Dr Livingstone is a real-life GP lost somewhere in the NHS jungle. A reluctant part of a GP commissioning consortia, he offers his slightly wry look at all things NHS
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Ask Dr Livingstone about coughs and colds and he’ll switch into autodoc mode, advising patients not to bother with OTC remedies. But he can't help it, it’s become a reflex |
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For every one of the Department of Health's Big Ideas there's a downside, writes Dr Livingstone, and it usually involves GPs mopping up the mess |
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When chloramphenicol went OTC for conjunctivitis, Dr Livingstone assumed he would see a drop in affected patients. But he's found that access only leads to excess |
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Dr Livingstone is seduced by the idea of healthy living pharmacies but, he wonders, will they really reduce his workload? |
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A pill that beams information to a tablet device to improve compliance? It sounds like a expensive and cumbersome solution to a problem that isn’t really a problem, writes Dr Livingstone |
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A diabetic patient's diary is already awash with medical appointments, writes Dr Livingstone, so what purpose will an advanced MUR serve? |
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We can't all be superheroes in the workplace, writes Dr Livingstone. Pharmacists are touted as the panacea for a broken NHS, but when are they supposed to find the time? |
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Yes, GPs shouldn't be prescribing antibiotics as placebos, writes Dr Livingstone, but pharmacists can be just as guilty |
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Dr Livingstone is all riled up about NMS funding. But not for the reasons you'd expect |
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The brave new world of the NHS reforms is almost upon us, writes Dr Livingstone, but have the CCG gurus got their priorities right? |
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So you want to renegotiate the pharmacy contract? Be careful what you wish for, says Dr Livingstone |
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Pharmacy’s repeat prescribing service may have seemed like a good idea, says Dr Livingstone, but it’s put a spanner in my works |
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Pharmacists think of themselves as having nine identities, say researchers, but Dr Livingstone is underwhelmed. Try being a GP, he says |
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Dr Livingstone is struggling to think of any freebies he's received from Big Pharma in the recent past. In fact, where have all the drug reps gone? |
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I’d love to say the decision to prescribe antibiotics is purely scientific, writes Dr Livingstone. But it isn’t. It’s equal parts evidence, artistry, guesswork and expediency |
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Life at the coalface doesn’t fit snugly into neat protocols and pathways, writes Dr Livingstone, and the latest suggestion that pharmacists promote early cancer diagnosis has got his blood boiling |
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The post-Monday morning surgery headache has kicked in and Dr Livingstone is in need of co-codamol. But a member of staff in the local pharmacy has something to say on the matter... |
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Don't be surprised if your local GP starts popping in for friendly chats and invites you to a commissioning meeting, writes Dr Livingstone. There isn't a hidden agenda, honestly |
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We’ve got another couple of months before CCGs properly get going, writes Dr Livingstone. But one of them has already managed to get embroiled in a legal battle |
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Yet again pharmacists have been put forward to take on another aspect of healthcare, writes Dr Livingstone. But quite frankly, I’m getting a bit bored of these nonsense ideas |
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If you thought that over-eating and drinking at Christmas would boost the sales of antacids - then get ready for a wave of GPs following the latest commissioning guidance |
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April is creeping up fast, writes Dr Livingstone. But the reality of some CCGs might not be as close as you think |
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Tis the season to be jolly, writes Dr Livingstone. So let’s put aside our differences and create open lines of communication |
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It's no surprise diabetes patients are uncomfortable seeking pharmacists' advice, writes Dr Livingstone. Maybe your shopkeeper's hat is putting them off |
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Suggesting GPs commission a minor ailments scheme run by pharmacists sounds like a good thing, writes Dr Livingstone, but I suspect this approach would come back and bite us on the knee |
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I'm all for other healthcare professionals taking on more responsibility, writes Dr Livingstone, but making POMs available prescription free is just another example of the lines between us being blurred |
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Time and time again I’m being told that men don’t seek enough health advice, writes Dr Livingstone. But to be honest, unless it’s serious, I don’t want to hear about it |
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Pharmacists keep going on about wanting to be seen as healthcare professionals, writes Dr Livingstone. But when you keep selling placebo-based medicine, it’s hard to take you seriously |
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No, it's not a misprint. Dr Livingstone is suffering an attack of empathy for pharmacists |
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I’ve already shared my thoughts on 28-day prescriptions, writes Dr Livingstone, but new research has demonstrated yet another reason why this madcap policy isn’t a good idea |
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The confusion currently surrounding clinical commissioning groups has left us GPs a bit perplexed, writes Dr Livingstone, and C-day is only getting closer |
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I’ve recently been asked to sign the mission statement in our CCG constitution, writes Dr Livingstone, but If I’m honest, I really don’t fancy it |
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Guidelines against GPs who are too 'agreeable' are fine by stroppy sods like me, writes Dr Livingstone, but regulators do leave us walking something of an attitudinal tightrope |
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A parliamentary inquiry wants to know the barriers to progress in pharmacy, writes Dr Livingstone. So fasten your seat belts folks because I’ve got more than a few suggestions |
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It seems that all these initiatives aiming to improve healthcare are starting to work, writes Dr Livingstone, as all our grumbling is being turned into action |
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Dr Livingstone A statistic that, to pharmacists, might seem damning of GPs, can also be seen in a completely different light |
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There’s a common misconception that come April next year GPs will inherit the earth, writes Dr Livingstone. But I hate to inform you that you couldn’t be further from the truth |
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Nobody likes questionnaires, least of all customers in a hurry, writes Dr Livingstone. So I do have a bit of sympathy for you when it comes to the P category |
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I understand that pharmacists want to expand their role, writes Dr Livingstone, but you have to remember there is a limit to your capabilities |
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While on one hand I agree with wider prescribing rights, writes Dr Livingstone, I’ve also got to remember that it’s soon to be coming out of my piggy bank |
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Hearing the words “ideally placed” never goes down well with GPs, writes Dr Livingstone, but for some strange reason it’s music to pharmacists' ears |
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I’m all in favour of patients self-caring, writes Dr Livingstone, but that doesn’t mean they should go running to the pharmacist either |
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The launch of a tailored patient information leaflet for methylphenidate has Dr Livingstone jumping for joy, instead of jumping around in frustration |
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You’d have thought that keeping up to date with technology would make life easier, writes Dr Livingstone. Instead I’m left suffering from prescribing dysfunction |
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My last blog caused some what of a stir online, writes Dr Livingstone, but I can assure you I had my reasons |
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The CQC isn’t happy about toys being removed from GP reception areas and consulting rooms, writes Dr Livingstone. And for once I think I might actually agree with them |
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The medical treatment of my patients is as integral a part of the process as is the history, examination, investigations, writes Dr Livingstone. And I have no plans of devolving this key step to pharmacists |
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Much to Dr Livingstone's dismay commissioning is headed straight for him, just without the original mission statement |
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I’d be happy for plenty more medication to be available OTC, writes Dr Livingstone, but how are we meant to keep on top of things with patients now able access an inhaler a month |
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Prescribing statins to all over 50s may or may not enhance life quantity. But it’ll certainly enhance my life quality, writes Dr Livingstone |
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Nice formalises guidance on analgesics in feverish under-fives
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Accessibility more important than security, says owner of siege pharmacy
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Dispensing errors to be decriminalised next year
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Fear of failing exam holds pre-regs back, Senators warn
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Plans to include prescribing in pharmacy degree shelved, Senators reveal
