Interesting chat with practice manager

It’s that scenario of 3rd primary and booster. She knew nothing about it and has been telling patients no you have had your Booster.

She is now going to send out letters to CEV patients explaining the difference and when they book 4th jab will give them a letter confirming they are entitled. She thanked me for explaining it so well and now has better understanding.

I also mentioned the letter for PCR tests and antivirals. Has no idea and has had patients contacting her about it but they couldn’t explain it properly. She now has a better understanding. These letters come from NHS England they are not informed. Explains a lot. She said she should contact me in the future as I’m much more informed than the staff at the surgery.😂

[Moomin8]

🤣🤣🤣

[3LittleBirds2]

😂😂 it's a case of having to be though isn't it. Self managing is key..especially with a chronic health condition! Well done also for explaining it and helping all the CEV patients at your surgery.

[Hidden in reply to 3LittleBirds2]

Yes you would think in this day and age of computers that information could be easily sent or linked up.

[3LittleBirds2 in reply to Hidden]

Exactly..when I was first diagnosed, there was a shared care agreement as well between Hospital and GP, but I don't think that communication even happens now..apart from them being CC'd into any letters I have sent about my consultations but I doubt very much anyone reads it unless they have to.

[Hidden in reply to 3LittleBirds2]

Unfortunately the shared care went out the window when they got rid of all the reception and office staff. Computers set up instead with nursing staff having to input things but they don’t have a enough time and we’re running behind before covid now they just don’t bother.

[3LittleBirds2 in reply to Hidden]

Oh, that explains a lot then, but I knew these were not the same as when I was first diagnosed. The yearly heart check went out the window years ago!

[Deeb1764 in reply to Hidden]

That’s too too easy x

[Mmrr]

Your good deed for the day week, month, year and throughout the reign of the pandemic.

But 🤯

[Hidden in reply to Mmrr]

I’m with you . It’s unbelievable the NHS/ Government can’t press send to all GPs. It’s no wonder you can’t get through to the surgery they are dealing with the incompetence of the head of these organisations who let’s face it earn a bloody fortune.

[3LittleBirds2 in reply to Hidden]

I couldn't agree more with you 🙌🏻 It's a shame you can't type up an email and press send to all of our GP practices! 😂

[Mmrr in reply to Hidden]

Are you familiar with the Peter principle ? (People in a hierarchy are promoted to levels of which they are no longer competent).

But still get paid the salary.

[Hidden in reply to Mmrr]

I think that applies to the entire government right now 🤨

[HappykindaGal in reply to Hidden]

Unfortunately, the NHS is a multitude of layered management and separate entities. None of which links up -including primary, secondary and tertiary care. The primary care trusts will have lists of their local practices within their area and commissioning groups. What was the strategic health authority (not sure who they are now), will have emails and contacts of the primary care trusts within their area but not the practices. And it goes on.

15 years ago there was a major IT project to link the systems. As with most things in the nhs it was a shambles. Couldn’t be done as no one had the wit to pull it together and the IT company went bust.

NHS management is abysmal at the best of times (and I’m saying that as an ex manager 😂). And let’s not touch on their weird accounting procedures that no self respecting business would touch with the proverbial barge pole. The waste is unbelievable.

It’s a shame as there are a lot of good people within the NHS. Unfortunately it’s too unwieldy to be effective.

[Mmrr in reply to HappykindaGal]

Couldn't agree more that the good hard working individual people get lost / consumed by the bureaucracy and all that it brings.

[HappykindaGal in reply to Mmrr]

They do. I gave up in the end and started my own company. It's such a shame that it's a bureaucratic monster.

[Kags1068]

Bloomin' hell! I think they should pay you a consultancy fee ...........!!😉xx

[Hidden in reply to Kags1068]

She did say tongue in cheek did I want a job 😂xx

[Kags1068 in reply to Hidden]

Haha - I'm not surprised! I think you could come to some sort of mutually beneficial arrangement............. xx

[Deeb1764 in reply to Kags1068]

Paid by word x

[Kags1068 in reply to Deeb1764]

Haha! Good idea 😉 (sorry, only just seen your reply)!

[Mmrr]

At least she listened and didn't dismiss you. How awful GP practices don't get informed, they are supposedly our primary carers after all.

[Lolabridge]

The letter we saw copies of was addressed to GPs so I'm surprised the practice manager hadn't seen it. Was it blamed on the CCG for not forwarding it?! 🙄

[Hidden in reply to Lolabridge]

No she just said no information sent to her . Even CEV shielding letters were sent from NhS England.

[Frances_UK]

My rheumatologist knew nothing about 4th dose either. Even when I explained it to her she denied it, acted like I was mad for even suggesting it.

I do feel sorry for the doctors as they are not kept well informed themselves but when my knowledge is more up to date than my consultant's I have to wonder who I can really trust.

[GinnyE]

Staggering really isn't it? Well done you.

[bpeal1]

Not all CEV patients are eligible for a third primary dose, only those on Immunosuppressive drugs (as listed in Chapter 14a) of the green book. Also some people (like me!) who were not listed as CEV are eligible for a third primary dose (so 4 in total) because we are on immunosuppressives. You may wish to pass this on to you practice manager too! 🤣 Chaper 14a of the Green book may be very useful to them.

[allanah]

Good work

[Happy5]

Often say one with the condition/disease knows more, have to be informed to ensure our care plan is the best.