The issue is not really the Benny Hill formula but the total envelope of funding for GP services.
It needs to double so that the many patients I see with multiple co-morbidities that cannot be managed by guidelines and need 20 -30 minutes of GP time get the care outside hospital that they need
HAVE ALL THE COSTS BEEN CONSIDERED?
I IMAGINE THE WORK OF THE PHYSICIAN'S ASSISTANT NEEDS MONITORING IN A WAY THAT WOULD NOT BE NEEDED IF HE/SHE WERE A GP
THEIT ONGOING TRAINING ALSO COSTS
If we don't mind not catching every strep throat and missing the opportunity to treat a bacterial throat then why should we mind if the same thing comes with a red rash and strawberry tongue
NICE guidelines often suffer from the absence of a coal face GP perspective, because time involved in contributing is poorly funded.
Hospital colleagues tend to have their time funded via their trust , which is not possible in general practice.
We must find a way for the views of primary care generalist (as opposed to primary care "experts") to be given appropriate weight
Driving practice mangers "to distraction" not "destruction"