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GP Wait Times - your experience please….

124

Comments

  • Registered Users, Registered Users 2 Posts: 7,992 ✭✭✭_Whimsical_


    An unpopular opinion here but based on experience of friends who are Drs and professionals I have dealt with.

    I know 3 girls who are GPs who see patients 3 half days a week, 2 run facial filler and botox clinics in salons in town and in other counties 2 other days. One does an online skincare clinic prescribing anti-aging prescription treatments for a UK service for a 4th days work. They are home to pick their kids up from school and have a nice lifestyle. It is a different life than the old school GPs who did a 9-5 ,5 days and arguably did have very little home work balance as a result. In my GP clinic all GPs work 3 days and have other interests other days - one runs private menopause clinic in another area 2 days for example. The issue of GP availability is bigger than clinics being over-run. It does happen, but we also need to address the fact that some GPs need to be available for GP work a greater amount of time than they currently are.



  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    They aren’t granted based on how nicely you ask, but if you are a dick, you get the first available appointment, show some respect to the Receptionist, and the job they do, they may well help you out with a sooner appointment if one becomes available.

    I really feel you would benefit from joining a Practice with an online booking system, that way you just stand inline so to speak, with everyone else.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    It was you who said being nice to the receptionists will win you their favour.

    Because you're assuming I am the dick here, right? That I must be giving the poor receptionist staff a hard time? Well, you're wrong. I've never been anything but respectful and polite when dealing with them, even when I have felt like ripping into them. Because I know what I'm dealing with. And you've just unwittingly confirmed that not all appointments are given out fairly.

    So yes, I'd much prefer an online booking system. 100%. Then I would only need to have minimal interaction with the particular nasty power-tripping wans at my current GP surgery. And that is what they are, no matter how you choose to defend them without even knowing them or having dealt with them. I've seen it an overheard it with my own ears.

    Hopefully, when I do find a new GP (🤞) they will have an online booking system.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    the one halter BP monitor that the practice has probably had to go around tons of patients. Maybe Banie’s practice has several of them 🤔



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    I was in waiting room about two years ago, speakerphone in reception was on and they were playing back voice messages, some very intimate details being relayed to all and sundry, name, date of birth, address and full details of complaint and likely cause. Distracted myself not to hear it all, but everyone else could loud and clear.



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  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    If so, maybe they should invest in more equipment.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    We should hopefully not judge our “real life” behaviour based on here, otherwise I’d be terrified of going near the dentist for fear of having my mouth de-dentified by Dav 🤣.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    does anybody know if this standardised online system has a way of “triaging” eg, if you have a fever and coughing blood (my go-to example because I personally familiar with aspiration pneumonia which can be managed at home with prompt antibiotic) or are you advised to contact reception for for that kind of urgent appointment?



  • Posts: 0 [Deleted User]


    I havent downloaded it yet but might do that in a bit so I'll let you know, for safety's sake however I'd say a direct call might be most appropriate action.



  • Registered Users, Registered Users 2 Posts: 1,489 ✭✭✭Hippodrome Song Owl


    I have said many times, I could only dream of the level of health care my pets get! Same day appointments with blood test results in an hour, and immediate xrays and ultrasound scans. Surgery within a day if necessary. All in a local clinic.



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  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    And you would accept that my removing the human element, your appointment would be based only on the order in which you log into their booking system? You think that will get you an appointment sooner?

    Surely not.



  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    It’s the simple things in life that give me the most pleasure.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Same! I booked the appointment yesterday, was there a few minutes before the appointment time, seen immediately, diagnosis and two injections given, repeat appointment booked for Friday, and out the door by 11:30 and home with a take away coffee in less than an hour. Couldn't ask for a better service, and extremely pleasant staff on the desk who are all qualified or student veterinary nurses.



  • Registered Users, Registered Users 2 Posts: 16,129 ✭✭✭✭Spanish Eyes


    Next day or that day if urgent.

    Not being smart or elitist, but my GP does not accept Medical cards, over 70s cards, under 6s, and EHIC. Totally private practice. I was lucky to get on the list when my previous (stuffed to the gills mixed private and free practice) GP retired. It took a while to get a new GP which was a bit worrying though.



  • Posts: 0 [Deleted User]


    It would be easy for me to come here and topple some towers but I'm not going to. I worked in the health service as a consultant's secretary, clerical officer, clinic receptionist, general dogsbody in the past so I'm familiar with how it works.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Knowing my surgery, if its possible, they'll block out appointments to save them for those who are nicest when asking for them.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    maybe you and I use same practice 🤣 sounds like it tbh. Doc is absolutely lovely, have known him since my teens, and he was taken on by the original lovely doc, the real old style family GP, who used to see me as a child. My pharmacy said discretely that there were real problems getting through the gate-keeping, which proved very problematic in that more than once they needed to question a potentially very serious matter in an urgent prescription and would be told no doc available.



  • Posts: 0 [Deleted User]


    With regard to the patient portal app (pippo) I have the option to book an appointment or order medication. The appointment drop down menu gives me appointment type options for bloods, cervical check, general GP, Doctor consultation or contraceptive consult (two age categories) and obviously which doctor I want to see. The booking page provides a space for reason for appointment and the homepage suggests that this has clinical oversight and approval.

