Keeping Your GP Consultations
Positive Action Guides
Currently there is:
A parsimonious government.
A hostile regulatory body (AHPRA).
A lack of business training.
A lack of useful and effective political representation. I suggest we work together and work small. Small groups of people can always reach consensus that large groups never do.The big organisation is a relic of the pre-internet era.
Our strategy in Positve Action is to give you some options for changing your working environment.
(Main site at www.Guvnot.com). See a sample of simple strategies at the bottom of the page.
www.Guvnot.com is a site that aims to serve as a guide to the simple things
you can do to run a campaign
to force an issue.
If we all act separately but with common purpose, we can empower some of us to drive change-
for the benefit of the doctors but ultimately control their working environment.
Another Focus: limiting consultations and maximising income to keep yourselves and your businesses viable.
Do the 10 minute consultation training module. This site on the Web www.cons10.com.(This Site)
It is made to display online much like a web page. It should project well onto a screen.
Feel free to show it to others or to talk about it.
Just mention us though, to help us all to do something about our working milieu.
www.Bloodweaver.com is devoted to helping small groups of people with shared interests
to get together and to work to effect change. The big organisation is a relic of the pre-internet era.
It would work for doctors but would work for other groups of people with shared interests as well. Our goal here is to work within the system and allow democratic and legal processes to funnel the force for change effectively- creating change from within the system of government. The power of democracy is to allow people to make changes in their world and their government. If each person is true unto themselves, they are experts in their own self-interest and can be relied on to build a world that serves the most to the mostest.
Large organisations handle small issues badly. There is not enough "general" interest to serve as a force for change. The issue may only affect a few or be of serious significance to a few. Our solution: Get together in a small group of people with a shared interest and work to effect change. Groups of a maximum of 5-6 share costs, share ideas and usually achieve consensus in a small pool of well acquainted members.
If you dream of seeing GPs doing Point of Care" Ultrasound, you may balk at spending $10,000 to try to achieve change, but spending $2,000 may well be a much more acceptable sacrifice to make to achieve your dream or ambition.
We all share a social / work milieu so finding other likeminded people may not be difficult. The Medicare system effectively dictates what work you can do, what equipment you can use and what you get paid for it. Doctors in Australia have never spent much time imagining a new future, but it is indeed possible if you work with like minded people to effect change.
Our Strategy:
1. Do the 10 minute consultation training module. This site on the Web www.cons10.com
It is made to display online much like a web page. It should project well onto a screen. Feel free to show it to others or to talk about it. Just mention us though, to help us all to do something about our working milieu.
2. This Page (at the end) : a guide to the simple things you can do to run a campaign to force an issue. More at www.Guvnot.com.
3. Getting Support for your own Positive Actions through a Group : a guide to Finding and Working with Others on Issues: www.bloodweaver.com to promote a public campaign for change. ANY LEGAL CHANGE.
2. Positive Action Guides Some Examples:
Send one extra patient per week to a hospital or specialist.
Become a lot tighter about one consultation- one problem. No one said that political action has to lose you money.
Send patients who are not profitable to be cared for to hospital and keep sending them there.
Patients who came with too many issues and who demand too much time: send to hospital or specialist.
Patients needing expensive care e.g. dressings : send to hospital or specialist..
Complex patients whose conditions are terminal or severely chronic and complex. (It’s the sort of thing you get in trouble for. If something goes wrong, everyone will say you should not have been looking after the issues/problems/patients). Send to hospital or specialist.
Find more expensive ways to do things if the system refuses to do things your way.
Do an FOI request. Share this with others such as on our Bloodweaver site www.bloodweaver.com
DO THINGS PROPERLY.
e.g.
So even a very routine item e.g. repeat for BP pills may be best dealt with as a single item with notes made- to protect the practitioner. There is a cost to doing things properly or improperly. Do everything formally and properly and leisurely. Remember AHPRA wants good notes first, foremost and as the main consideration for all medical work. If you do not document positive and negative indications for doing a medical action, you have breached AHPRA's code of conduct.
AHPRA has publicly stated that they believe that 10 minute consultations are inadequate for holistic medical care.
Limits of Medical Indemnity Insurer Support
eg Avant
As advised previously, it is Avant’s view that if you do not hold reasonable prospects of successfully appealing the case/ conditions, You will need to pay for any legal action. In short, you are not covered by your insurance policy for Medicolegal expenses.
Please note the following clause of your Practitioner Indemnity Insurance Policy:
Withdrawal of indemnity for Part B
We may decide not to incur any further legal fees and other expenses for pursuing, defending or responding to a request for indemnity under Part B if we believe, in our sole opinion, that there are no reasonable grounds in pursuing, defending or responding to the complaint, matter or prosecution or there are no reasonable prospects of success if we do. We will take account of the lawyer’s advice in making that decision. If we do that, we will tell you in writing. We will pay the legal fees and other expenses incurred prior to the date on which we write to you telling you of our decision.
You may continue pursuing, defending or responding to the complaint, matter or prosecution. After we cease paying the legal fees and other expenses, we will only pay you thereafter for the reasonable legal fees and other expenses (not including the GST component if you are registered for GST) that you have incurred if you are successful in pursuing, defending or responding to a complaint, matter or prosecution.
There are three parts to the strategy:
2. The Positive Action Guide Page: : an introduction to www.Guvnot.com
3. Getting Support for your own Positive Actions through a Group : Group Actions at Bloodweaver.com