Greenwood2
Member of DD Central
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Post by Greenwood2 on Apr 26, 2023 15:36:59 GMT
Someone I know well has a sudden hearing difficulty in one ear. Last week she could only get an appointment with the nurse who said it should clear up by itself. Now its getting worse - harder to hear in that ear - and again could not get to see a GP so has another appointment today with the nurse. Lets hope she escalates and is able to book a (short) GP appointment. Have a feeling this sort of thing is normal now. Could try Specsavers, they do hearing and ear health checks (from what I've read anyway) other audiologists are available. if I had vision problems I would go to an optician rather than a GP, same applies with hearing. The GP will probably just do the same checks as the nurse.
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Post by Deleted on Apr 26, 2023 16:26:14 GMT
drop by a chemist, ring 11? is it so really hard?
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Post by bracknellboy on Apr 26, 2023 17:39:25 GMT
Someone I know well has a sudden hearing difficulty in one ear. Last week she could only get an appointment with the nurse who said it should clear up by itself. Now its getting worse - harder to hear in that ear - and again could not get to see a GP so has another appointment today with the nurse. Lets hope she escalates and is able to book a (short) GP appointment.
Have a feeling this sort of thing is normal now. But why ? Is that because you think the nurse is not competent or the best person to be the first line ? Presumably when the nurse said "it should clear up by itself" she added the words "and if doesn't, come back and see us". Which she is now doing. GP practices are not structured such that all ailments are seen by a GP. That has been the case for decades, and is even more so than it was. It is generally a good thing: they are now multi layered multi skilled practises, making the best use of the resources at their disposal. This is not even of a case of simply triaging/"managing access". GPs are simply not always the best person to handle a problem i.e. are quite often not the most skilled. Anyone assuming that they are necessarily getting a sub-standard service simply because they are not being seen by the GP has simply got it wrong. To assume the GP is by definition 'better' for all things because they are more highly qualified does not understand how things are in the real world. I'd be pretty confident that if the nurse thinks there is particular reason for concern they will internally escalate and get a appointment very quickly with one of the GPs or indeed refer on to a specialist elsewhere.
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Post by bracknellboy on Apr 26, 2023 17:40:03 GMT
drop by a chemist, ring 11? is it so really hard? might want to add an extra "1", otherwise it might be hard 
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michaelc
Member of DD Central
Say No To T.D.S.
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Post by michaelc on Apr 26, 2023 18:12:38 GMT
This is a nonsense to keep ourselves content with what we have. That there aren't enough doctors means the only choice is to rely more on nurses which is what has been happening more recently. In general Doctors make decisions on care and nurses implement those decisions. I would definitely rather see a doctor than a nurse to diagnose any condition I might have. You'll be telling me next the primary purpose of air hostesses is to keep passengers safe.... |
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Greenwood2
Member of DD Central
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Post by Greenwood2 on Apr 26, 2023 18:53:34 GMT
This is a nonsense to keep ourselves content with what we have. That there aren't enough doctors means the only choice is to rely more on nurses which is what has been happening more recently. In general Doctors make decisions on care and nurses implement those decisions. I would definitely rather see a doctor than a nurse to diagnose any condition I might have. You'll be telling me next the primary purpose of air hostesses is to keep passengers safe.... Go to an audiologist, that is where the doctor will refer you if it is a problem, miss out the middle man, as I said above. Would you insist on going to a doctor to get a new prescription for your glasses? Or if you thought your sight was getting worse? Same with hearing, the doctor is not a specialist and if it's trivial the nurse is just as good.
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Post by bracknellboy on Apr 26, 2023 20:25:42 GMT
This is a nonsense to keep ourselves content with what we have. That there aren't enough doctors means the only choice is to rely more on nurses which is what has been happening more recently. In general Doctors make decisions on care and nurses implement those decisions. I would definitely rather see a doctor than a nurse to diagnose any condition I might have. You'll be telling me next the primary purpose of air hostesses is to keep passengers safe.... You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on.
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michaelc
Member of DD Central
Say No To T.D.S.
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Post by michaelc on Apr 26, 2023 20:49:01 GMT
This is a nonsense to keep ourselves content with what we have. That there aren't enough doctors means the only choice is to rely more on nurses which is what has been happening more recently. In general Doctors make decisions on care and nurses implement those decisions. I would definitely rather see a doctor than a nurse to diagnose any condition I might have. You'll be telling me next the primary purpose of air hostesses is to keep passengers safe.... You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on. Wow! I'm apparently delusional now for expressing a view on this thread. Its clearly a different view to yours but delusional is a bit OTT don't you think ?
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Post by martin44 on Apr 26, 2023 21:09:13 GMT
You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on. Wow! I'm apparently delusional now for expressing a view on this thread. Its clearly a different view to yours but delusional is a bit OTT don't you think ? Delusional seems to be the blobs latest position ,..... having a different view simply cannot be allowed.
