And to close the day, a rather inward looking motion that is nonetheless very important for constituent #NHSGP
#LMCConf
#BMA
#medicopolitics

The first of two emergency motions heard this afternoon. Personally and professionally I have nothing but support and good wishes for my junior colleagues. And remember “junior” doctors may have been working in the #nhs for over a decade.
#lmcconf
#bma
#medicopolitics

An interesting one, this. Gets more docs in but are there enough GPs to supervise them? Legally, you can’t work in #nhsgp unless you’re on the Performers List (and so trained as a gp). This is about getting eg care of the elderly docs into gp surgeries. Not about replacing GPs (we do different jobs)
#lmcconf
#bma
#medicopolitics

We are constantly slated in the media. #BMA and #GPC do not always respond as quickly or robustly as many of us feel they should.
#LMCConf
#medicopolitics

This one is about other services managing their workload by getting us in #NHSGP to manage patients who are waiting for an appointment, or on specialist medication, or under a specialist nurse who can’t access their supervising consultant for some reason. Or a paramedic calling me for advice when they can’t speak to their own senior support. We are busy enough, we have OUR job to do without doing everybody else’s too.
#LMCConf
#BMA
#medicolpolitics

Another somewhat technical one for non-GPs. Enhanced access is additional #NHSGP time/access, but usually NOT provided by a GP but by other colleagues such as paramedics, physios, pharmacists and nurses (highly valued and valuable but needing supervision and support). This would include up til 8pm weekday and 9-5 Saturday. It is a political “innovation” and use existing staff, who have to do it on top of the day job.
#LMCConf
#BMA
#medicopolitics

Related to the previous motion, this one I support completely. Part-time GPs are working what everyone else considers full time or more.
#LMCConf
#BMA
#medicopolitics

Next up, change to core hours for #NHSGP service in England. I have mixed thoughts about this one to be honest. I definitely support the concept. Not sure how it works in a modern NHS. We need more GPs or this won’t work and Government aren’t even trying to rectify that.
#LMCConf
#BMA

Next item about making sure funding intended for #NHSGP stays in GP, resourcing the care we can provide you. We need MORE resourcing, not to share our 8% of NHS spend on “supporting” other parts of the service. We are drowning.
#LMCConf
#BMA
#medicopolitics

A more technical motion, but specifically about trying to make sure there is a suitable level of influence for #NHSGP in the modern #NHS
#LMCConf
#BMA
#medicopolitics

Back from lunch to talk about #datasecurity and our potential concern about lack of confidence in NHSE being able to keep our patients’ data safe and secure.
#LMCConf
#BMA
#mediocopolitics

If we are to be inspected by an agency which under it’s own criteria should be “requires improvement”, they should be better.
#LMCConf

Changed my mind, staying for last two, already ordered lunch so can be a few mins late. this one about the cost of the energy crisis on GP surgeries. No extra money to resource it, who pays, ME!
#lmcConf

Next up, gender dysphoria/ #transgender issues. #nhsGP should NOT be put in the position of acting outside our competence. We need proper specialist services, not for us to be provider of last resort. These potentially vulnerable patients need a PROPERLY resourced SPECIALIST service.
#LMCConf

Motion passed in all parts. #lmcConf

On to childhood IM’s in #nhsGP, where currently we LOSE money if parents decide not to vaccinate their children. We don’t get paid simply per vaccine administered but also by % of kids immunised.
#LMCConf

Little (v) is not in our gift but other part all passed. #lmcConf

Next item on the Agenda about #nhsmentalhealth services and how it interacts with #nhsGP at #lmcConf

And all parts but (v) passed
#LMCConf

Personally I have an issue with little (v). Will see how #lmcConf votes…