Northern Ireland GPs show us how

Unusual, but I was rendered pretty nearly speechless this week when a blog appeared on the BMA Northern Ireland Community page. They lead with an outcome which is vital for patients. They present the context, tougher in NI than other parts of the UK because of fewer GPs per patient. They talk about method, rather than […]

Picking up the pieces

It feels like picking up the pieces after earthquake, storm and wind.  By the time you read this Westminster might have erupted again, but life has to go on. It’s a time to appreciate moments of beauty, like a double rainbow I saw earlier.  To smile at things which came right today.  The dishwasher is […]

GP-patient email ping pong is not the answer

With 22 mentions the “e-consultation” is a repeating theme of Arvind Madan’s NHS England GP Forward View and in the last blog I tried to nail down what this means with “the patient seeks help from their GP online”.  But what’s the point of the whole idea? The main problem facing NHS primary care is […]

So what is an e-consultation?

Well I was right about the bombardment of doom ceasing for just one day.  They are at it again, and  NHS England’s £2.4 bn GP Forward View is “not nearly enough, not the right stuff and not soon enough.”  Never mind, it is what it is. Though not one of the 1700 words Shakespeare coined,  “e-consultation” […]

GP Forward View: be careful what you wish for

For one day at least the bombardment of doom is silenced:  GP leaders have lined up to say that the NHS England’s GP Forward View is largely what they wanted.  (The same can’t be said of  GP forums of course, but we know many of them would make a tabloid editor blush.  First comment on […]

Failure hurts, thankfully

askmyGP has been operating for over a year now, long enough to have clocked up a couple of failed practices.  That hurts, obviously, and I’m not going to name or blame anyone, but try to draw out what we have learned. The strange thing in both was not that it didn’t work, but that it […]

Doing what, officially, cannot be done

A couple of things this week have given us great joy at GP Access, and I make no apology for talking about them because we need to turn around the prevailing wind of moans. The first was talking to Rupert Bankart about his practice in Peterborough.  For all the reasons which bedevil general practice at […]

Turning your patients on to e-consultations

A reminder that our webinar starts in 24 hours, live tomorrow Thursday 3rd March at 8pm and Friday 4th at 1pm. Yesterday I recorded the interview with Dr Rupert Bankart and was stunned by what he had to say. “This has changed general practice… It’s enabled us to get through the patients more efficiently, financially […]

Not for the faint hearted

Our vision is happening, but far too slowly.  We are here to transform access to medical care, for the benefit of patients, GPs, their staff, and the NHS.  But we need to multiply our capacity, so we’ve decided to take our own medicine and do something different.  We can now deliver our launch programme for […]

The Mirage of Patient Choice

For desert explorers, a mirage was the creation both of atmospheric physics and the mind in desperation for water.  Either way, the closer you came the further it moved away. Patient choice is just the same, a mantra for the NHS since Tony Blair discovered it in the 1990’s, pursued with unconscionable sums of money […]