all my supplies. But your position of only getting 50 strips a time and having to put in back-to-back prescription requests seems to me totally absurd! :confused: Donnellydogs - yes thanks, I think I will push again for a telephone medication review with the GP. That might smooth the way. It was only second hand via the receptionist who said the GP was insistent on seeing me in person. Maybe I will try to bypass the receptionist and speak to the GP see if I can reason with him about doing the review over the phone instead. I completely understand the NHS is target driven, and has been for a long time, and in some cases it may have improved things. And I would happily attend the reviews again and cooperate as I have done in the past, if it was a useful exercise in any shape or form (or if the surgery could even just explain its value or why it is required as a tick box exercise)!. Having worked for both the NHS in a junior position and social services in a senior position, where targets and outcomes were strongly imposed, I think there are ways to show discretion, integrity, flexibility, even creativity with achieving targets. My issue is my GP being quite so obvious that the targets were their only (not even main!) concern, being unnecessarily heavy-handed, making misinformed sweeping statements with very little understanding shown of the daily challenges of living with diabetes and anxiety/depression (which aren't uncommon together). Then contradicting limiting my strips by telling me to improve my HBa1c (although I recognise testing is only part of control). I appreciate missed appointments only exacerbate the problems in the NHS, but at the same time I think that patient choice and patient experience should be given greater regard. In my case, last year I felt 'harrassed' to attend the annual GP review, and my efforts to discuss/understand whether it was required were totally ignored by the surgery. At the end of that review I did clearly state my concerns and frustrations and specifically ask they be noted for future reference. But obviously they weren't noted as again this year I have been threatened I must attend or all my supplies will be stopped. As you say, deplorable......luckily I know its just a silly futile threat.o_O But hey - there are worse injustices in the health service and I realise I am lucky to have an insulin pump..... But its exactly that kind of issue about the different types of GP set up (salaried, partners, etc) that I need to understand better, before making any decision, thanks for the advice. Ann34 - i don't know about the new contracts coming in - I will google search it - only what i have seen in the media over recent years about GP commissioning. That underlies my concern about my deteriorating relationship with my GP practice was whether as a (expensive) pump user, not complying with the GP, even if it is an unpleasant experience, would adversely affect my diabetes care (or even funding) in the long run. I know that officially this wouldn't/shouldn't happen......but ..... I really need to do more reading about all this online so I am better forewarned and forearmed..... Thanks all, appreciated [/QUOTE]
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