GPs May Soon Stop Monitoring Vulnerable Patients In Favour of Focusing on the Booster Jab Roll-out

GPs may soon be incentivised away from checking the health of vulnerable patients in favour of assisting the Government's booster rollout campaign.

3 min read

Sajid Javid, accompanied by NHS bosses, are in discussion with the British Medical Association (BMA) about potentially scrapping the Quality Outcomes Framework (QOF) – a move which the BMA fully supports. The QOF means that doctors have a financial incentive to assess the health of vulnerable patients, but the Government wishes to scrap this policy in favour of GPs spending more of their time assisting the booster jab roll-out – an operation which the Health Secretary has described as being the Government’s top priority. The Guardian has more.

Ministers may allow GPs in England to halt regular monitoring of millions of patients with underlying health problems as part of the urgent new blitz on delivering Covid booster jabs.

Sajid Javid and NHS bosses are locked in talks with GP representatives at the BMA about relaxing rules which mean family doctors undertake checks on people with diabetes, high blood pressure and other conditions that mean they are at higher risk of having a heart attack or stroke.

On Wednesday the U.K. Health Security Agency (UKHSA) identified 10 further cases of the Omicron variant, bringing the total detected in the U.K. to 32.

The BMA, the doctors’ union, has been lobbying Javid for months to suspend or scrap the Quality Outcomes Framework (QOF), which it says is “bureaucratic” and interferes with GPs’ right to judge how they care for patients.

Ministers and NHS England want to free up more GP time to help increase the delivery of boosters from 350,000 to 500,000 a day to counter the threat posed by Omicron, which is feared to be more transmissible with the potential to evade vaccines. Vaccine firms are trying to establish whether Omicron has the power to reduce the efficacy of jabs, and whether the jabs can be tweaked in response.

Boris Johnson has pledged that every adult in England will be offered a top-up shot by the end of January, piling pressure on NHS leaders to come up with a plan to ensure that happens.

Officials with knowledge of the talks told the Guardian that those involved spent much of Tuesday discussing the suspension of part or all of the requirements under QOF. “They’re talking about a partial suspension of QOF. But they may well just bin it,” one said.

However, sources stressed that ministers are nervous about approving a move that could lead to claims that vulnerable patients could see any deterioration in their condition go undetected by GPs.

Javid told the BBC on Wednesday that dramatically increasing the number of booster jabs in England was “our new national mission – in terms of the public health of this country, there is nothing more important than this booster programme”.

He disclosed that he was in talks with GP leaders about unspecified plans to reduce their workloads, including his edict that they must see any patient face-to-face on request.

Under QOF, family doctors get payments in return for undertaking checks, often every six months or every year, of the blood pressure or cholesterol levels in patients already identified as at increased risk of a heart attack or stroke. The checks also include assessments of diabetics and drug reviews for those who are on long-term medication to reduce their risk of dying.

“The targets for monitoring blood pressure and diabetes are important for health. But if they remove them, then certain newspapers will claim that they are neglecting patient care,” said one official of the dilemma facing Javid. GPs across Britain have delivered the vast bulk of the 116 million Covid vaccine doses which patients across the U.K. have received since December 8th last year.

Worth reading in full.

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120 Comments
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MrkMtchll
MrkMtchll
4 years ago

NHS: envy of the world.

Happyfax
Happyfax
4 years ago

The Omicron was mentioned online, in November 2020 by the WHO.

