Dr Patrick Ryder
Interesting theme : Declining numbers of NHS Principal GP's ; Principle Gp's are the backbone on the NHS in crisis but are they getting the support , help and recognition they deserve. I say NO!!
They are the key to continuity of care for our patients.
What do our colleagues think?
Is it right, fair, proper and accountable that numerous locum GP's retain their positions of Chair / Vice Chair on CCG's and LMC's nationwide . Principle Gp's pay a levy to to their LMC , Locum Gp's don't. Senario : Locum GP's charging principle GP high fees for their work in their practices while retaining their executive positions on LMC's drawing fees paid by Principle GP's onlyand in fact doing more paid LMC work as they have more time. The secretary of our LMC thinks this is ok and if fact good because they have more time for LMC meetings despite not contributing any levy. I totally disagree.
Also our does this equate for CCG's led by Locum GP's?
How sad and totally incorrect.
Not in touch with real life caring general practice which you are systematically destroying. No evidence for your statement. It time for proper caring hard working Gp to stand up and say NO. Enough is enough. Our Gp leaders have failed us and many have kept their lead positions on CCG and LMC’s , resigning from their practices and working as Locums. No credibility !
As a profession we have to move away from the us and them syndrome , GP v Consultant and integrate to streamline our approach to patient care especially in acute illness. Why do we need a GP in every A/E department? at a time when the severe shortage of Gp's are forcing GP surgeries to close.
~ Why are patients who do not require A/E attend and secondly why are they not simply turned away at the gate to the appropriate service? Gatekeeper Role
My view is as follows:
Access to GP services for patients with acute illness at the moment is appalling with patients waiting on average 3-4 days and longer and many patients so frustrated they don't even try to get an appointment. A constant backlog of missed opportunity to hear, see or treat. That is the root of the problem and will not be solved by putting even more GP's in A/E departments. This will further divert GP's to A/E and exacerbate the shortage of the GP workforce in the community, the official gatekeepers of patient care and appropriate hospital referrals for acute illness. Serious acute illness, excluding 999 cases which are clearly defined develops and early diagnosis / management is the key to preventing complications and significant poor outcomes. The sticky plaster approach to our failing NHS
will never work and be honest Is not been addressed by the guardians of our services.