Two thirds of the country now benefit from more personalised care
This refers to the fact that commissioning consortia now cover 2/3 of the population. However, they are exactly the same GP practices as before (so no change there). This is just propagandist spin from one of the legions of spin doctors in the Department of Health. I thought civil servants weren't supposed to take a political line.
Ch...Ch...ChangesPerhaps things are changing. I have six-monthly diabetic check-ups at my local GP. The check-up is usually carried out by the practice nurse. The drill for the last decade and a half has been for me have a blood test and then two weeks later make an appointment with the practice nurse who weighs me, tests my urine sample, examines my feet and tests my reflexes. I also have an opportunity to discuss my diabetic control. Since I have had diabetes longer than the practice nurse has been alive, I rarely need advice on my care. But the regular monitoring is vital. How will I know if I have lost the feeling in my toes? I mean, I won't be able to feel it! The practice nurse tests for this.
This has now changed. I have just been asked to have a blood test for the diabetic clinic, and the letter informed me that I will only have an appointment with the practice nurse if there is a problem highlighted by the blood test results. Of course, this means that my urine (kidney function) now will only be tested once a year, rather than twice a year. Similarly with the monitoring of the nerves in my feet.Will this make a difference to my diabetic care? I don't know, but it is definitely a change in the amount of care my GP provides.
One less appointment a year is a saving for the GP, but I am not sure what contribution that will make towards the £5bn that the NHS has to "save" in the coming financial year.