4507BE9D-F9FD-4108-B066-F31248BB4FED.jpeg
LonePatriot
LonePatriot
4 years ago

There Are Now 365 Studies that Prove the Efficacy of Ivermectin and HCQ in Treating COVID-19. Any hospital administrator who mandated the shots to employees to comply with the government mandate for Medicare and Medicaid reimbursement and who refused to allow alternative treatments to be tried, doctors who pushed their patients to take the EUA drug without giving fully informed consent, anyone who forcefully administered the shot, the AMA, AAP, Boards of Health, CDC, FDA, NIH, WHO, scientists who participated in the development, Big Pharma (Pfizer, Moderna, J&J, Astra Zeneca, et. al.), anyone who pushed the sick into nursing homes resulting in deaths, all must be arrested, prosecuted, tried and if found guilty sentenced to prolonged imprisonment and fines or death for intentional homicide. Get your ivermectin before it is too late! https://ivmpharmacy.com

Crlmc
Crlmc
4 years ago

This is not about health it’s about the impostion of a global tyranny on the back of a manufactured medical emergency .. it’s about global Chinafication

https://www.youtube.com/channel/UCLTuS6tke4344WQD-vbvUTg

Please share far and wide this video needs to go viral

NO to medical passports .. Do NOT Consent .. Do NOT comply

Catee
Catee
4 years ago

Clearly the boosters aren’t being taken up in the numbers they require, no doubt all those who haven’t been able to speak to or see their GP for last 18 months are now going to be bombarded with texts and calls to attend for a booster…… Always follow the money.

Hopeless
Hopeless
4 years ago

Presumably there is a figure available for those patients who require this monitoring,and although it seems to me highly undesirable and a “Judgment of Solomon”, at a pinch those who need more regular, frequent or complicated “monitoring” could also be established, albeit roughly.

It should then be possible to set these figures against Covid “casualty” estimates, if such can be worked out and are rather more accurate than the ravings of Ferguson, NHS and other stooges. I suspect that the result might show a bigger “butcher’s bill” from neglecting patients already needing care, against the mythical Covid numbers.

However, sense is somewhat lacking at the moment, as witness the notion of “vaccinating” people against a variant with a concoction not known to work effectively, or perhaps at all, against the variant in question. I didn’t think that a keystone of immunology is to just keep upping “the dose” by constant repetition.

Julian
Julian
4 years ago
Reply to  Hopeless

However, sense is somewhat lacking at the moment” We’re into the realms of evil insanity now, and have been for some time.

wantok87
wantok87
4 years ago
Reply to  Hopeless

All RNA virus will change which is why we have not eliminated viral diseases with mass vaccination unlike smallpox which is a DNA virus which is 15 less likely to mutate. The hysteria with “omicron’ with the incomprehensible vaccine policies is politically motivated.
The vaccine studies on which the emergency legislation was based did not test the dose regimes implemented and the long term follow up has not been published
There adverse effects of vaccination is impossible to deduce because of no test of compliance with yellow card system
There is no published study on the immunological status of post Covid19 individuals compared with vaccination group in each age category and more importantly if vaccination in an individual who has had Covid (in each age group) is likely to harm.
No evidence that children get serious symptoms from repeat COVID infection :hence to vaccinate with any risk is unethical!

Covidiot
Covidiot
4 years ago

The big emerging story at the moment is the amount of fans and footballers falling ill at matches. The game was stopped at 2 Premier League grounds last night, yet again. They seem to all be heart problems.

I keep coming on here expecting some analysis or commentary on this – it is becoming more than a coincidence now.

Can I please ask that we get some regular updates on this, because this could be the golden ticket to changing the narrative

The old bat
The old bat
4 years ago

It really has become the National Covid Service now. Our local gps don’t provide good service and no one has a good word to say about them. Those that can, now go private, others just suffer in silence. However, I think this is also part of the plan – medicine is going the same way as dentistry went, when it became virtually impossible to get an NHS dentist, and you now either fork out privately or suffer. Makes me sick that we are forced to pay for this non service.
How long will it be before people wake up and realise the only time they see a doctor is when they queue up for a jab? How long before we are told that you can only get a check up if you agree to being jabbed at the same time?

tarfu
tarfu
4 years ago

From the BBC News Website:

Swabs from PCR tests, which are sent to labs for analysis, can show if the variant causing the infection looks like Omicron, Delta or something else.

