David Rose of The Times
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Every patient who stays in hospital will be screened for the superbug infection MRSA and at least half of GP practices will open on Saturday mornings or one or more evenings per week, under government plans unveiled today.
Tackling infections which can be acquired both in an outside of hospital, is a key theme of Sir Ara Darzi’s interim review of the NHS in England.
Nurses will be required to swab all patients admitted for planned and emergency procedures, to test for life-threatening infections which could put other patients at risk. Those with positive results will be placed in isolation and given creams and body washes to clear the bugs.
Lord Darzi, a Health Minister and part-time surgeon, is conducting a review of services across England and Wales and also aims to improve patients’ access to their local GPs. Gordon Brown and Alan Johnson, the Health Secretary, attended the launch of an interim report on his review in London this morning.
The report was published amid claims by campaigners and opposition MPs that it had been brought forward for publicity purposes amid mounting speculation of a snap election. Doctors and Opposition parties accused the Government of using the NHS as a “political football”. But Lord Darzi yesterday dismissed the idea.
Lord Darzi's study sets out how local Primary Care Trusts could work with new and existing GP practices to ensure greater flexibility on opening hours.
Family doctors have come under fire in recent months after nine out of ten decided to “opt out” of providing care on evenings and weekends.
Lord Darzi announced today that the Government’s aim was that at least half of all GP practices would open on Saturday mornings or one or more evenings per week.
A total of 150 GP-run health centres that open seven days a week, 8am to 8pm, will also be established in prominent locations around the country.
In addition, more than 100 new GP practices with up to 900 GPs, nurses, and health care assistants will open in the quarter of primary care trusts with the poorest provision, he said. The aim is to improve the health of people living in deprived areas.
Under measures aimed at tackling hospital bugs, all patients entering hospital for planned and emergency procedures will be screened for MRSA.
The Government’s aim is to screen all elected admissions for MRSA next year, rising to include all emergency admissions over the next three years.
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Lord Darzi's infection control proposals should have been implemented a long time ago; the lack of basic hand hygeine amongst health professionals is deeply shameful. Hospital staff should also be screened for MRSA routinely. Visitors who fail to wash hands should be asked to leave.
Dr Oliver Duprez, Watford,
Mike, Bristol. Lawyers and accountants in the public sector earn less than half that of a GP. Obviously these professions in the private sector earn what the market will bear - some far more than £100k some far less. GPs are not in a market as such and so, yes, I believe that £100k+ of guaranteed taxpayer money is too much - unless of course the level of service warrants it. If the government are willing to stand firm until they obtain this value for money from GPs, I support that. As for the value of GP work - life threatening conditions etc - a little while ago a friend went along to her GP complaining of discomfort in her chest. The GP diagnosed an irregular heart beat and told her to make her own way to hospital. On arrival, she was immediately attached to various monitors and kept in a hospital bed for 4 days. If that's the level of competence and service to be expected from a GP then £100k is way, way too much.
Clive, Sussex, UK
Is £100 K pa such a big deal ?? Look at the cash some lawyers & accountants earn & isn't a doctor dealing with far less predictable yet potentially more serious & life threatening than them
Mike, Bristol, Bristol
mannan, lancashire. I don't favour everything the government does, but it is a rather pointless statement to require that government ministers should have direct experience in what ever area they are planning to legislate. That Lord Darzi is a doctor is a major step forwards if it gives him the credibility to stand up to vested interests within the medical profession. As someone in ft employment, the prospect of GP services being available into the evenings and weekends is very attractive. And, before all the GPs out there jump up and shout unfair that they will be required to work long hours (even though they are paid over 100k each per year) - you don't! If you don't want long hours personally, share the money which comes into your practice more widely. You'll take home a bit less but have a better work-life balance as a result. That's the sort of choice the rest of us have to make, usually for far far less money than you make.
Clive, Sussex, UK
To ask Lord Darzi to 'sort out' GP/Primary care services is like asking a Plumber to do a vets job. What does he know about General Practice?
mannan, lancashire, uk