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Low Carbs versus NHS recommended diet.
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<blockquote data-quote="donnellysdogs" data-source="post: 1330788" data-attributes="member: 17713"><p>Please note that a GP in charge of diabetes care in a Practice does NOT mean he has any extra knowledge than other GPs in that Practice.</p><p>In my old Practice the GPs were just allotted their "speciality" by the core Partners. He had no extra knowledge than the day before he was allotted the diabetics to oversee.</p><p>The GPs are a business. They effectively get paid by results, qty patients, flu jbs given and the targets they hit for example the qty of hba1cs in range etc.</p><p>So, Practices are allocating "specialisms" to GPs. Ie baby clinics will go to x, diabetics to y, heart persons to z. Those GPs will look at targets and news, but do not even know sometimes about new treatments... ie tresiba as a new basal insulin a few years back.</p><p>Now, nurses- come of our nurses specialused and actually had two degrees! </p><p>My new Practice is taking on an uktra qualified nurse in preference to a GP, as she can prescribe.</p><p>Even a diabetes manager from my last hospital did not have any knowledge on diabetes at all when she visited me at home in July. She had been a nurse and a mental nurse. Not an ounce of diabetes training or speciality at all.</p><p></p><p>Yes. GPs do have to undertake some courses but the courses can be taught from watching a video and training for 90mins online in various different subjects that they can choose to select.</p><p></p><p>Nurses ysed to have to keep registered and pay to keep their qualifications. Not sure how this runs now..</p><p></p><p>Please dont expect GPs to know the ins and outs of everything.. even if they have been allocated "diabetics"... generally they have in my past 4 GP practices referred me to a nurse... or even recently for trseiba insulin referred my request from hospital to the in practice pharmacist who is sorting out the prescribing nowadays...</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 1330788, member: 17713"] Please note that a GP in charge of diabetes care in a Practice does NOT mean he has any extra knowledge than other GPs in that Practice. In my old Practice the GPs were just allotted their "speciality" by the core Partners. He had no extra knowledge than the day before he was allotted the diabetics to oversee. The GPs are a business. They effectively get paid by results, qty patients, flu jbs given and the targets they hit for example the qty of hba1cs in range etc. So, Practices are allocating "specialisms" to GPs. Ie baby clinics will go to x, diabetics to y, heart persons to z. Those GPs will look at targets and news, but do not even know sometimes about new treatments... ie tresiba as a new basal insulin a few years back. Now, nurses- come of our nurses specialused and actually had two degrees! My new Practice is taking on an uktra qualified nurse in preference to a GP, as she can prescribe. Even a diabetes manager from my last hospital did not have any knowledge on diabetes at all when she visited me at home in July. She had been a nurse and a mental nurse. Not an ounce of diabetes training or speciality at all. Yes. GPs do have to undertake some courses but the courses can be taught from watching a video and training for 90mins online in various different subjects that they can choose to select. Nurses ysed to have to keep registered and pay to keep their qualifications. Not sure how this runs now.. Please dont expect GPs to know the ins and outs of everything.. even if they have been allocated "diabetics"... generally they have in my past 4 GP practices referred me to a nurse... or even recently for trseiba insulin referred my request from hospital to the in practice pharmacist who is sorting out the prescribing nowadays... [/QUOTE]
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