Between a third and a half of UK labs – but not all – have the required technology to detect suspected Omicron cases, so that could mean some parts of the country being more affected than others.

To confirm it’s a positive case of Omicron, full genetic analysis is needed and that can take up to a couple of weeks.



If only a small number of labs are equipped to detect the Moronic variant and it can take up to a couple of weeks to process, how come we have any of the new variant confirmed. It was only ‘discovered’ a few days ago.
Clearly I’m missing something here.

TreeHugger
TreeHugger
4 years ago
Reply to  tarfu

You are looking for that elusive logic again…..stop looking it doesn’t exist.

huxleypiggles
huxleypiggles
4 years ago
Reply to  tarfu

Given the mild symptoms does any checking need to be done?

We have another version of a cold. That’s it. Treat as a cold.

More tax money being wasted.

stewart
stewart
4 years ago

Here is an opinion everyone is going to hate:

The NHS needs to be scaled down. People need to take much more responsibility for their health and be far less reliant on professional healthcare, which should be reserved mostly for emergencies and accidents.

I’m not even sure we should obsessively screen for cancer. I have no intention of ever getting a cancer screen. If I get cancer and die, so be it. I’ll do my best to live a healthy life in the meantime. So I live 10 years less? So be it, especially if they are going to be 10 years of biomedical tyranny to protect a system that is dysfunctional.

Ok, I’m ready for the thumbs down. Maybe I can beat a record..

realarthurdent
realarthurdent
4 years ago
Reply to  stewart

I mostly agree. The NHS tries to do too much for too many people from too many countries and for too many conditions.
But I think there should be some screening for some cancers.

DanClarke
DanClarke
4 years ago
Reply to  stewart

Agree.

TreeHugger
TreeHugger
4 years ago
Reply to  stewart

I agree on the NHS needing to be scaled back but cancer screening is one of the few areas the NHS has (accidentally, I’m sure) got mostly right. Many cancers affect younger people, and I know people who are still living full & healthy lives after a cancer diagnosis because of screening both NHS driven and self checking.

On a different note I know very few over 50s who aren’t on a whole cocktail of medication, mostly precautionary. Almost all of which could be avoided if diet and lifestyle changes were made. I was put on Levothyroxine 15 years ago and only recently found out that low thyroid function can be reversed with diet in most cases, just like T2 Diabetes. In the new year my efforts are going to be directed at coming off the meds and thereby relieving myself of any need for the NHS other than as an emergency service.

disgruntled246
disgruntled246
4 years ago
Reply to  TreeHugger

There’s a GP surgery somewhere who have managed to get 100 patients off T2 diabetes meds purely through changes in diet and lifestyle. My husband was told to take statins a few years ago but decided to change his diet, now he doesn’t need them and was told the other day that he has a metabolic age of 41 (he’s 55). He’s managed that without needing to adopt a draconian ‘you don’t actually live longer, it just feels like it’ regime. Good for you for taking control. Of course there are some things you can’t do anything about but we should all be addressing the ones we can – this will free up resources to address things like young cancers etc,

huxleypiggles
huxleypiggles
4 years ago
Reply to  TreeHugger

Bloody statins are another menace causing untold problems. I’ve dropped them and feel better for it.

Victoria
Victoria
4 years ago
Reply to  huxleypiggles

The Great Cholesterol Myth
https://drjockers.com/cholesterol-myth/

CA1B715A-EBC2-4ACB-95E7-4D9220C634B2.png
Nearhorburian
Nearhorburian
4 years ago

The 4 GP practices in Rutland are no longer involved in arranging or delivering jabs: their website simply gives contact details for the organisations who are.

realarthurdent
realarthurdent
4 years ago
Reply to  Nearhorburian

Rutland: Multum in parvo.

huxleypiggles
huxleypiggles
4 years ago

Got to get the death figures up. They’ve got targets to meet – Bill and Klaus set them.

