I will pass on your regards Marilyn. She just loves patients! She is having no face to face appointments at all so she is as safe as we can make her.
She came into see me last week and said “Can I go to the bank for one of our patients?”
“No!” I said. That’s the kind of person she is but we can’t take the risk. I would love to have said yes but she could get accused of stealing money and we are not insured to deal with that kind of accusation. I advised her to contact the local authority who are providing that sort of support for patients.
As for the pain in the bum B12 man: he has already informed me that ‘other’ practices are still doing the injections (I’ve checked and they aren’t!). I am so tempted to say “well go to them then!”. He is totally passive aggressive and doing my head in!
But the amount of time it’s taken to deal with him is ridiculous.
B12 injections cause us a great deal of trouble. They were handed out a few years ago to patients who didn’t clinically require them. They have to be done every 12 weeks so take up 4 nurse appointments per patient per year. There are a few patients who have a genuine clinical need but many who really only need to change their diet to get the right quantities of the vitamin or take over the counter supplements.
We did an exercise a few months ago to check all the patients on B12 injections and took the patients off them if there was no clinical need. You would have thought the world had ended!
It has such a placebo effect you wouldn’t believe. We had one lady who insisted her legs stopped working when her B12 injection was due. I would love to be able to inject them with something benign and see what happens because I bet most of them wouldn’t know the difference.
No wonder the NHS is in financial crisis! Some people really do take the proverbial.
We had a similar kick off when we stopped doing travel clinics. Patients were furious! The alternative is to go privately to a specialised travel clinic but they have to pay. Well they didn’t want to do that did they? Despite the fact that they were paying thousands for a holiday exotic enough to require injections, they didn’t want to pay £50 for a private travel vaccine.
When we did the clinics we charged £10 for them (it’s classed as private work so perfectly okay for us to charge). They didn’t like that either! “My wife is at XXXXX practice and they don’t charge!”
I had no sympathy. They are going to a destination that most of us could not afford to visit and then grumble about £10!
And we still get people complaining because we won’t give Northisterone which is for period delay. Many years ago doctors would give it out for women going on holiday who didn’t want to have a period whilst they were away. Now we don’t - it is not an illness. Again they can get if from the pharmacy but they have to pay for it!
What they fail to realise is that the NHS is there to deal with poorly people, not provide a cheap service for the pleasures in life.