From the heart, straight and true. Well done and thanks for doing.
Dr Nick Mann
Kick us when we're down, why don't you...
No mention of the unprecedented crises in General Practice and the NHS affecting service?
Aside from individual cases, the problems we face now are many, and not of our own making.
Field has apparently failed to read the mountain of evidence citing UK General Practice as the most efficient, cheapest, caring and effective system of care internationally.
Such a precept must raise an untenable conflict of interest in his role as CQC Chief Inspector of General Practice. I think he should be asked to step down.
Yes, reading 5YFV led me to the same conclusions. GP Federations could not compete and likely we'll end up with KPMG and UnitedHealth running chains of MCPs and PACS. Awesome.
Just remember the basics: we have/had the cheapest, best health service of all developed countries, with GPs running on only 8.3% of the budget. Talk of alternative models of provision - what, change to one of the more expensive, poorer models as elsewhere? No, fund the excellent model we have and stop micro-managing us into deprofessionalised chaos and bankruptcy; or is that the intention?
Increase in 'demand' since 2010 due to distracting nonsense of unevaluated LES/DES/QOF, not due to patient demands. 50% of GP appts (yes, figures are easy to come by when you just make them up) now taken by system-driven recalls of little or no value.
We are working ever longer days and it's becoming the system management which is making it impossible for patients to get appts.
Cameron's H&SC Act driven by the greed of corporations and the idiocy of ideologues like Letwin (read his book: "Privatising the World...").
Get politics and business out of the NHS.
Removing admin costs of the purchaser-provider split could fund a 4% increase in NHS budget >3yrs. A proper and historic, unified, budget.
If MPIG cuts go ahead, scores of good general practices will go bankrupt within 3 or 4 years, causing overload at neighbouring Practices. Patients will suffer. There is no alternative medical provision and the washout from Better Care Fund cannot replace these lost services. By all credible health policy and economic analyses, general practice works well. NHSE knows this, but pursues policies which undermine our viability. Where will our 13,000 patients go?