Jon Garvey
4 years ago

Calm down – it’s only until the booster roll-out is finished… every three months for the foreseeable future.

Fortyman
Fortyman
4 years ago

There is a saying, “The truth can stand any amount of questioning.” As time goes on, I find the official government stance increasingly falling down on this basis. Why now the mad drive for boosters? Why now reduce the time period before the booster? Why now try and vaccinate young children who have an almost negligible risk of dying? Why all the fuss over Omnichron when the south african experience leads to the concludion this is sn over reaction? How many cases of the new variant had been vaccinated? What are their ages? Were they obese? Had diabetes? High blood pressure?

realarthurdent
realarthurdent
4 years ago
Reply to  Fortyman

The narrative hasn’t made any sense since around June last year when, instead of removing all restrictions at a time when the NHS was under least pressure and the herd immunity could be built up more safely and easily, the government introduced the mask mandate, a clear signal that they wanted the “pandemic” to last much longer.

It also didn’t make sense when there was a headlong rush to invent new treatments and vaccines for this novel virus, rather than use a range of existing medicines to deal with what were not novel symptoms – a sore throat, respiratory problems, blood clotting in the lungs. Worse still, doctors doing this – being actual doctors – in an attempt to heal people were silenced, denounced, marginalised.

There is only one explanation for what has been done and that is that the “pandemic” is being used by bad actors to enact a lot of changes globally which they could not do under normal circumstances. Depopulation. Introduction of global government. New digital currencies. Eugenics. Totalitarian control via vaccine passports. All of the above. Take your pick.

TheyLiveAndWeLockdown
TheyLiveAndWeLockdown
4 years ago
Reply to  realarthurdent

What is the plot behind the Bond Film a Quantum fund of Soros?

Wasn’t it causing crises to manipulate prices to make profits to fund spectre.

Fortyman
Fortyman
4 years ago
Reply to  realarthurdent

I watched the first few Downing Street presentations with an open mind. After a few, the use of meaningless data started to get to me, for example, infections by country with no attempt to put them on a comparable basis.. Per million, say. I kept on asking, why are they doing it? After a while I distrusted the presentations. If meaningless data was used by mistake, the evidence presented was not worth considering. If the data were there on purpose,then draw your own conclusion… I think you have.

huxleypiggles
huxleypiggles
4 years ago
Reply to  realarthurdent

Nailed it.

stewart
stewart
4 years ago
Reply to  Fortyman

There is the Vanden Bossche explanation which is that vaccinating in the middle of an epidemic is likely to cause nasty variants, hence the obsession with jabbing everyone while at the same time keeping infections to a bare minimum.

That would be the “incompetence” explanation, because clearly that approach is mindlessly stupid. Never ever in the history of humanity have we been able to control the ebb and flow of respiratory viruses.

And there is the “bad actors” explanation. Which isn’t incompatible with the “incompetence” explanation. It could be both. There could be bad actors with a demented plan that is failing and hard to keep on track.

Bear in mind, if this is all the work of a malevolent person or persons, let’s face it, it’s Bill Gates. He has dedicated the last 12 years of his life to vaccinating the global population. This has his MO all over it: amazing business execution of a pretty crappy product.

huxleypiggles
huxleypiggles
4 years ago
Reply to  stewart

Oh Gates is in the thick of this.

J4mes
J4mes
4 years ago

“First, do no harm”.

Horse
Horse
4 years ago

Speculation. Consider if perhaps Omicron has mutated so far away from original wild type that un-injected people will be able to offer a stronger immune response to it than the injected, whose immune systems have been rewired to offer an S-specific response to wild type via vaccinal abs which outcompete innate abs.

Might this explain why they’re over-reacting so much to omicron? Because they know they have made 65% of the population less able to fight it?

TheBluePill
TheBluePill
4 years ago
Reply to  Horse

Yep, it’s the worst-case scenario for TPTB and big-pharma. I suspect they were hoping for Marek’s disease 2.0, but the virus thankfully can easily evade the super-narrow “vaccine” immunity. We are ending up with the opposite of what happened with Marek’s.

