Medication

phodetheus

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A couple of months ago we got a call from the GP surgery we had been registered with for the past 10 years. We were told in a somewhat abrupt manor that because we no longer lived in the area we were no longer registered with them and had to make other arrangements. I explained that we did not have a permanent address and could not register anywhere else, but they already knew this as had given a letter ages ago to use to get repeat medication where ever we went. “You will have to register as a temporary patient where ever you are then” click and they hung up. Nice.

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Dec 31, 2010
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Glad you received such brilliant treatment in Scotland, but sadly when it comes to something more serious than administration, issuing of prescriptions and handing out tablets the system can be a lot less perfect. I have a family member who has been waiting for 4 months just to see a specialist; though the doctors have been great at signing her sick line.
 

Jazzbow

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Glad you received such brilliant treatment in Scotland, but sadly when it comes to something more serious than administration, issuing of prescriptions and handing out tablets the system can be a lot less perfect. I have a family member who has been waiting for 4 months just to see a specialist; though the doctors have been great at signing her sick line.
NHS waiting times in Scotland should be12 weeks. Your family member needs to take this further
 

MHVirgins

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So glad to hear that you got things sorted in the end.......unfortunately not all practices are as efficient as the one you visited during your stay. Last year our local surgery (small country town) managed to lose Bill's ECG result when he attended for an appointment. It appears that the practice nurse had "mislaid" it so Bill made his feelings known when he got to see the doctor:(
The doctor glibly said, "These things happen, I'm sure it will turn up". He seemed to be completely missing the point that I had turned up for an appointment to discuss the results. I was asked if I could make another appointment and come back in again the following week for another ECG.
I have high blood pressure and didn't really want to go through the hassle again for another return visit. The results turned up shortly after this, with one staff member blaming another, but we have both experienced similar problems where there has been a complete breakdown in the system. The bottom line being inefficiency of staff:(
But glad that it has all worked out for you, especially as you're on the move a lot.
 
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haganap

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Although the way you were dumped by your GP surgery might not of been pleasant, the way people expect a GP to continue to prescribe for them without even knowing them is beyond me.
If you had any idea how easy it is for GPs to get in trouble through medical negligence in this ambulance chasing solicitor led society we live in, you and others may change your opinion.

You are expecting a GP that's never met you, to trust the judgement of another GP with "a letter" as evidence to prescribe your medication. Your lucky you got any at all anywhere.

I know it's a bone of contention for full and long timers but you can't blame the system just society.

I don't know what the medication is/was but all medication has side effects and some /most need the patient to be regularly monitored by the PRESCRIBER.

The only thing I would say is well done to the GP you saw who thoroughly checked you over prior to given you anything.

Do all so consider that GPs are funded with patients within there catchment area, therefore if your not in it your not in the head count so to speak. There are GP surgeries especially for the homeless and you can attend a walk in centre too as a traveller gypsy type person can.

Hope I don't sound harsh, just wanna put the other side accross
 

scotjimland

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We encountered similar problems when we were fulltime ...The lifestyle has much to offer, but a lot of downsides that only become apparent when you take it up.. as you have found out.

yes, there are workarounds and solutions to most problems but it's not all a bed of roses.. life is life no matter where or how you live.

Glad to see you had good treatment in Scotland..
 
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Here in Spain you can be treated through the NHS equivalent anywhere throughout Canary Isles, Balearic Isles and mainland Spain. Your records are all in their computers and can be accessed from anywhere. (y)

Ah well, just backward Spain, I suppose!:laughing:
 

maz

Jan 26, 2011
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A couple of months ago we got a call from the GP surgery we had been registered with for the past 10 years. We were told in a somewhat abrupt manor that because we no longer lived in the area we were no longer registered with them and had to make other arrangements.
According to the Department of Health:
The document ‘Who pays? Determining responsibility for payments to providers: Rules and guidance for clinical commissioning groups’ published by NHS England states that ‘the absence of a permanent address is not a barrier for a person with ‘no fixed abode’ to registering with a GP practice. In many instances, practices have used the practice address in order to register a homeless person’. While the guidance does not specifically mention people who cruise on the canals in the UK, it does cover the general term of people with ‘no fixed abode’.

You might find the following link useful: http://www.associationofcontinuouscruisers.org.uk/health-issues
 

GJH

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Here in Spain you can be treated through the NHS equivalent anywhere throughout Canary Isles, Balearic Isles and mainland Spain. Your records are all in their computers and can be accessed from anywhere. (y)

Ah well, just backward Spain, I suppose!:laughing:
In France i can see any doctor. They just put my carte vitale into the machine and up comes my records! Brilliant!!!
All well and good so long as adequate security is built in.

