About a year ago, I reported here that my endo said they were "not allowed" to keep people on their books anymore. He said managers pressured them to take people off the books and refer back to gp. In my case, the irony is that my gp is uselss, clueless and a bully. They wont give me ndt, have NO expertise in Hashi, so why should they be involved?
Yesterday, my gastro said almost exactly the same thing as he tried to get me off his books. As it is i only see him once a year for coeliac, down from twice.
He literally said "We are NOT ALLOWED to give patients long term care". He said managers bully and pressure them into taking people off the books.
He said all they are now allowed to do is suggest a plan and GPs can follow it as "they have the money".
In my case, GP refuses to do what both these specialists say:
Endo says i need ndt - they refused.
Gastro says i need a g free diet and creon for life. GP repeatedly tries to bully me out of creon.
This is what happens when you give too much power to GPs. There really is no hope.
It is negligent to take power away from specialists and give it to greedy gps who are only interested on revenue streams