Horse
Horse
4 years ago
Reply to  TheBluePill

And think what that will do to the UKHSA stats between vax and unvax mortality.

huxleypiggles
huxleypiggles
4 years ago
Reply to  Horse

No. It’s Genocide, plain and simple.

RickH
RickH
4 years ago

Well – I guess it provides further obvious evidence of how far the government is up the arse of Big Pharma.

Keep an eye on the revolving door.

Horse
Horse
4 years ago

Ministers and NHS England want to free up more GP time to help increase the delivery of boosters from 350,000 to 500,000 a day to counter the threat posed by Omicron, which is feared to be more transmissible with the potential to evade vaccines. 

The Guardian

“I have been stunned at the response – and especially from Britain. Nothing I have seen about this new variant warrants the extreme action the UK government has taken in response to it.”

Dr Angelique Coetzee, who alerted the world to the Omicron variant

Julian
Julian
4 years ago

Isn’t this dangerously close to murder. Probably manslaughter as a minimum.

JohnK
JohnK
4 years ago
Reply to  Julian

Manslaughter on the grounds of diminished responsibility, followed by incarceration in a secure hospital, perhaps. If you can get it through the jury, that is.

Sandra Barwick
Sandra Barwick
4 years ago

So this is a deliberate leak from the minister’s office to see the public reaction – Sage and its collaborators are pressing for this, but they’re not so stupid they can’t see the likely future headlines.
So the money is moved from the care of the sick and put into additional doses of the gene drug for the well.
More robbery by Pfizer et al.
Javid is well and truly bought and paid for.
I don’t doubt that the current system is bureaucratic and wasteful. Taking your own blood pressure is pretty simple, for example, and a lot of patients could get or be given devices to keep an eye on their own health and refer to the gp if needed.
But giving extra doses of this stuff, with all its known side effects and unknown long term effects to the healthy under 60s at the expense of preventative care of the vulnerable?
It only makes sense if they want people to die. The collateral cost in the chronically ill is not just tolerated for profit, but seen as a long term good in itself.
If they do this it will be an unmistakeable sign that the NHS is no… Read more »

huxleypiggles
huxleypiggles
4 years ago
Reply to  Sandra Barwick

Shorthand – Genocide.

John
John
4 years ago

My diabetic review is done by the practice nurse, as is my wife’s asthma review. I rarely see my GP, unless there’s something that is outside the practice nurse’s remit. GPs don’t tend to do routine blood pressure checks either. However, the practice would get paid because the checks were done, it doesn’t have to be a physician that does them. I can understand the concerns as these checks give a regular income into to what is after all a private business, and may be an unlimited partnership where the partners take a massive personal hit if it goes under. As a patient with two long term conditions then I need to have that assurance that I have access to regular checks, even though I can self manage.

Bella Donna
Bella Donna
4 years ago

For those who have been pondering why on earth is this quaxxine being pushed onto an unwary population, it has nothing to do with our health that is a definite. I watched this video and it certainly got me wondering.

https://thewhiterose.uk/covid-inoculation-also-attacks-the-spirit-testimony-of-a-priest-monk/

huxleypiggles
huxleypiggles
4 years ago
Reply to  Bella Donna

I read the transcript. I don’t discount this at all.

Beowulf
Beowulf
4 years ago

“…in terms of the public health of this country, there is nothing more important than this booster programme”.

Really? Clean water, efficient sanitation, good housing and a healthy diet are nothing when compared with a ‘vaccine’ that will not prevent the transmission of the SARs CoV 19 virus, but will greatly increase the profits of Pfizer? Spoken like a true banker.

Horse
Horse
4 years ago
Reply to  Beowulf

740,000 missed cancer appointments – not important, apparently.

nickbowes
nickbowes
4 years ago

See that these vampires are ramping up the nudge to inject our infants now in the dire msm – whitty and valance on stand by to give the no questions asked approvals.

