AIBU to be angry that I now have to find a new GP practice.(76 Posts)
I moved house, one measly mile further away from where we were. Last week I registered our new address at the GP practice we are with. Two days later I receive a letter saying that I am being put off their list and need to register with someone closer to where we live.
IMO this is ridiculous. I could understand it if they had too many people on their lists but they don't. They are still registering people in their practice boundary so why can't we stay with them?
It just annoys me. I don't want to register with the only practice near us as they have a piss poor reputation.
So annoying. < stamps feet >
Our practice let anybody register but will only do home visits, if somebody should be too ill to get to the surgery, within a certain area.
I'm a bit at the number of people who can't get home visits, can't get through on the phone, have to deal with vile receptionists, etc.
Ours seems to get all of those things right and lots more. I do still hear people moaning because the phone lines are very busy first thing every morning but that's about the worst it gets and I always get through within 5 minutes.
I left a message for my GP about pain relief for my 6 year old DD on a Friday lunchtime once. He called back at 8pm, apologised for taking so long and offered to drive about 15 miles extra on the way home to deliver the meds.
I think I need to send them something to show my appreciation of a job well done and pray very hard that they don't change the practice boundary!
I'm a practice manager and any 'out of area' address changes are referred to me.
If a patient has moved a few extra minutes over the boundary then it's no problem to keep them on the list but otherwise I do have to remove them as our PCT won't allow us say we'll keep them on with the proviso of no home visits. We must offer the full contracted service to all of our patients.
We don't just remove the patient though, we do write to give notice and provide contact details of the PCT so that they can request a list of surgeries local to them. Also if a patient is unhappy with the decision to remove them from the list they are asked to put their request to stay in writing and it is discussed at the weekly practice meeting. The final decision then rests with the Partners.
We do provide home visits to patients who are too ill to get the surgery. Home visits are very time consuming so all requests are triaged by a doctor first but anyone in genuine need will be seen. As was said upthread we rarely go out to children as they can be brought in.
Don't know why bitchdoctor is getting so upset. It's a lot of people's experience that their own GP's don't do home visits. My current GP doesn't and neither did my previous one. Even says so on the website. Brilliant for your patients that you do bitchdoctor, but not everyone has access to the same service.
What were you refused a home visit for Family? Or anyone else who has been?
Is anyone able to link to a GP website that says they don't do home visits?
I'm curious to know how they avoid them if they do, or if its perception that they don't just because people have not been ill enough to require it.
I work with GP practices and every single one I work with does do home visits but they are usually terminally ill patients choosing to die at home (really unable to leave their bed).
I think people would like more home visits. Getting a sick child to a GP on a dark November evening when it was pissing down and I had to push youngest in pushchair whilst eldest walked (no buses in the area) was a memorable event for me (14 yrs ago) The receptionist was so so lovely and told me to hang on 10 minutes and she'd take me home in her car because she was just finishing. A home visit would have been better but I totally accept unworkable for the GP. Can you imagine how many they'd end up doing, if they were allowed for those situations?
The bizarre thing is that hospitals and orthodontists seem to try to encourage you to stay put.
We have moved 40 minutes up the motorway and I want to swap ds2 to a local orthodontist. I have been told that to do this I will have to have his fixed brace removed and then go through the whole referral process again!
When I called the hospital where ds1 sees a consultant and said we had moved so would they like to refer him on to our new hospital I was told that due to patient choice they didn't move people and again I start the whole process again.
No GP ever does home visits anyway, so that is irrelevant.
They always come round to see you when you have had a new baby, don't they?
"Thesparkling, it would cause chaos because if people chose to stay with a certain GP even though they don't live in the boundary of the practice because it would mean there is no limit to the amount of patients one practice can have and if the practice is a popular one it would be oversubscribed and not enough Doctors/Nurses to meet patient demand. This would be VERY unsafe for patients."
Neither of your outcomes necessarily follow
I have never been restricted to boundary areas in my choice of GP, it's a peculiarly English thing.
It is obviously entirely possible to limit the capacity of a surgery. That has nothing to do with boundaries.
A surgery could get oversubscribed in either scenario. A lot of people moving into an area and being forced to subscribe with the local GP (regardless of quality) would have the same effect as a very popular surgery.
Why should crap surgeries be given a quota of forced patients with no choice to move because of administrative boundaries?