    The next step gives me the booking blocks available, which in my case begins from the 01/08, which is more than a two week wait at minimum. I'm guessing if it's anything serious you'd still probably end up going to out of hours service for care. Hope this helps.

    (edit:clearly I'm female and my options are tailored but on the other hand I could have chose other under gender and maybe had a lot more options)



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    The booking page provides a space for reason for appointment and the homepage suggests that this has clinical oversight and approval.

    Though there would need to be a good reason for a surgery to refuse an appointment, when the patient knows one is technically available. Or at least one would hope so.

    I just had a look at some GP practices online that have online booking services. I found appointments available in less than two days, and multiple time options in one of the practices I'm on the waiting list for. 🤞



  • Posts: 0 [Deleted User]


    Have no plans to visit one anytime soon but it's nice to know if I do plan on needing one I'll take the two week wait into consideration and probably just forget about it :D



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  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Maybe so! Don't even get me started on the numbers of times they've messed up my repeat prescription.

    Luckily I have an absolutely brilliant pharmacist.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    Sounds fair enough to me. Re meds I have a few peculiar ones which might t be on standard lists, also stoma supplies, and I’m half guessing certain of these very necessary items might not appear on that that, eg adhesive remover. I email in my list and doc works from that, he’s familiar with it. Dreading when he retires, but he looks remarkably fit for his age.



  • Posts: 0 [Deleted User]


    I worked for a little while in independent facilities with clients and residents with MS and the vast majority of them would have had a care plan or package whereby they would never be without medical care or provisions, medication was always available and supplies kept stocked. I'd imagine in these situations doctors prioritise patients with long term conditions knowing the care they provide is mandatory to their needs. You're lucky to have a good doctor who you have a personal relationship with, I think the days of them are long past gone.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    That’s interesting!

    I’ve made one or two threads in my time re use of electronic communications across medical services in general, still sadly lacking across the board. Last time I attended the MS clinic (have been attending this clinic a year) and having undergone 4 series of brain/spine MRIs, was told on last visit that not one of the MRIs had been seen by the clinic team due to lack of interactive communications between Blackrock & SVUH. The Prof himself had originally asked me to use my VHI for Blackrock “as we need to get you evaluated quickly”. Then his understudy told me “many of our patients experience this, there’s no communications avenue to us from private clinics”.

    I consulted with folk I known at the MS society and one had precisely same experience, 3 year delay in treatment plan, she advised getting physical DVDs from Blackrock and hand delivering to MS Clinic. Meantime other serious medical stuff is put on hold, eg major abdominal surgery. That is until MS Clinic will see me late October. This issue is with Ombudsman who found major issues last year with SVUH internal comms, all paper based and plenty getting lost along the way.

    That’s a tangent to GP availability, but in meantime my own GP was absolutely shocked to hear of this problem with the hospital, and is giving me all the symptomatic relief he can in the meantime, he really is going the extra mile.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    Good thing your brother went to the hospital, that can be deadly if not attended. It would have had to be dealt with at a hospital anyway, but an astute GP would have sent him in a timely manner, lessening the risk of a bad outcome.

    On the one hand you have the GP primary service for things can be judged clinically and solved with a prescription, advice or a referral. Done in a timely fashion, keeps people out of hospital, and directs those to the hospital who really need it.

    Then you have the big building intended to deal with illness that is more serious &/or more complicated, which has tons of diagnostics (though not nearly enough as I discovered, being held in a bed simply for a scan) and is in a position to save you if you are immediately in danger of deterioration.

    There’s not enough in-between kind of service, where an xray & ultrasound can be done by your GP service or sharing with another few broader area GPs. A hospital should be last resort.



  • Registered Users, Registered Users 2 Posts: 17,873 ✭✭✭✭banie01


    There's 4 in my practice. I'm in on the 22nd for a CDM appointment and the nurse decided to get the monitor sorted before then so it could be dealt with at the same visit.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    There are a hell of a lot of female docs, and this is what you get.

    (I’m female)

    I will get my coat now 🤣



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    If this ends in a ban, it will be worth it because this has to be challenged, and I am sooooo sick of the make-it-up-as-we-go-along rules on Boards. So much for the promised changes.

    Rebuttal is not an attack.

    Also, did you happen to notice who it was who pulled the thread sideways in the first place? Because it wasn't me.

    Or did you notice who attempted to pull it back on track? Yes, that was me. Post #64.

    But I guess that escaped your notice.

    The usual sad suspects reporting, I suppose, as they cannot stand to be challenged.

    But carry on.



  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    Why are you quoting yourself?

    Actually it was you who pulled the thread sidewards:

    ”And receptionist staff should not be "triaging" patients. They are not qualified to do so.”



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  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    this is true. The practice I attend, without going into details, keep very little, even inexpensive equipment (that I could buy off Amazon with spare change) but I think the major issue at my surgery is lack of space to store items. Some surgeries would have even less space than mine, and others more.



This discussion has been closed.
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