A GP observe within the Midlands this week wrote a scathing 16-page letter to its patients, urging them to cease contacting the surgical procedure except completely mandatory.
The letter, printed by Ivy Grove Surgical procedure in Derbyshire, criticised sufferers for “ignoring” medical recommendation, contacting their GP for minor signs and “avoiding” taking care of themselves.
The observe raised vital factors relating to the necessity for improved communication to sufferers about how and after they can entry essentially the most appropriate service for his or her drawback — however the tone of the doc has the potential to scare sufferers into not contacting their GP when discovering probably severe signs.
GPs extra extensively have already raised issues concerning the dangers related to distant consultations, reminiscent of vital signs being missed throughout a cellphone appointment.
GPs have additionally spoken overtly concerning the excessive pressures they’re dealing with to sort out rising demand — which appears to have been partially introduced on by the rise in on-line consultations — in addition to the covid -19 vaccination programme.
The letter even said: “Sadly as a result of open availability of eConsult, and a few limitations in how it’s being applied, our expertise with it’s that it has been like opening up a model new lane on a full motorway that was already affected by roadworks and having an prompt site visitors jam in consequence.”
Not tolerating additional failures
Cygnet Well being Care has cropped up commonly in tales about poor care inside personal psychological well being hospitals. And, every time a Care High quality Fee report is printed or a scandal involves mild, the identical query crops up — the place are the commissioners and what are they doing concerning the poor providers they’re paying for?
However NHS England isn’t staying silent, writing to Cygnet with a warning that it “will not tolerate” further service failures.
HSJ has seen the letter and it’s robust stuff. If the NHSE has despatched these warning letters earlier than, they didn’t attain the general public area.
The letter — which was apparently despatched in reference particularly to the providers NHSE commissions from Cygnet, which is round a dozen hospitals — warned NHSE wouldn’t hesitate to take additional motion.
However what that motion might be is anybody’s guess — monetary penalties, perhaps? Closing beds feels unlikely as shutting down a dozen inpatient items would solely exacerbate the already present nationwide shortage of psychological well being beds.