Young athletes having cardiac arrests and dying suddenly – nothing to report here !!

Last saturday, a colleague`s 14 year old son rushed to the local hospital with heart /breathing problems after he ignored his mother and got the “shot”.

Know your enemies.

Horse
Horse
4 years ago
Reply to  nickbowes

I fear what will happen when they can’t cover this up any longer.

thinkcriticall
thinkcriticall
4 years ago
Reply to  Horse

Don’t fear it. Enbrase it. It’s been too long coming. Justice will be merciless and swift!

J4mes
J4mes
4 years ago

Democracy eh? Not a problem for people who can afford private medical care on top of the taxes and national insurance they’re already paying. Of course it’s the vulnerable lower earners who’ll suffer and die because of this, and in huge numbers – such a thing supported by a section of people who post on this board.

TheyLiveAndWeLockdown
TheyLiveAndWeLockdown
4 years ago
Reply to  J4mes

we’d prefer tax cuts THEn people COULD afford to provide for their own health.

Forcing people to pay twice is totally immoral, and leads to shite care too.

J4mes
J4mes
4 years ago

Ultimately, taking away essential care from people in favour of a political medical intervention known to harm and kill people is the problem. I don’t know how much more evidence we need as proof that this government and their global counterparts are committing genocide on a biblical scale.

The bastards are withdrawing a service that we’re forced to pay for by law. We can’t simply say we’re not going to pay anymore like we can with the TV licence.

You’re right, it is utterly immoral to make people have to pay to go private, but it’s even more immoral for those who can not afford to make this decision.

TheyLiveAndWeLockdown
TheyLiveAndWeLockdown
4 years ago
Reply to  J4mes

well the TV tax is pretty immoral as you get charged for it whether you watch or not.

Imagine the state sent junk mail that you threw in the bin unread and billed you for owning a letter box?

Rogerborg
Rogerborg
4 years ago

At £30 a pop, and having just ordered another 114 million doses of the clot-shots, I make that £3.4 billion in GP’s pockets just for pumping the mystery goo into our arms.

It’s going to be a merry old Christmas at Range Rover dealerships.

TheyLiveAndWeLockdown
TheyLiveAndWeLockdown
4 years ago
Reply to  Rogerborg

https://www.thetimes.co.uk/article/car-dealer-goes-up-another-gear-with-third-rise-in-forecast-profit-06gbnz2jb

Car dealer goes up another gear with third rise in forecast profit
One of the UK’s largest showroom groups increased profit guidance for the third time in five months amid a surge in car prices as dealers and manufacturers hike prices in response to a shortage of new stock.
Pendragon, the motor retailer behind the Stratstone, Evans Halshaw and Car Store chains, says its pre-tax profits for 2021 will come in at £80 million. That is nearly double the amount the group was expecting at the end of the half year.

PartyTime
PartyTime
4 years ago

Not bad when you consider that we’re supposed to be phasing them out because Climate Emergency!

HelenaHancart
HelenaHancart
4 years ago

Just another thing: Moronic virus may evade the vaccines but they’re going to be rolling out the shots like there’s no tomorrow, even if they don’t work?🤔 Nothing to see here folks…

Bella Donna
Bella Donna
4 years ago
Reply to  HelenaHancart

I’ve heard there are 7 shots by which time you might as well be dead.

PoshPanic
PoshPanic
4 years ago

It’s not like theirs a huge backlog of cancer screenings, or an epidemic of mental health issues, or massive increases in stress and poverty induced illness.

BS665
BS665
4 years ago

They are doing it so they can blame vax side effects on preexisting health conditions.

Why not just set up heavy machine guns in public places?

Bellingcat
Bellingcat
4 years ago

NHS 111 – You have 2 options

  1. Book your monthly Covid booster
  2. F*ck off

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