Welcome to #GPTriageTuesday #5 will you choose wisely?

Three consultation types but only one of each to use and you must use each one:

✉️ Online (text/photo only)
📱 Phone/video
😷 F2F can be clinic or visit.

Justify your answers if you can...

Your cases are below🧵⤵️
1️⃣ 25y old ♀️ asking for the morning-after pill. Has specified doesn't want to go directly to the pharmacy as doesn't want to pay.

2️⃣ 29y ♂️ asking for a nasal spray for hay fever. Has specified doesn't want to go directly to the pharmacy as doesn't want to pay. 🧵⤵️
3️⃣ 35 ♂️ sprained wrist last week asking for ibuprofen for pain relief. Has specified doesn't want to go directly to the pharmacy as doesn't want to pay.

How will you choose to manage #GPTriageTuesday today #MedTwitter?

Share with your colleagues and see who does what..

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More from @drgandalf52

Oct 5
Hospital colleagues, community care, and wider.

Are you aware from 1st Nov most patients will have access to their GP records and see all communications & letters you send automatically?

Follow these 7 steps to make your's, the GP practice, and your patient's lives easier 🧵⤵️
1. Assume the patient can see everything you have written.

This should be the norm, and applicable if the patient had requested a subject access request (SAR) anyway.

This is good medical practice anyway.
2. Also do not assume the patient WILL see the letter

Although patients will have access automatically from 1st Nov, do not assume ALL patients will be checking their GP record for information. If you need to inform the patient of something contact them directly as well.
Read 10 tweets
Jul 30
If you think seeing a GP is tough, unfortunately it is about to get so much worse...

Here is a thread why, and spoilers, it is going to be controversial as it goes along 🧵⤵️

1/x
Firstly, General Practice was in a difficult place before COVID happened and pivoted overnight to create remote access to keep patients safe.

It then delivered the majority of the national 'World beating' vaccination scheme. 2/x
There were definitely changes in access, much of it dictated by @NHSEngland and infection control policies which are still in practice still in some way, and vilified by certain parts of the media 3/x
Read 12 tweets
Jul 13
How to keep cool and healthy in a heatwave. 🌞

Some key tips to share with your friends, family and patients.

Enjoy the thread🧵⤵️
1. Stop the heat getting in.

🪟 Close your doors and curtains/blinds. The sunlight brings the heat.

😎Shade is cooler so stop the sunlight and you will feel cooler.
2. Adjust your activity.

🕛Avoid being active in the middle of the day and reduce unnecessary movements, this will keep you cooler.

🏃🏿‍♂️If exercising then remember to hydrate more!
Read 14 tweets
Jul 13
Who advances to the final of #GPBattle for the greatest fictional TV 'GP' of all time?

Will it be the resilient Dr Martin Ellingham from Doc Martin or the finesse of Dr Gemma Foster from Doctor Foster to face Dr Karl Kennedy in the final

Vote below by Thurs morning...
Vote for your finalist of #GPBattle for the greatest fictional TV 'GP' of all time?

Will it be the resilient Dr Martin Ellingham from Doc Martin or the finesse of Dr Gemma Foster from Doctor Foster?

You decide....

#medtwitter
Best comment so far...

'I learnt my bedside manner from Doc Martin and drinking habits from Doctor Foster …'
Read 4 tweets
Dec 15, 2021
So we know this winter is going to be terrible, and General Practice will take the brunt of it outside of hospital so here are some tips to help you survive.

A top ten General Practice reflective tips I guess.

1/x
1. Times will be uncertain.

Few places understand the level of risk General Practice manages but try to not go home worried about a plan you have made (insomnia test).

Talk it over with someone in your practice, team or network.

2/x
2. Your team.

GPs and others in General Practice often work independently.

That does not mean you work in solitary.

Talk with your team, your practice, your network.

Make time for breaks as the demand will ALWAYS be there.

You may not.

3/x
Read 12 tweets

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