I really can't see why some people feel that this is the death of general practice. This will only drive UP the demand for face to face consultations. The app may be as good as a GP in coming up with differential diagnoses when faced with an accurately defined set of symptoms - but how often does that happen in real life?
And what about clinical examination? And what about psychosomatic illness? And what about intractable symptoms etc. etc.
The only thing GPS need to worry about is how we're going to handle the extra demand.
And if a GP has lots of complaints the CQC will undoubtedly censure her. You're damned if you do, and you're damned if you don't.
So, he's run a competitive tender to employ some consultants to do "impact modelling" showing "how the new urgent and emergency care system might work" but without reference to how primary care might work. He now needs to tell us why he's wasted NHS cash and time by not thinking through the tender specification properly. "So that's my plea".
Superb article Jonathan. Well balanced and informative. More like this please Pulse.