I agree with watchdogs principle, the Hospitals and GPs should say what they will treat and patients should pay for the rest possibly by private insurance.
Heart and cancer yes, many orthopaedic and physio procedures no etc.
Presumably they will gratefully accept a salaried position with minimum wage.
General Practice needs more GPs and larger and more up to date premises to house them.
All the other services can be commissioned or sub contracted by the Practice.
PS 20 years ago our local pharmacists looked after our patients with minor illnesses but NHS Direct put paid to this.
A general overhaul of health provision is the only long term solution, but in the interim invest in general practice for value for money
I could have continued to work if I was salaried to see 24 patients a day at 20 minute appointments for three days a week.
Unfortunately, my pay would have been substantially reduced, even though this would been a far more effective way of working. After GMC and medical defence costs plus appraisals preparations, I may even ended up working for a loss. I a m currently enjoying my fifth year of retirement, but could have continued for at least two more years.
Spot on. The only people who know our worth are the patients. What about GPC or RCGP putting full page adverts in national dailies highlighting "Life without your GP" expressing that the demise would be out of our hands.
The Daily Mail did not refer to this article!
24/7 or extinction. Should this not be a newsworthy choice for patients and politicians.
Field is ashamed of G P s who try to provide a caring personal patient centred model in spite of poor investment.
He prefers his own super practice model which is based on the expensive failed hospital model.
Come on RCGP, research what patients need from an effective practice and the resources required for this.
Help fight this management centred care provisions.
Show how wrong Field is.
NICE supposed to be evidence based.
The claim was not substantiated and furthermore failed to mention that antibiotic resistance is also a result of Hospital prescribing, especially in A &E, veterinary, nurse prescribers and I believe dairy herds get their fair share.
Come on. Spread the load.
This is all a build up to getting rid of general practice by amalgamating it with hospitals to provide 7 day cover.
OR to make it salaried and then introduce GP assistants.
We are too knackered to fight these proposals
Prof Gerada promoting the idea that getting rid of partnerships to cope with the burgeoning workload is illogical! We cope by being open ended. Salaried are closed ended workers. Who will take up the slack, unless you claim that GPs are inefficient. Perhaps the extra work will be farmed out to non GPs.
Unfortunately, three million gullible Mail readers will believe this article. The Mail should be censured for printing this unsupported bile.
Ring fence the GP budget with an assurance that money will be invested in surgeries and doctor workforce.
Do similar to hospitals to prevent them hoovering up all nhs resources.
Hopefully the outcome will be a better GP work environment that newly qualified doctors will want to join
It is not Practices that need to merge but there should be a system of sharing good practice manager s. It is not cost effective having a few highly paid professionals doing the same job in a small geographical area.
This also goes for Prescribing Leads and Clinical Governance Leads
Why doesnt the profession take a full page advert in several dailies including the DM to describe what the current policies are doing to general practice. Then to describe what the replacement HMOs will look like.
An extract from Pevs article would also be helpful.
I agree with 3-13pm.
We employed Consultants to work in the Surgery during fundholding. They wanted twice GP pay and have an entourage of nurse, secretary and receptionist at their beck and call. We barely had enough referrals from our 17000 patients to have a monthly dermatology clinic!
A properly funded and resourced general practice is the best value for the NHS. Why keep returning to models that do not work!!
Yes I could afford it, but I actually retired because I could not keep up with the workload. Not just the 11 hour days but also the constant introduction of new hurdles that distanced me from patient care. Our premises were cramped but deemed adequate by the Commissioning group.
Why not survey the doctors who do not want to enter GP to try to identify the problems.
We tried to change this at the inception of PCGs.
A box to highlight what needs doing by the G P , to be faxed if urgent.
Another for the shared care team.
Followed by the pages of detail that no one reads
Why no progress in 23 years?
One huge reason for the enormous workload is the vast shift of chronic illness management from hospital to primary care without the resources following. Why is this not quantified and publicised. Extra funding would be spent on larger premises filled with more GPS working at a safer pace. Any collapse of General practice would see this work go back to hospital at a vastly greater cost.
Where are these patients coming from? Has there been a reduction in A & E attendances. Is there less demand for weekday GP appointments. If neither of these then they are just attending because the service is there. Check these numbers before re jigging the whole service.