首页
登录
职称英语
Patients Struck off by GPsA)Thousands of patients are being
Patients Struck off by GPsA)Thousands of patients are being
游客
2024-04-22
9
管理
问题
Patients Struck off by GPs
A)Thousands of patients are being arbitrarily struck off by GPs(普通开业医生)who say they can no longer cope with spiralling numbers. Doctors warned last night that a recruitment crisis has left surgeries with too few staff. This means they are being forced to "deregister" patients—many of whom are elderly and have been with the same practice all their lives.
B)Yesterday the Daily Mail highlighted the case of 95-year-old Lily Dove, one of 1,500 patients randomly struck off by a surgery in Watton, Norfolk, which is under pressure from rising immigration and retirees. The widow, who has lived in the area since 1919 and remembers when the doctor would visit her family in a horse and trap, has a number of health problems.
C)But senior GPs say her case is far from isolated and illustrates a national problem. They say other practices in England have been forced to deregister up to 100 patients at a time. Doctors’ leaders argue that they have no choice but to remove patients because the lack of GPs means they cannot provide care that is safe and of high quality.
D)But relatives and patients fear vulnerable patients are being deliberately removed from lists because they take up the most time and require such dedicated care. Other patients furious to have been kicked off their doctor’ s books yesterday included an 80 year-old widow, a blind child and a mother of 11 children. In another example, a practice deregistered a nursing home of 59 residents, many of whom have Alzheimer’ s, because of a "big change in workload".
E)GPs say the profession is facing a recruitment crisis as their colleagues opt for early retirement or a move abroad. They are not being replaced by younger staff, who are often opting for hospital-based careers. In the case of Watton, which is about 20 miles west of Norwich, surgeries are under pressure from a sudden rise in retirees and immigrants moving to the area.
F)Last night health minister Earl Howe intervened in the case of Mrs Dove, who lives alone, and urged NHS England to "urgently" look into the circumstances of her being struck off. He told GPs to ensure they provided "excellent care" for all their patients, particularly the over-75s and those with longterm health conditions.
G)But it has since emerged that Mrs Dove’ s surgery, Watton Medical Practice, has also removed other vulnerable patients including a 47-year-old former soldier who has lost both legs due to severe diabetes. Dave Pendry, who is wheelchair-bound, now faces a 14-mile round trip to see his new GP in the village of East Harling. Kirsty Hutchinson, a mother to 11 children, will have to travel 16 miles every time one of them is ill or needs an injection. And two elderly widows said they now faced difficult journeys down dangerous country roads to see their doctor.
H)Other GPs warned that more surgeries would follow suit. Referring to the case in Watton, one GP partner wrote anonymously on the Pulse magazine website: "Just wait for the domino effect." The practice which has deregistered a nursing home of 59 elderly residents is the Bellevue Medical Centre in Edgbaston, Birmingham—the practice of Professor Steve Field, the chief inspector of GPs.
I)It says it has been forced to remove a total of 75 patients who live the furthest away since a doctor retired. The decision has upset some relatives who fear the surgery has deliberately targeted the nursing home because the residents require so many visits.
One said: "I think the real reason is that nursing home residents are often difficult to manage, lots of health problems, on a lot of medication. I’m sure that if they were "easier" patients, the surgery would keep them on."
J)The surgery’s executive partner Dr Sukdev Singh insisted the reason was because there had been a "big increase in workload" following the retirement of a doctor. He said about 75 patients were being removed from the list as they lived outside the practice’s boundary. He added: "It’s a national problem. We are struggling to recruit doctors and we do not have the necessary funding."
K)There are no national figures for the numbers of patients who have been removed from surgery lists because of GPs’ workload. But Dr Chaand Nagpaul, chairman of the British Medical Association’s GP Committee, said it was important that surgeries did not "discriminate" against certain patients who may require more time and care. "It would not be appropriate for practices to pick and choose, " he said. He added: "I do not know the circumstances here but these decisions must not be taken lightly and practices must ensure they do not discriminate against certain patients. If there are boundary issues, the practice needs to make sure all patients outside the boundary are taken off the list, not just one cared home. "
L)In Watton, parish council leader Richard Leighton said: "There’ s immigration, because people are coming to work in the slaughterhouse and food factories around here. " British people are also moving here because there’ s work about, and there are retired people who sell up in London and buy a cheaper home here. "They keep building homes here because the Government says the area can take more people, but the infrastructure can’ t cope."
M)Gillian Childerhouse, 80, who is being struck off after being on the surgery’ s register for almost 50 years, said: "I’ve never been much trouble to them as I’m pretty fit but I’ve been dumped along with the rest of them. Older people are not very important in this country. They don’ t want us. We’ re just a damned trouble. "
N)Referring to the case of Mrs Dove, Earl Howe said: "We have asked NHS England to urgently look into the case. We expect practices to work with their patients and NHS England to make sure that residents get the excellent care they need from local GPs, particularly those over 75 or with long-term conditions. "
O)Cancer specialist Dr Clive Peedell, coleader of National Health Action Party, said: "I’ ve certainly heard that up and down the country patients are being removed from practice lists because they can’ t deal with the workload. The pressures are enormous at the moment. There are real staffing issues and we are extremely worried about the lack of funding. The Royal College of GPs says they are short of 8,000 GPs." [br] Because of the recruitment crisis, many GPs have no choice but to deregister many patients.
选项
答案
A
解析
此句意为:由于招收危机,许多普通开业医生不得不放弃很多病人。根据题干中的deregister可以定位到A段中的Doctors warned last night that a recruitmentcrisis has left surgeries with too few staff.This means they are being forced to“deregister”patients。题干中的Because of the recruitment crisis是文中a recruitmentcrisis has left surgeries with too few staff的对应点。
转载请注明原文地址:https://tihaiku.com/zcyy/3566369.html
相关试题推荐
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
PatientsStruckoffbyGPsA)Thousandsofpatientsarebeing
随机试题
按防水构造做法不同分类,有()、附加防水层防水。A.结构构件自防水 B.卷材
下列方剂组成药物中含有石膏与知母的是A、大定风珠 B、消风散 C、川芎茶调散
汉代兴起的一种以吹管和打击乐器为主,兼有歌唱的器乐合奏形式是()。.A.相和歌
工程建设领域制定的行业标准,在相关技术要求公布了国家标准后,该行业标准(
肠外营养液或肠内营养制剂应现配现用,不立即使用时所需要的保存条件是A.2℃ B
关于孕激素生理功能的叙述,正确的是A.使子宫内膜转化为分泌期内膜 B.使子宫颈
患者女,32岁。酒后突然尖叫,倒在地上,两眼上翻,牙关紧闭,口吐泡沫,不断抽搐,
有的幼儿园在课程中将社区的历史、风俗、革命传统等作为乡土教材来利用,使幼儿园教育
作为社区工作实务理论的一种模式,地区发展模式的优点在于能够()。A.保证服务质量
对于依法必须招标的暂估价项目,由发包人和承包人共同招标的确定暂估价供应商的,承包
最新回复
(
0
)