That is all about doctors' convenience, not what is best for patients.
GPs' surgeries are private businesses. It is really dodgy that they can be delivered patients (and thus business) by the state rather than by being any good at what they do.
My dh isa single-handed rural GP and does several visits every day
and sometimes moans about the time they took
His practice takes people who work locally as it's easier to see them in working hours. He provides emergency (BASICS) pre-hospital care and Home Hospice for terminal patients. He works 60-80 hours a week to do all this.
Where we live we moved a couple of miles and had to move GP.
fuckers . It's not great haviing to start from scratch on my disability/my dds hip problem.
Being further away is not such an issue in rural areas, but health boards can be very, very tight about boundaries in urban areas.
The only times I've seen a gp come for a home visit is once, when my mum was dying an then once to confirm her death, and once when my bil did something to his back and he couldn't move at all so the doctor had to come and see what the problem was.
I had a terrible chest infection and high temp when my dc2 was 6 weeks old and I had to drive to the ooh doctor to be seen to. No one offered to come to me.
It seems the thing that is upsetting the OP most is the choice of GP she is left with, it does seem wrong that anyone is only able to go to one GP surgery, there should be at least two options - although I am saying this as someone living in a very large town so with 4-5 surgeries in walking distance.
It is definitely convenient for patients to be seen at home for the patients, but takes the doctor out of circulation for a long time, especially in large rural practices or busy urban ones when just getting to the patients house can take ages. Trying to properly assess an ill patient in their own squashy bed in often poor light is less than ideal. Assuming the patient is actually ill & needing treatment, the doctor will leave a prescription, not a course of medicine, so the patient or their representative is going to have to leave the house to go to the chemist anyway, in which case they could have gone to the doctors' in the first place, the surgery probably being near to the chemist...
Some elderly & chronically ill folk have the chemist deliver their prescriptions, but most people don't.
How odd. I left my local
utterly shit Gp due to malpractice/him being a cunt. My new surgery is a fifteen minute drive away. It was recommended for me by the LHB who helped me switch, there are others nearer. My HV still comes to the house,theoretically, not seen her since dc2 was teeny.
You could call your LHB and see if they can help convince your surgery to keep you?
I had a situation where DC4 was a few days old and needed an emergency GP appointment. While we waited I had to fill out the form to register him as he was new and put our new address down (we had moved 2 months before and none of us had needed a doctor until then so I had forgotten to inform them of change of address).
Immediately the receptionist saw the address, she told us the GP would not be able to see us as we had moved out of area so they would not register DS! She said we would have to drive all the way into town to the 'walk in' centre and wait hours there. I had no idea we would be kicked out of the surgery we had been registered with for 7 years for moving 2 miles away within the same town. I was absolutely disgusted that they would not see the baby and told them so loudly!
Family stress I'm not getting upset. I just get sick of people doctor bashing. Generalisations like 'no GP does home visits ever' is a pile of horseshit and I'm well within my rights to challenge such twaddle when it's not true.
Not all GPs are private surgeries either. The practice I am registered with is one run by the PCTs and staffed by Salaried GPs/Locums. I would rather be registered in a partnership practice because in my experience they provide better services.
They definitely still do visits, I was staying at my mum's house after an op once and her GP and the nurse both came out to check me over the day after I got home, wasn't even their registered patient.. They were lugging catheterisation equipment and all that with them! They did only do that as I was completely bedridden though..
My exh lived in our practice boundaries, I didnt but they were happy to register me. We moved well out of the boundaries and still had home visits. When we got divorced and he moved out I remained registered and dh and dd are now all registered at the same practice now and noone has even suggested we shouldnt be. Is there something I should know about ?
Been with the practice 30 years'.Brought up 3 dcs' with my GP. Moved 6 minutes' walk from previous house,out of the postcode...and it was bye bye.
They were bloody brilliant,too.
In the last 10 years I have requested one home visit which they refused to come out for. So I would just stay and accept they won't come out for visits.
My surgery only does home visits for over 65's and children.
*BalloonSlayerSun 14-Oct-12 07:56:45
They always come round to see you when you have had a new baby, don't they?*
Not here they don't. I was "encouraged" to go home so quickly, the 24 check was not done at hospital, I had to ring the surgery to get an appt. I had to go there with DS, no chance of a home visit at all.
No home visit when I had ds either -I don't know anyone who has had a visit after a baby either.
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