Tom Mackrell retweeted
Editor:
I’m so proud of our 6,200 GP practices nationwide who delivered 388,000,000 appointments in the past year on record tiny proportion of NHS budget where 0.02% interactions result in a complaint.
I hope @wesstreeting @SKinnock would also decry this reporting.
@BMA_GP
Damning figures that shame every GP surgery in England: Complaints reach record high, with 'poor communication' and 'staff behaviour' top reasons for patients' anger trib.al/UaXiE0U
Tom Mackrell retweeted
🧵A Monday morning in general practice. Real numbers from one small rural GP surgery
By 9am this morning, our practice had already processed 240 clinical tasks. That's 4 a minute. 80 consultations, 125 prescriptions, 22 documents, 13 results. Before most people had started work.
Tom Mackrell retweeted
To quote my colleague James Booth, regarding the Resident Doctors’ action this week:
“Lots of MPs hitting social media.
I was a junior doctor (as we were called then) just over twenty years ago. I worked hard: long, stressful hours…
1/x
@TheBMA
@BMA_GP
@BMAResidents
Tom Mackrell retweeted
This is delibratley misleading from @wesstreeting and @DHSCgovuk
Online bookings do not increase access. If anything they swamp the system and make clinical prioritisation harder - with delays to patients with urgent clinical need
GPs have been seeing increasing numbers of patients online and in person in the last 5 years without the resources or funding they need.
Soundbites from Wes and DHSC don't improve care or fund the NHS.
@DrSteveTaylor @TheBMA @BMAResidents @DrNeenaJha @RobLaurensonD4P @thomasdolphin @drmattuk
"It's about time the NHS caught up with the rest of the 21st century."
@WesStreeting tells @BBCBreakfast how we're modernising GP services, with almost every practice offering online access for patients.
More: gov.uk/government/news/almos…
Tom Mackrell retweeted
A tale of a Monday morning in a GP surgery (mine).
The waiting room looked calm.
Calm isn’t quiet. It’s control.
A look behind the scenes of a “quiet” GP morning in this Substack:
open.substack.com/pub/davetr…
@Parody_RCGP @DrSteveTaylor @doctor_katie @DrSelvarajah
Tom Mackrell retweeted
Imagine creating a system where hospitals are paid to do less, meanwhile GPs get paid less to do more…with patients ultimately losing.
Oh wait, that is the system.
And the government then post Drake memes implying they are on the side of patients.
NHS pays hospitals £33 per patient they remove from waiting lists. Thousands have been deleted. While this could be valid in most cases, there are fears it could lead to mistakes and the process lacks transparency:
thetimes.com/article/d718940…
Tom Mackrell retweeted
According to this data
💥5,967 (over 96%) of practices in England have at least one online consultation system
💥5.1 million patient online submissions occurred in August
💥3.5 million clinical, the rest admin
(For context every A&E nationwide offers 67,000/day)
3/x
Tom Mackrell retweeted
@BMA_GP have articulated our concerns professionally & in good faith
GPs have been labelled “laggards” & “blockers of progress” despite eRS; EPS; GPSoC; GPC-UR read access; 99% surgeries on cloud-based telephony; & access higher than any point in 77 yr Hx of NHS: 1.5m pts/day
Tom Mackrell retweeted
GPs are being asked to open up online consultation software from 8am-630pm Mon-Fri from 1/10/25. No flexibility from @NHSEngland @DHSCgovuk @wesstreeting around suspending it if completely overwhelmed or staff sickness limits capacity. Patient safety will be compromised by this..
Tom Mackrell retweeted
It’s parkrun day!
Come and join us for 5k of running, walking, jogging or volunteering among friends you’ve not yet met.
All are welcome and parkrun is free of charge. Simply sign up for a barcode on our website (& bring it!) then turn up for briefings at 8.50am.
See you soon.
Tom Mackrell retweeted
🎗️ We’re encouraging more people in Leeds to take part in cancer screening. Read our Cancer Care Coordinator, Claire’s experience with cervical screening and understand the importance of early detection.
👉 Read Claire’s Story Here - leedsgpconfederation.org.uk/…
#CervicalScreening
Tom Mackrell retweeted
A post on unfunded, and underfunded work in primary care.
Last year I did some analysis on LES schemes and freebies practices do, it wasn't exhaustive. 10 non-core things like phlebotomy, ECG, B12 etc that aren't funded in our area.
I revisited it today, some rough searches and maths suggests around 270,000 appointments worth a year of unfunded work, across a 350k population.
That's around 50% of all outpatient appointments per year, for the same population.
For FREE.
Except its not free, it's paid for by late nights and stress or by diverting time funded from contractual income to cross subsidise commissioning gaps, at a time when patients are expecting more and more.
Is that sustainable?
No one wants to stop, as it will be awful for patients, hospitals certainly can't do 50% extra, for free, but in practices it is taking care away from patients, either today, or in the future when the practice folds.
If you work in an NHS org, and the free work practices do is not on your risk register, flashing, with bells on, I think 2024 might be more painful than it already will be.
Tom Mackrell retweeted
take note
people on here who say "there are no GP appointments"
more than there have ever been, with fewer GPs than a decade ago and UK GPs seeing twice as many patients as counterparts in other high income nations
And average patient on GP list having 6 appointments a year
General practice in England is under strain with rising numbers of appointments (33.5 million in January 2024) but falling numbers of fully qualified permanent GPs.
Our #GeneralPracticeTracker has key data on appointments and practice staff numbers ⬇️
health.org.uk/news-and-comme…
ALT Line chart of the monthly estimated total count of general practice appointments in England and 3-month rolling average, including and excluding COVID-19 vaccinations showing that the trend of increasing appointment numbers in general practice continues, with 33.5 million appointments in January 2024.
Tom Mackrell retweeted
The @Conservatives, @DHSCgovuk & @NHSEngland have decided, rather than being the ‘stepping stone’ year to signal safety, stability, and hope - 2024 will instead signal reduced patient access to GP services as well as likely closures of GP practices across the country.
🧵👇
Tom Mackrell retweeted
Join @ali_cracknell @Annawinf and other team members talking about our experience of supporting care homes with QI. Please share with colleagues who may be interested @alison_iliff @AlecTinkerPH @sarahdebiase – at Bradford, England
Join our masterclass on how to support care homes in quality improvement & implementation on 7th March 2024, 12.00-13.30. Confirm your place today by emailing [email protected]
ALT Join our masterclass on how to support care homes in quality improvement & implementation on 7th March 2024, 12.00-13.30. Confirm your place today by emailing [email protected]
Tom Mackrell retweeted
parkrunners inspire each other!😀
🤝Pass it on!
Thank you @ndosie for your sponsorship
Here's the message you sent 5 years ago about #parkrun!
If, like Mwidimi, you #loveparkrun & would like to sponsor me, you'll get a shout out too!
👉🏼justgiving.com/page/ailynfor…
#ukrunchat #runr
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Tom Mackrell retweeted
Unsurprisingly, these same ICBs have the highest concentration of GP surgeries serving mostly socioeconomically disadvantaged patients.
2/
Tom Mackrell retweeted
#Exercise is an effective treatment for depression, with walking or jogging, yoga, and strength training more effective than other exercises, particularly when intense, finds this new study.
Includes a visual abstract summarising key findings
@mnoetel
bmj.com/content/384/bmj-2023…
Tom Mackrell retweeted
👀 Fancy working with me and @ali_cracknell in the Future Leadership Programmw to learn more about leadership, quality improvement and helping us improve delirium care across one of the biggest trusts in the country? yorksandhumberdeanery.nhs.uk…