I'm guessing, Ken, that your carte vitale is one you hold yourself so that would provide the necessary security.

When the idiot "chuck a database at it and call it an IT system" previous government wasted £10 billion on NPfIT one of its main problems was that everybody's records would have been viewable by 100,000 doctors, 380,000 nurses and 50,000 other health care professionals through their access cards whether they had a valid reason or not.
 

DBK

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All well and good so long as adequate security is built in.

I'm guessing, Ken, that your carte vitale is one you hold yourself so that would provide the necessary security.

When the idiot "chuck a database at it and call it an IT system" previous government wasted £10 billion on NPfIT one of its main problems was that everybody's records would have been viewable by 100,000 doctors, 380,000 nurses and 50,000 other health care professionals through their access cards whether they had a valid reason or not.
So what? Everyone at my medical centre can no doubt read my records, and they are people I might meet in the pub. I couldn't care less if someone in Birmingham could access them. Except if I was involved in an accident on the M6 up there I would be delighted if they could.
 

Munchie

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Yes Graham the carte vitale is personal to me it is issued by CPAM when they get my S1 and entitles me to the same medical care as native French.
 
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haganap

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According to the Department of Health:
The document ‘Who pays? Determining responsibility for payments to providers: Rules and guidance for clinical commissioning groups’ published by NHS England states that ‘the absence of a permanent address is not a barrier for a person with ‘no fixed abode’ to registering with a GP practice. In many instances, practices have used the practice address in order to register a homeless person’. While the guidance does not specifically mention people who cruise on the canals in the UK, it does cover the general term of people with ‘no fixed abode’.

You might find the following link useful: http://www.associationofcontinuouscruisers.org.uk/health-issues
Despite what this says Maz, you can not have more than one GP under normal terms.
GPS require an address to register or you register under NFA. Surgerys only have to allow themselves so many NFAs on their records. What you can't do is have a GP and expect a GP elsewhere to continually prescribe medication, it's not acceptable in today's society to expect a GP to do that, there accountability involved.
 

GJH

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So what? Everyone at my medical centre can no doubt read my records, and they are people I might meet in the pub. I couldn't care less if someone in Birmingham could access them. Except if I was involved in an accident on the M6 up there I would be delighted if they could.
Fine if usage were able to be confined to that which is proper. NPfIT would not have provided that. One example:
An NHS primary care trust has warned of a new risk to the confidentiality of medical records stored under the National Programme for IT [NPfIT] after a celebrity was admitted into hospital and more than 50 staff viewed the patient’s records.


The warning by North Tees Primary Care Trust raises questions about whether hundreds of thousands of NHS staff who would be able to view electronic records under the NPfIT would have their accesses to information policed robustly.
 

maz

Jan 26, 2011
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Despite what this says Maz, you can not have more than one GP under normal terms.
GPS require an address to register or you register under NFA. Surgerys only have to allow themselves so many NFAs on their records. What you can't do is have a GP and expect a GP elsewhere to continually prescribe medication, it's not acceptable in today's society to expect a GP to do that, there accountability involved.
I might be missing something here (has been known :wink:) but how is that any different to being registered with a GP (at your home address for those of you that have one) and then travelling around the country (but not actually 'fulltiming') and needing to register as a 'temporary resident' to gain access to a doctor as and when needed?
 

haganap

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Because there is a difference in registering with a gp and expecting a gp you don't know to px med's

In Crewe for example we have a list of gps that take patients on on a rota system if they are NFA...you turn up at the gps and they refer you to the one taking on who's on the rota for that week... (we have our share of Europe people)
Of course in AN emergency there is always a and e or a walk in centre.

The point I make its that no gp should be prescribing (accessing the notes or not) without at least seeing the person.
The exception to this is of course repeat prescription by your own GP who had done the diagnosing in the first place.

I could turn up with a letter to a surgery in Kent with a letter I made up and get myself a months supply of diazepan before moving on to the next gp surgery to get the same and so on and so on...imagine that for a rarer or more dangerous drug :ROFLMAO:
 

maz

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The point I make its that no gp should be prescribing (accessing the notes or not) without at least seeing the person.
The exception to this is of course repeat prescription by your own GP who had done the diagnosing in the first place.
Ok, so that's the bit I was missing. :Smile:
 
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