Possible causes -
1. Unnecessary regulatory burdens - over jealous CQC visits - ruthless inspection to check if GPs have carpets or vinyl flooring, PPG membership is good enough, endless protocols/policies memorised by partners etc
2. Populist idea of - 'see an NHS GP in minutes for free' sorry babylon for this direct quote!
3. Worst workforce planning in last 20 years
4. Huge waste in the process of bidding and procuring from AQPs and not manage their contract well, top slicing easy work.
5. Endless re-organisation. The CCG is going and forming a big STP, already changed its name to HCP - health and care partnership and then what ??
Well said @ Paul Cundy
Consumerism versus need based system,
Knee jerk reaction to market force (Babylon) versus well thought through holistic care,
The Politicians promised 5K additional GPs!Where are they?
We hear the solution is -provide more services by variety of new avenues - Wake up and smell the coffee!
Aren't the BHP symptoms pretty similar to CA prostate unless presented in the late stage? Sorry, don't get it!
Yes Well done BAPIO
Where is our BMA in all these?
Where is the responsibility of the employer?
Plan to do the split week between Hospital OPD/ ED and GPs for the first year then divide the rest of the training between 2 practices to see the variety.
ALL demand should be triaged by the front desk staff (call them navigator/ Health assistant) before they get to see GP! You will find approx 25% to 35% of the problems can be sorted by the pharmacists/ ANP/ PA/ Housing adv/ admin staff/ nurse. It should be mandatory to release capacity in the primary care. 111 is doing it, why shouldn't we do it in the GP surgery. 111 call handlers are not clinician!
The MRCGP needs to change to accommodate longer training in medicine (at least 2 years rotation), therefore the VTS should be at least 5 years full stop. GPs are in the best place to be a competent generalist rather than (try to copy) specialise in any sub-specialty.