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Time to rant at GP
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<blockquote data-quote="jopar" data-source="post: 63486" data-attributes="member: 11712"><p>The main problem here isn’t the surgery drumming up trade to expand the budget pot, but the computer system that they are using and partly the person sat at the keyboard...</p><p></p><p>Your diabetic status is tagged on the system, and the surgery will have someone whose duty it is to regular run through the system and call up all diabetics and whether you’ve been to see the diabetic nurse for review within the last 12 months… If you haven’t then they print off the standard letter to remind you that your review is due…</p><p></p><p>What need to be remembered are medical records kept by your G.P and the hospital are completely different also kept on completely different data bases. When you have an appointment or tests carried out by the hospital a copy of the result or conclusion is sent via a letter/hard copy to your doctor to be manually added to your medical records kept there…</p><p></p><p>To whether it’s a good idea to have diabetic clinics with doctor’s surgery, my experience diabetics only being seen by a diabetic specialist at a hospital clinic, was a nightmare, and lead to patients not receiving quality care as you couldn’t get into clinic and when you eventually go a illusive appointment you were in for a very long waiting time from arriving for your appointment and being actually seen by the consultant or nurse…</p><p></p><p>The system of having clinics provided at surgery is a good idea, as not only is it easier to arrange a convenient appointment and easier access, but for those diabetic that have good control and are doing fine (and believe me there are plenty of them out there) then it keeps a eye on them, Leaving more time for the ones that really need the attention and support of the consultant to be seen quicker…</p><p></p><p>How well this works from health authority and doctors practice, will depend on several factors… The biggest one being what is happens in the background, I know that in my area that the practice DSN work very closely with the hospital diabetic team, with regular training sessions, reviews, question and answer sessions with the consultants on a regular bases and have direct contact and support with the diabetic nursing team at the hospital… So the practice DSN is in the main an extension of the hospital team/service… And yes you are given the choose of being referred to the hospital if you desire this option…It does seem that this way of lionising isn’t happening in some areas, either not being set up by the Health Authority or not being accessed by the practice or the practice nurse.</p></blockquote><p></p>
[QUOTE="jopar, post: 63486, member: 11712"] The main problem here isn’t the surgery drumming up trade to expand the budget pot, but the computer system that they are using and partly the person sat at the keyboard... Your diabetic status is tagged on the system, and the surgery will have someone whose duty it is to regular run through the system and call up all diabetics and whether you’ve been to see the diabetic nurse for review within the last 12 months… If you haven’t then they print off the standard letter to remind you that your review is due… What need to be remembered are medical records kept by your G.P and the hospital are completely different also kept on completely different data bases. When you have an appointment or tests carried out by the hospital a copy of the result or conclusion is sent via a letter/hard copy to your doctor to be manually added to your medical records kept there… To whether it’s a good idea to have diabetic clinics with doctor’s surgery, my experience diabetics only being seen by a diabetic specialist at a hospital clinic, was a nightmare, and lead to patients not receiving quality care as you couldn’t get into clinic and when you eventually go a illusive appointment you were in for a very long waiting time from arriving for your appointment and being actually seen by the consultant or nurse… The system of having clinics provided at surgery is a good idea, as not only is it easier to arrange a convenient appointment and easier access, but for those diabetic that have good control and are doing fine (and believe me there are plenty of them out there) then it keeps a eye on them, Leaving more time for the ones that really need the attention and support of the consultant to be seen quicker… How well this works from health authority and doctors practice, will depend on several factors… The biggest one being what is happens in the background, I know that in my area that the practice DSN work very closely with the hospital diabetic team, with regular training sessions, reviews, question and answer sessions with the consultants on a regular bases and have direct contact and support with the diabetic nursing team at the hospital… So the practice DSN is in the main an extension of the hospital team/service… And yes you are given the choose of being referred to the hospital if you desire this option…It does seem that this way of lionising isn’t happening in some areas, either not being set up by the Health Authority or not being accessed by the practice or the practice nurse. [/QUOTE]
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