Please check out the report (link in my previous comment)! The £88m is indeed sheer guesswork at 1% of the total budget, they say.
The graphical representation I request should include an indication of overall budgets too cf value-for-money. Should be do-able?
Thank you for the link, policenthieves. Here's a link for the shorter report that the lengthy NHSE gumpf is based on:
Please would Pulse make a graphical representation of these figures? The 6.8% of 'general practice' will seem almost invisible, especially given consideration of 'ghost patients' as explained by Mark Howson's helpful comment.
@ Nostradamus horoscopes. How do we build resilience to cope with, or better, to avoid this sort of cluster-f*** without (a) being made aware and (b) discussing and (c) creating coping/battle strategies??
It's no use your acting like an ostrich in your big, shiny building, where 'activity', (not outcomes) determines funding!
@ Peter Patel @ Vinci Ho
Hear, hear! It seems pretty rich to me that such wild speculations are thrown out, without any hint of evidence or rational thinking.
Far more useful for RCGP personages to address ACTUAL problems, such as helping GPs to fight the threat of imminent closure of their practice, based on the say-so of a nameless, faceless jobsworth of a legalistic NHSE bureaucrat.
(Details supplied on request)
5 stars ***** Not just the one that I hovered over!
This seems a really good idea to me.
One of the problems with the current annual cap or taper is that it particularly penalises anyone who has had a career break (mostly women, but includes any who have worked e.g. in developing countries).
This suggestion would overcome that too.
All best wishes!
'Holy Smoke Batman' and 'BAP' summarise the position clearly.
Agree with 'sceptic' - MP work is apparently even harder and more frustrating than GP, so a return will be a doddle - but 'Yorkshire GP' makes a good point. Continuity of 'Who cares?'
Christopher Ho, Ho! :)
Surely it's time for her to say goodbye. . . election?
A similar size practice locally to me is likely to close in similar manner.
They are more than halfway through a 4 week 'consultation'. The lease is expiring and NHS England rejected partners' and architect's plans for suitable surgery, even on temporary basis (extension possible later). It seems utterly outrageous, clearly not in patients' best interests, and will make GPs into locums and excellent staff redundant.
Neighbouring practices are not able to absorb the work (approaches were made).
CCG seems useless, and talks have mirriored Brexit talks in timescale and intransigence of the larger party.
Even if small practices should go, which I'd dispute, this is NOT the way to do it!!
How can this sort of NHSE/CCG behaviour be resisted or overcome?
And encouraging, really.
Brilliant (nearly) every time!
Anecdotally, private landlords, such as previous GP partners, fail dismally to maintain or update premises. Is there any data from the survey on this subject?
You ask my question for me. Please could we have an answer?
Could there be another survey day, to provide evidence that Monday 11th is normal (or not)?
Where do GPs 'clock off' at 7pm ? Sounds cushy - I'd go and work there! But GPs are not supposed to have a life outside the surgery, are they?
Agree with your suggestions to revive GP morale. Our pal Jezza would do well to look back to pre-Griffiths and internal 'market' days to learn what used to make the NHS, especially general practice, the envy of the world.
Now, after his new deal arithmetic is done, what share of total NHS funding now goes to general practice?
Also agree with your earlier Surgery A vs B analysis. Scope for using professional judgement, common sense, problem-solving skills and discretion has been decimated. It's depressing - keep going, please. Your blogs are a real morale booster.
Maybe it's simple maths, rather than zoology, that we fail to discuss or even notice. GPs and other primary care services (HVs etc) cost what, under 10% of the NHS budget? But hospital services, who treat far fewer patients/clinician, use most of the rest. Why not seek a minor shift in funds from secondary/tertiary to primary? Consider switching to block grants to hospital departments, especially A&E, instead of 'payment by results' (no, by activity - who's measuring results?) ? It would make a huge difference: improvements in patient care and, perhaps more significantly at present, reductions in GP burn-out.
If we fail to reverse current trends, we will end up with a poorly motivated, second-rate primary care workforce, with staff incapable of gate-keeping, Let alone zoo-keeping.