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think about it

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think about it last won the day on December 27 2017

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  1. It’s because there is no medicinal cure for what one GP coined ‘sh!t life syndrome’. It’s perfectly reasonable that someone struggling with lots of external factors beyond their control would have physical manifestations of their difficulties. Unfortunately the pills don’t cure financial problems, mend broken hearts or fix Rocky relationships but the pain these things, and more, can cause is very real indeed.
  2. I can answer one of your questions, your GP surgery receives electronic notification of when you’re due your smear and generates the letter. It’s done through a system that communicates between the local health board/PCT and the practice. On a regular basis one of the practice team, in my experience it was one of the administrative staff, will log in to retrieve the notifications (not just for smears but for lots of different cyclical tests/interventions such as vaccinations) and will generate the letters.
  3. Okay, just seen this and thought I’d stick a oar in. If your (old) GP feels that the therapeutic relationship is damaged to the extent that they’re unable to treat you then they’re perfectly within their rights to have a colleague see you. It would appear, in spades, that this is likely the case given the strength of your reaction to a relatively minor occurrence. If that wasn’t / isn’t the case and there was indeed an emergency then the GP concerned did you a favour by not making you wait any longer. There’s a common misconception that once a patient has left the consultation room that the GP is free to start work on the next patient. If indeed it was an emergency the GP could have well instructed the person to travel directly to a local hospital whilst they call ahead to arrange urgent investigations or treatment which takes time. And please be assured, 40/50 minutes on the telephone to a hospital trying to track down the consultant or ST1 responsible for a particular speciality isn’t uncommon. By all means ask the PM for an explanation, it’s likely to be very simple. A clear breakdown of therapeutic relationship.
  4. Of course, almost every private hospital will accept and indeed will seldom proceed without a referral fom the patient’s GP. The fact that they accept referrals doesn’t mean that the NHS will fund the treatment at their facility. And as demand and queues change so does the engagement with private sector providers. I’d suggest checking the rules about choose and book before responding, specifically they state: There are some exceptions that may limit your choice – for example, not all hospitals are able to treat every condition, and a hospital must meet NHS conditions on standards and costs. https://www.nhs.uk/common-health-questions/nhs-services-and-treatments/can-i-choose-where-to-receive-treatment/#when-choice-is-limited No contradiction here I’m afraid - yes they’ll carry out the treatment if you pay for it - doesn’t mean that the NHS will fund it there. Again, check here: https://www.nhs.uk/common-health-questions/nhs-services-and-treatments/can-i-choose-where-to-receive-treatment/#when-choice-is-limited Dear Practice Manager, thanks for your response. Can you please confirm that the booking on Xth of Maytember 20XX is still in place as the booking line seems to suggest that it has been cancelled. Yours, Sofiaa
  5. I think it’s potentially a case of the fact that the NHS occasionally uses private healthcare facilities to offer additional capacity when needed. Almost in a queue-busting manner of helping reduce waiting times when NHS Facilities are unable to meet demand. Obviously once the queue has been busted, so to speak, then the private facilities are not used as it makes no financial sense to have unused capacity in NHS facilities and to be paying a premium for private rooms. Choose and book can only apply where the preferred option is an available one. If the facility is not in use by the NHS then it is not an available option. As such should your mother wish to use private healthcare then it should be self-funded as capacity exists to offer the necessary treatment within existing NHS facilities.
  6. think about it


    I’m sorry you’ve found yourself in what must be a very difficult situation. In some respects it could be worth asking how a delay in seeing a breast surgeon may have contributed to your ovarian cancer. Having had a clear scan two years ago it’s possible that the ovarian cancer may have developed since then, unless the breast surgeon was scheduled to re-scan your abdomen as well as your chest I’m not sure how it could be seen as negligence. Of course I’m not a doctor and I may be missing something that I don’t understand. In any case, I’d suggest speaking with a lawyer who specialises in medical negligence to at least run it by them. I hope if nothing else, that you get the answers you need and wish you well with your treatment.
  7. The other thing that strikes me is that the referral pathway may necessitate that all patients are referred for initial examination at an NHS facility but is treatment is necessary then the choice of where treatment will be given is then made. It makes far better sense to have the initial appointments in one place so the the team diagnosing and setting treatment plans are centralised and then additional treatment capacity is sought from the private facility.
  8. In fairness you’ve explained the situation really well on here, there’s no secret code or technique to writing to a PM. We’re just normal people doing a job so don’t feel like it needs to be a perfectly crafted 10,000 word masterpiece, it really doesn’t. Half a page of simply put “We’re not happy with x, please can you help us get y...” will do just fine.
  9. I can’t help but think that we’re massively over complicating things here, pick up the phone and ask to speak with the PM. Explain the issue and ask them to sort it out. I could solve 99.999999% of problems within an hour or so provided someone actually told me what the problem was. By the time I was receiving letters spanning several pages and having to dig through notes and speak to people to get their accounts of what happened it could take weeks to gather the info and get replies from everyone. Just pick up the phone at lunchtime on Tuesday, ask for the PM and if they’re unavailable ask when they can be contacted and speak to them so they have an opportunity to resolve what is probably a very simple issue rather than trawling out weeks of waiting.
  10. A quick thought on this one - you say that the request is on behalf of a family member. My initial thinking would be around whether or not you’re entitled to that information, whether or not the practice has received separate instruction from the data subject and whether or not you have the data subject’s consent to access their data in a form that is easily agreed upon and demonstrated to the data controller. It’s very unusual for no response to be made at all but I have dealt with requests where the patient has expressly told us not to provide any information about their care to family members. Another added complication can be in instances of family break ups where vexatious requests are made to try to gather information to undermine the other party.
  11. In which case you’ll understand that the consultant will need to prioritise their caseload and having their own team member reviewing the cases. I totally understand the situation but do stick with the process.
  12. Just reading through this and I can only agree with the other responses. Seeing a specialist nurse is part and parcel of just about every referral pathway and certainly not a nightmare. They’re often just as knowledgeable as the consultants themselves and certainly more experienced than a foundation year doctor who happens to have a GMC number but may only be a few years out of medical school. As for complaining, well frankly there’s nothing to complain about. I suggest that you attend the appointment as booked and take it all from there.
  13. think about it

    dental referal

    I can’t offer any specific advice about the process but if you have any concerns over the procedure then please do talk them through with your dentist, it could be that the dental hospital isn’t necessarily the best place for your treatment or that the dentist agrees with you and refers you urgently. Nevertheless it’s worth talking it through openly and airing your reasoning.
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