Noticed "Push Doctor" - Is This The Future?
Noticed "Push Doctor" - Is This The Future?
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Discussion

K12beano

Original Poster:

20,854 posts

304 months

Monday 17th October 2016
quotequote all
There's nothing wrong with me at the moment - well just the usual, but mustn't grumble.... hehe

I've come across Push Doctor and wondered if anyone had any experience.

Knowing how difficult it even is to see our local GP - or even get an appointment, since you (apparently) have to be able to ring up only at a certain time of day and can't do anything else to gain the appointment - and the obvious alternative involves a trip to a private hospital, but it's a way away and expensive if we're at home (although you can get an appointment at the drop of a hat), it would be nice to be fairly confident about an alternative.

Healthcare - even 'though not something I need today - seems such a scary prospect in the UK at the moment.

Anyone?

The_Doc

6,255 posts

249 months

Monday 17th October 2016
quotequote all
The GMC is pretty worried about all of this.

Only this week they published their latest guidelines: "Prescribing guidance: Remote prescribing via telephone, video-link or online"

It is mostly safe, but open to mega abuse and it won't be long before someone comes to harm and the practice is clamped down-on big time. IMHO

http://www.gmc-uk.org/guidance/ethical_guidance/14...

Also, which bits of the NHS are now under-staffed? What with all these GPs sat in booths doing this. It's not like we can spare any GPs.....

http://www.rcgp.org.uk/news/2016/october/general-p...


C0ffin D0dger

3,440 posts

174 months

Tuesday 18th October 2016
quotequote all
Hmmm, do you think I can get one to sign me off for 6 weeks (or more) as I'm really stressed and need a holiday wink

Would be worth it of £30 or whatever it was.

Honk

2,005 posts

232 months

Tuesday 18th October 2016
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a D.R.E. should be challenging.

zeDuffMan

4,314 posts

180 months

Tuesday 18th October 2016
quotequote all
It's ripe for abuse but we're well into the 21st Century now, and it's a PITA to get 10 minutes in front of a GP, so why not? It's all-out war if you need a same-day emergency appointment. The last thing you need when you feel like st is an argument with a fking receptionist about whether you're sick enough to get an appointment.

I'd use it.

Tony Angelino

2,065 posts

142 months

Wednesday 23rd May 2018
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anybody using these lately?

Can't get past the receptionist easily to get an appiontment for my son who we think has developed Asthma lately, I have asthma and my inhaler has sorted him out so wondered if Push Doctor or Virtual GP surgery might be a better option.

Defcon5

6,466 posts

220 months

Wednesday 23rd May 2018
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I think these are good if you know what wrong and what you need (say you had gout every so often, and a particular drug sorted it)
No point in waiting 3 weeks fir an appt purely for the doc to sign a prescription when you could have the medication this afternoon

To diagnose a new condition in a child, that surely requires listening to their chest and measuring their breathing can’t be done properly online IMO.

The_Doc

6,255 posts

249 months

Wednesday 23rd May 2018
quotequote all
http://www.pulsetoday.co.uk/clinical/clinical-spec...

Online prescribers, not online GPs, but it;s a very blurred line

but:

"The CQC last week said that 43% of online prescribers were unsafe, and this week Pulse revealed that at least 11 of the 35 online prescribing companies inspected by the CQC were criticised for failing to inform GPs when they have treated their patients "

Scabutz

8,828 posts

109 months

Wednesday 23rd May 2018
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I used something like this recently. I do a lot of swimming and 2-3 times a year I get swimmers ear. It's treated with otomize spray which is prescription only. Getting an appointment with a Dr at my surgery is actually quite easy. Just log on the website in the morning. However, it's such a waste of mine and their time to get a simple piece of medicine.

I went online, filled in a form and the next day the stuff arrived. Cost me a little more but saved the nhs time and money and that appointment slot.

I can see how these things could be abused or prone to problems but they do have a use.

anonymous-user

83 months

Thursday 24th May 2018
quotequote all
The_Doc said:
http://www.pulsetoday.co.uk/clinical/clinical-spec...

Online prescribers, not online GPs, but it;s a very blurred line

but:

"The CQC last week said that 43% of online prescribers were unsafe, and this week Pulse revealed that at least 11 of the 35 online prescribing companies inspected by the CQC were criticised for failing to inform GPs when they have treated their patients "
I went online last night looking for hay fever meds on prescription, Telfast. They’re the only thing that works for me. Using one of the online prescribers and they specifically ask if you want them to contact my GP or not.

The_Doc

6,255 posts

249 months

Friday 25th May 2018
quotequote all
Faz50 said:
The_Doc said:
http://www.pulsetoday.co.uk/clinical/clinical-spec...

Online prescribers, not online GPs, but it;s a very blurred line

but:

"The CQC last week said that 43% of online prescribers were unsafe, and this week Pulse revealed that at least 11 of the 35 online prescribing companies inspected by the CQC were criticised for failing to inform GPs when they have treated their patients "
I went online last night looking for hay fever meds on prescription, Telfast. They’re the only thing that works for me. Using one of the online prescribers and they specifically ask if you want them to contact my GP or not.
This is good.

The trouble is diagnosis, prescription and referral needs to be safe for everyone, all the time and distance consultation including online prescribing cannot always do this to the same standard as achieved in person.

It seems convenient and functional, but is it watertight?

In Arduis Fouette

97 posts

100 months

Saturday 26th May 2018
quotequote all
The_Doc said:
Faz50 said:
The_Doc said:
http://www.pulsetoday.co.uk/clinical/clinical-spec...

