I started at 7 am with a couple of skypes to clients on their way to work, followed by the overnight email queries. The first day shift client arrived at 7.30 am. 'I want a year's supply of my contraceptive spray' she said. I consulted the medicines algorithm just to be sure but I knew that amount of medication wasn't sanctioned by the Wealth and Healing Board. She was unhappy and I'm pretty sure her consult satisfaction rating on the way out was poor.The morning was largely uneventful. One older client needed a referral for a hip replacement — but at least it's the first day of the new funding stream so she should be seen this year. One person failed to keep their appointment (a novelty since the compulsory non attendance charge was linked to bank account numbers). I gained 4 outcome opportunity points, though one of the overnight emails was about the death of a client with diabetes, so that's an automatic 10 point withhold for the Unit. The last client of the morning arrived upset with their full genome readout from the local pharmacy. I do think that if pharmacies want to charge for the test, they should pick up any counselling fall out, particularly since handling distress isn't part of our service tariff.
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