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think about it

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Everything posted by think about it

  1. 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.
  2. 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
  3. 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.
  4. think about it

    Cancer

    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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. Okay, so it’s unlikely that there’s anything currently documented in any detail on your medical records. This explains the GP’s reluctance to put anything in writing as they don’t yet know anything about it. But, after your next appointment on the 21st you’ll be able to ask for a copy of your medical records for free under GDPR. If during that conversation you explained exactly what was happening, what helped and how sitting in a less brightly lit area and after that made a SAR for a basic summary of your records then the most recent consultation would appear on it. You could then present this to your employer as proof of your GP’s understanding of your situation. Worth a try.
  13. Okay - there’s one potential way around this. But first I need to ask something. Did you, whilst speaking to your GP actually consult over the headaches you’ve been having? Did they discuss it with you in detail and document that conversation? Did they offer any medication or other advice?
  14. It depends how far you’re moving really and if you can speak to the consultant’s secretary and explain the circumstances. I’d be tempted to stay on the list where you are currently if at all possible. In that respect it’s a little bit like swapping queues in a supermarket, you join at the back regardless of where you where previously. If you move you’re likely to find that the new surgeon will want to assess your case and then place you on their list accordingly.
  15. Aaron, you weren’t fobbed off - asking the GP to write to confirm something they know nothing of and then signing it means that they’re confirming what they’ve written. In this case all they could write is “the patient tells me...” as they’ve no history to back it up. The charge is about standard for such a letter, perhaps you can negotiate with your employer to cover some of the cost?
  16. and today I cleared the biggest obstacle in the whole process by getting my security clearances appproved by the MOD.
  17. As someone who occasionally has to smile politely as I’m handed pots of effluent by patients I can say wholeheartedly that poo isn’t the one that makes us feel queasy. It’s sputum that has us all reaching for the sick bowl.
  18. Being offered a fantastic new job after being told that although I’d passed the recruitment process there were no vacancies a couple of months ago. Today the offer arrived!!!
  19. Many moons ago I worked for DFS as an assistant sales manager and we used to come up against this on occasion. I’d suggest that you check the terms and conditions of sale which will almost certainly place ultimate responsibility for access to the property on the purchaser. This is simply because the company hasn’t surveyed your property to be able to determine if the furniture can be brought into the room you intend to have it in. See if the second delivery crew are able to get it in, fingers crossed, and take it from there. As someone mentioned above there’s perhaps the option of getting a glazier to take the window out and pass it through there or an upholsterer to partially dismantle the furniture to make it easier to pass through the space.
  20. I’m sorry, I don’t see how you can possibly contest that. They’ve literally painted the words “No Entry” in six foot tall letters on the road. Get it paid and over and done with.
  21. Ghost1, I too wonder if your new practice has received your records yet. When you’re registered on their system it creates an automated message to your old practice to forward your notes to the new practice via what was a very well established process. Until the government outsourced it to Capita. Capita have been all over the news about the delays in collecting, storing and delivering records to new practices. If someone were to transfer from a practice in England to ours in Wales they can expect it to take over 12 months for a full record to reach us. We usually contact the old practice ourselves and ask for a brief summary to be faxed to us so we have something to go on but not every practice is willing/able to do that. I can’t comment on how the blood results would have affected the GP’s decision making as I’m not clinically trained but hopefully the very real possibility that your GP was working blind in respect of your records through no fault of their own might explain their actions.
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