Online prescribers, not online GPs, but it;s a very blurred line

but:

"The CQC last week said that 43% of online prescribers were unsafe, and this week Pulse revealed that at least 11 of the 35 online prescribing companies inspected by the CQC were criticised for failing to inform GPs when they have treated their patients "
I went online last night looking for hay fever meds on prescription, Telfast. They’re the only thing that works for me. Using one of the online prescribers and they specifically ask if you want them to contact my GP or not.
This is good.

The trouble is diagnosis, prescription and referral needs to be safe for everyone, all the time and distance consultation including online prescribing cannot always do this to the same standard as achieved in person.

It seems convenient and functional, but is it watertight?
No it's not and unfortunately if a certain dabbler in wales isn't sanctioned when she comes up before the MPTS for her substantive hearing it's going to be open season for both online and completely ignoring guidelines and your CCT/CCST prescribe what you like to whom you like regardless of your competency or training in the area of practice ...

uber

860 posts

199 months

Sunday 27th May 2018
quotequote all
I tried Push Doctor yesterday as my mum had had an ongoing chest infection and thought it would be faster than a trip to a&e. First 10 mins was the doc going over her current meds then got told to extend for another 10 mins which only just took it over the initial 10 mins , prescription issued and sent to boots for collection. In total it cost me £56 £40 for the consult - £8 for the prescription and £8 for the meds.

My ma liked it although I think it might put people off esp when its all normally free in Scotland. I would defo use again

In Arduis Fouette

97 posts

100 months

Sunday 27th May 2018
quotequote all
uber said:
I tried Push Doctor yesterday as my mum had had an ongoing chest infection and thought it would be faster than a trip to a&e. First 10 mins was the doc going over her current meds then got told to extend for another 10 mins which only just took it over the initial 10 mins , prescription issued and sent to boots for collection. In total it cost me £56 £40 for the consult - £8 for the prescription and £8 for the meds.

My ma liked it although I think it might put people off esp when its all normally free in Scotland. I would defo use again
and 111 / NHs direct said what ? and your OOH GP said what ?

uber

860 posts

199 months

Sunday 27th May 2018
quotequote all
In Arduis Fouette said:
and 111 / NHs direct said what ? and your OOH GP said what ?
I never called as I know the process would be call, wait for call back, get told to go to a&e, wait 4 hours, be given prescription.

For 50 it was a bargain and saved a ton of time which I spent having fun :P

In Arduis Fouette

97 posts

100 months

Sunday 27th May 2018
quotequote all
uber said:
I never called as I know the process would be call, wait for call back, get told to go to a&e, wait 4 hours, be given prescription.

For 50 it was a bargain and saved a ton of time which I spent having fun :P
PH in a nutshell , never mind the services which are there to be used, misuse other services or waste your money.

uber

860 posts

199 months

Sunday 27th May 2018
quotequote all
In Arduis Fouette said:
PH in a nutshell , never mind the services which are there to be used, misuse other services or waste your money.
I don't understand why you see it as a waste of money when I got what I wanted in the fraction of the time along with helping free up some NHS space. If you don't like it here why don't you join mumsnet?

mouseymousey

2,642 posts

266 months

Sunday 27th May 2018
quotequote all
I've used pushdoctor when I had a chest infection and couldn't get a gp appointment depsite trying 3 days in a row.

Perhaps there were other options open to me but none as convenient as a video call without leaving my home.

I was happy to pay for the convenience. I expect the people whining about it are those whose current jobs are threatened by it in much the same way that cabbies whined about uber.

The NHS are doing it now as well I believe. Google gp at hand.

In Arduis Fouette

97 posts

100 months

Sunday 27th May 2018
quotequote all
Faz50 said:
The_Doc said:
http://www.pulsetoday.co.uk/clinical/clinical-spec...

Online prescribers, not online GPs, but it;s a very blurred line

but:

"The CQC last week said that 43% of online prescribers were unsafe, and this week Pulse revealed that at least 11 of the 35 online prescribing companies inspected by the CQC were criticised for failing to inform GPs when they have treated their patients "
I went online last night looking for hay fever meds on prescription, Telfast. They’re the only thing that works for me. Using one of the online prescribers and they specifically ask if you want them to contact my GP or not.
if you do not inform your GP they are in breach of the regulatory position.

a number of less reputable and more off the wall private psychiatrists or addiction treatment doctors have fallen foul of the regulators for this
( for those who have an interest in this sort of thing it's what they actually did Dr Russell Reid for back in the day )

julian64

14,325 posts

283 months

Tuesday 29th May 2018
quotequote all
mouseymousey said:
I've used pushdoctor when I had a chest infection and couldn't get a gp appointment depsite trying 3 days in a row.

Perhaps there were other options open to me but none as convenient as a video call without leaving my home.

I was happy to pay for the convenience. I expect the people whining about it are those whose current jobs are threatened by it in much the same way that cabbies whined about uber.

The NHS are doing it now as well I believe. Google gp at hand.
They are not the NHS. They are a General Practice in Fulham who are chancing their arm. They want you to register with them only if you won't require any home visits and won't be any trouble. They are effectively trying to get a giant list of problem free patients, and I for one would like the GMC having a look at them. I think its somewhat disgraceful.

If you have children or any on going illnesses then they don't want you

https://support.gpathand.nhs.uk/hc/en-us/articles/...

I think that demonstrates what sort of place you'd be registering with and what its motives are.