This is a recipe for destroying General Practice, as no GPs will be trained. I have just invested a year of my time in doing iMAP, not to mention the minimum financial cost of £2530, with the express purpose of becoming a trainer. This plan would effectively scupper any chance of my partners being interested in training. I must admit to being more than a little annoyed...
@ anonymous 7:26
The figure you quote is wrong, there has been an increase in attendances at nurse run walk in centres and minor injury units, and the figure for these have been conflated with A&E since 2004.
But the latest NHS England figures show that while A&E performance ‘deteriorated significantly’ in the last quarter of 2012/13, attendance figures were 1.7% lower year-on-year.
In my practice, the gross number of available consultations has increased by 25%, the average number of consultations per patient per annum has increased by 32% and the average length of consultation by 14% over the same period.
I also work for my local GP out of hours service, and the work rate there is also rising, with an unexplained and sustained 10-15% increase in demand over the last year. We try very hard to keep people out of A&E, and participate in the National Admissions Audit so that the information on drivers for admission is available for independent scrutiny.
Does this help?
I witnessed the "soft go live" of NHS-111 from the control room of the Liverpool GP OOH service. On a normal Thursday between 18.30 and 2200 we'd have dealt with about 60-70 calls. Last night there were 13... and it took 25 minutes for a 111 call to be answered at around 7pm.
Well said Peter Goodall.
No doubt the government will make it part of our terms and conditions of service that we provide information to the MEO on demand and without resourcing.
There are serious issues here.
The government have demonstrated a breathtaking lack of understanding of the issues facing primary care and the potential crisis in recruitment and retention. They could hardly have picked a worse time for unilaterally imposing a contract and failing to resource it appropriately despite clear advice from the DDRB. I know of many dedicated primary care doctors who are planning early retirement and several in their 40s & 50s who have emigrated.
Cutting profits (yet again!) for partners in practices is not going to improve recruitment.
Al least he's admitted that we are doing more!
Maybe the GPC should take a transcript of his speech to the DDRB and ask for a 5% uplift to cover the costs of extra appointments and diagnostic testing...