Referral mechanisms have now become so complex that I'm not surprised 10% are in some way misdirected.
Thank you for your honesty in writing this article
Professor Steve Field to introduce practice ratings system after being appointed chief inspector of GPs
I'm glad he's got this role- He's sensible and balanced, knows primary care well, cares about standards and will work fairly and accurately.
Training practices face paying part of GP trainee salaries in education funding shakeup from next April
This proposal will make GP training an unattractive proposition to many practices.
Fascinating article. We're doing something very similar at our surgery in Halifax. So far it's an improvement- fairer to patients- and easier on doctors and our staff.
A lot of sensible and well informed candidates there. Good luck to GPC choosing its top team well.
Thank you for what you have done for us.
Seems a sensible and realistic assessment of current UK general practice. Good, but could be so much better.
Sensible advice. There's an area between "obviously ill- needs hospital bed for e.g. pneumonia', and many cases that need rapid CXR/ecg/scan or bloods to allow risk of possible serious illness to be ruled in or out quickly and safely- so both doctor and patient can sleep soundly. Fortunately our local MAU seems to understand most requests of this latter nature from GPs.
I suspect the actuaries have worked it out, and these are our insurance risks and liabilities. If it keeps going up like this it might become unaffordable for many GPs to continue.
The college is Us- GPs who see patients and get the work done. The college represents the highest standards of professionalism, which help define what kind of doctors we are, and what our place is the medical system is. The GPC make the detailed contracts for us, but most of the thinking about who and what we are, and what our contribution could and should be is done in the years before detailed contract negotiations begin. If you want to be a flourishing member of a flourishing profession you need the college to be able to do its work well- even better contribute to it.
College work is largely about influence and shaping the conversation into the future- the work we are doing now may not beneficial to us directly or immediately- but if we do it well it will make life better for those younger doctors coming after us.
The current situation feels close to that in 1998-2003 where dissatisfaction built and the new contract was brought in for April 2004. Last time round the GPs in their 40s held practices together. Those GPs are now in their late 50s and with income falling and contract changes, new CCG related work, revalidation finally happening mean a lot of changes and little obvious reward for adapting. The temptation of retirement is all too obvious, and many will take it. This will lose us a lot of experienced and intelligent colleagues, reduce capacity in practices in the short term- with a risk of difficulty maintaining services and keeping up appointment availability. Younger GPs are going to be in great demand, and collectively we may need to think about what we do well and what we can deliver. It will be a time of rapid adaptations- hopefully creative.
Although we face a period of turbulence, I think ultimately Fabulous Primary Care will be the route to a successful and sustainable NHS.