Civilian Medical Practice

#1
Guys. would appreciate your thoughts regarding something which occurred today. I was side-swiped off my bike at lunch-time by a driver who stated 'he didn't see me' - usual response I'm sure you may have heard previously. After the ambulance and police had been and gone and the driver had admitted it was all his fault, I went to my local medical practice (I am not registered with them) to ask if I could see either a nurse or doctor to get some ant-inflamatories - knees and shoulder. The reception informed me that as I was a member of the military I must go to my doctor and they could not see me. Now as a good tax payer I assumed they would see me, perhaps I am niaive but couldn't believe they refused to see me. Is this normal?

Many thanks
 
#4
Whilst disgraceful, sadly not untypical.

'Course they could've seen you, what's to stop them? You might've had to wait or come back, but there is nothing to stop you being seen. BTW, for these purposes, you (who pays Income Tax and National Insurance, and has both National Insurance and NHS Numbers) are a member of the public, which trumps the excuse you were given regarding your service status. You can be both, you know.

Unfortunately, access to (NHS) practice and its practitioners is more often than not "gate-kept" by some unfulfilled psychopathic munter, basking in the reflected glory and importance of the modern medical deity. This genus tends, unilaterally and collectively, to see patients as a major inconvenience to the smooth running of appointment clinics, coffee breaks and finishing times. Did the medic get to know you were requesting a consultation? Thought not.

Next time (hope there isn't a next time btw) ask to see the practice manager regarding your request, and, if no joy ensues, ask for a copy of their complaints procedure and the name of the Trust's Chief Exec. It won't get you seen, but it will piss them off, or maybe even give them occasion to "reconsider".

Land fit for heroes? 'Kin Outrageous.
 

jarrod248

LE
Gallery Guru
#5
I'd imagine they could have seen him as a temporary resident if they had time. If they didn't which is likely in this case a&e is for accidents and emergencies oddly enough.
 
#6
You aren't registered with that practice a&e would have been the place to go.
Not so. you can go to any practice. Your NHS records are just as accessible to them as they are to any A&E, and they have a responsiblity to treat, within reason. Someone who is able to call at a General Practice should, by and large, not be diverted to A&E.
 

jarrod248

LE
Gallery Guru
#7
Not so. you can go to any practice. Your NHS records are just as accessible to them as they are to any A&E, and they have a responsiblity to treat, within reason. Someone who is able to call at a General Practice should, by and large, not be diverted to A&E.
So if the GP's clinic is full and s/he won't see any extra of their own patients, they'll see someone who isn't ? Yeah course they will.
 
#8
So if the GP's clinic is full and s/he won't see any extra of their own patients, they'll see someone who isn't ? Yeah course they will.
If the clinic is full it doesn't mean there's no-one to see you. There's the dramatically named but otherwise mundane emergency clinic (i.e. not appointment-based), and many practices have a senior "Prescribing" nurse who can make you up a scrip. I always find that a positive mental approach works best, incidentally.
 

jarrod248

LE
Gallery Guru
#9
If the clinic is full it doesn't mean there's no-one to see you. There's the dramatically named but otherwise mundane emergency clinic (i.e. not appointment-based), and many practices have a senior "Prescribing" nurse who can make you up a scrip. I always find that a positive mental approach works best, incidentally.
You mean an NHS walk in centre? If you have one then yes that might be better than going to a GP surgery. A nurse prescriber may write a prescription if they have time but it's unlikely at a GP's surgery that you'll be able to take priority.
 
#10
As always quick and sensible responses, many thanks guys. For clarity I'm pleased that the ambulance crew didn't ask why the military didn't come and sort me out. The civvie practice was empty btw. I will visit them tomorrow and ask for their complaints procedure, I live in the village and it has hit a nerve to be treated this way. I'm old fashioned and believe A&E is for emergency, I was aching and sore hence pills not A&E's important time. Once again many thanks, greatly appreciated.
 
#11
You mean an NHS walk in centre? If you have one then yes that might be better than going to a GP surgery. A nurse prescriber may write a prescription if they have time but it's unlikely at a GP's surgery that you'll be able to take priority.
No-one suggested priority, just a brief consultation when reasonably practicable.

Go on, you're worth it...
 

jarrod248

LE
Gallery Guru
#13
As always quick and sensible responses, many thanks guys. For clarity I'm pleased that the ambulance crew didn't ask why the military didn't come and sort me out. The civvie practice was empty btw. I will visit them tomorrow and ask for their complaints procedure, I live in the village and it has hit a nerve to be treated this way. I'm old fashioned and believe A&E is for emergency, I was aching and sore hence pills not A&E's important time. Once again many thanks, greatly appreciated.
If it was empty it probably suggests the GP was out doing visits/meetings etc.
 
#15
GP practices are told (often) that they can't register members of the Forces because the money for them comes from a different budget unless there is no military doctor in the area, in which case you register with a civilian GP and they get paid from the Defence budget. However, you can be seen as a temporary resident so maybe this is (yet again) a case of mixed messages.
There is a leaflet http://www.nff.org.uk/pdfdocs/doh.pdf that explains this.
So, yes, they should have treated you but obviously didn't know the rules.
Perhaps a strongly worded letter to your local PCT might get the message across.
(PS. As an ex squaddie and ex practice manager, I can assure you we used to treat members of the Forces on leave in the local area in quite a lot of cases.)
 
#16
Errrr no they don't if they are PMS
Both PMS and GMS practices have an element built into their pay to cover temporary residents whether from overseas or Forces as immediate and necessary. This payment is based on the amount of temporary residents they saw before the GMS/PMS contracts came into force.
 

Fang_Farrier

LE
Kit Reviewer
Book Reviewer
#17
Folk visiting can create difficulties but seeing them does depend on a whole raft of reasons.

If all you were after was anti- inflammatories you'd have been far cheaper going to a pharmacy and speaking to a community pharmarist and buying them over the counter rather than paying for a prescription ( I'm assuming you're in England).

As has been said before, there may not have been a GP available due to other duties.

The service you're actually after could be realistically provided by NHS 24 or a Minor Injuries Unit rather than an A&E.

Not all records are available every where.
 
#18
Well if they have no free appointments, then yes you are expecting to take priority.
That's what the Emergency Clinic is: consultation without appointment. No need to divert to A&E or arrange with NHS Direct (who'll tell you to go to yes, you've guessed it, the GP's emergency clinic.

Sounds to me like you've experienced second-rate service Jarrod. It's better than that if it's done properly.
 
#19
It shows how little general practice is understood. Why would a practice drop everything to see someone who isn't registered at it? Even if you were registered there you would probably be signposted to MIU or A&E if there are no appts. Of course if it's life threatening you would be seen but again 999 is a better option.
Practices are independent businesses and due to continued erosion of good will are more and more likely to restrict services in the future especially with PBR/PBC budgets. It will only get worse. By all means write to complain to the PCT and please post the reply here.
 

jarrod248

LE
Gallery Guru
#20
That's what the Emergency Clinic is: consultation without appointment. No need to divert to A&E or arrange with NHS Direct (who'll tell you to go to yes, you've guessed it, the GP's emergency clinic.

Sounds to me like you've experienced second-rate service Jarrod. It's better than that if it's done properly.
No it sounds to me like I work in a GP's surgery. It's not about things being done properly it's down to available resources. If a practice is able to see a temporary patient they often will, if they can't tough.
 

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