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Post by martin44 on Apr 26, 2023 21:10:47 GMT
drop by a chemist, ring 11? is it so really hard? might want to add an extra "1", otherwise it might be hard Oh you are so witty
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Post by Badly Drawn Stickman on Apr 26, 2023 21:26:17 GMT
You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on. Wow! I'm apparently delusional now for expressing a view on this thread. Its clearly a different view to yours but delusional is a bit OTT don't you think ? Casually ignoring the decline into bickering and pointing out I am 'not that kind of Doctor'...... Firstly I am surprised the nurse did not say what the problem was, but reverse engineering the few facts given would diagnose. A perforated ear drum the cure for which (unless infection is evident) is that it will normally repair itself in a few months. So almost certainly the opinion you got was correct. Paracetamol should ease any discomfort (assuming no known allergy to it). I will be charging for future common sense diagnosis so please don't ask without a paypal account.
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Post by martin44 on Apr 26, 2023 21:45:58 GMT
This is a nonsense to keep ourselves content with what we have. That there aren't enough doctors means the only choice is to rely more on nurses which is what has been happening more recently. In general Doctors make decisions on care and nurses implement those decisions. I would definitely rather see a doctor than a nurse to diagnose any condition I might have. You'll be telling me next the primary purpose of air hostesses is to keep passengers safe.... You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on. When i make an appointment to see my GP... i then see my GP.. the doctors surgury or hospital do not ask me if i want an appointment instead with a nurse.. and i would also disagree with your further opinion about being entitled to see a GP... i am fully entitled to see a GP , as is everyone who wish's to see a GP, thats what GP's are there for ... To see patients and diagnose .. nurses are there to help you get better, ensure you get the right recovery care, give you a stupid covid jab and take your blood pressure.
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ilmoro
Member of DD Central
'Wondering which of the bu***rs to blame, and watching for pigs on the wing.' - Pink Floyd
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Post by ilmoro on Apr 26, 2023 22:20:04 GMT
Just dropping the concept of a Nurse Practitioner in ... a nurse trained to diagnose minor ailments & prescribe medication.
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keitha
Member of DD Central
2024, hopefully the year I get out of P2P
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Post by keitha on Apr 26, 2023 22:23:50 GMT
You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on. When i make an appointment to see my GP... i then see my GP.. the doctors surgury or hospital do not ask me if i want an appointment instead with a nurse.. and i would also disagree with your further opinion about being entitled to see a GP... i am fully entitled to see a GP , as is everyone who wish's to see a GP, thats what GP's are there for ... To see patients and diagnose .. nurses are there to help you get better, ensure you get the right recovery care, give you a stupid covid jab and take your blood pressure. As someone who was married to a specialist Nurse for over 20 years and socialised with a lot of specialist Nurses, very often a specialist Nurse has much better knowledge in his/her area than an average GP. I would much rather trust a specialist Nurse than a GP, and that is why more and more specialist nurses are allowed to prescribe. Here is South Wales you are lucky to even get a phone consultation with a GP, much less a face to face visit, indeed the "gatekeepers" (previously known as receptionists ) want lots of details of your condition before they will even let you make an appointment
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Post by bracknellboy on Apr 27, 2023 3:01:11 GMT
You simply do not understand the way the health profession works, and have it wrong. A GP is a General Practitioner. Other doctors are likely to be specialists. Nurses may be general, or have specialities. Your conclusion that seeing a GP is superior to seeing 'a nurse' at the surgery - as a consequence of one of them being a GP and the other being (just) 'a nurse', is delusional: i.e. not rooted in facts. If you would "definitely rather see a doctor than a nurse to diagnose any condition..." then you are entitled to your opinion. That is not the same as being entitled to see a GP in preference simply because that is your opinion. If you are that concerned, or your friend is, ring 111. You may need to explain to them why you are not happy with the pathway that your friend is currently on. Wow! I'm apparently delusional now for expressing a view on this thread. Its clearly a different view to yours but delusional is a bit OTT don't you think ? You may be reading more into the word than is justified by its definition or its intended usage in this case: "a mistaken or misleading belief. : a false belief that persists despite evidence proving it false" Yes it can have stronger other meanings but doesn't have to have. The fact is NHS GP practises are setup with a suite of different health practitioners*. That includes for example 'nurse practitioners'. The evidence (for many years) is that when making appointments at a GP practise (and indeed at hospitals) you will be triaged such as to see the appropriate resource. Nurse Practitioners are very frequently the first point of contact. To insist that one should always be seeing a GP because "they are there to diagnose while nurses are there simply to administer treatment, take bloods etc" (paraphrased but also see comment about air hostesses) flies in the face of the evidence of many years of how GP services have operated, and ignores the actual duties of other medical staff. I called it 'delusional' not because you were expressing a different opinion, but because such a position is contrary to the evidence, and so persisting with it is..... In my most recent usage of a GP practise, I was first seen by a GP, and then referred to another non-GP practitioner in the practise for a much longer appointment, for diagnosis and treatment plan. So it works both ways. It has long been so. *also this is one of the drivers behind why many GP practises are growing in size to multi branch/site practices with many more staff. It allows them to provide a wider range of services utilising a larger pool of differently skilled and qualified staff.
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