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Gold, incentives and meh

Disappointed in the 'new deal'? You are not the only one

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This was the moment that Jeremy Hunt could have shown himself to be a visionary health secretary.

A man that understood the huge challenge that faces the NHS and took a long-term view to ensure its sustainability.

A champion for the kind of personalised, high-quality care in the community that general practice in this country is famous for.

Unfortunately, the ‘new deal’ he has trumpeted as a turning point for general practice is little more than naked political calculation.

I don’t want to sound ‘reflex negative’. There are good things in there. The health secretary clearly gets that the profession is struggling under its current workload.

A £10m emergency support fund to support struggling practices, as called for by Pulse in our Stop Practice Closures campaign is great news. We have spent months highlighting this issue and this fund could give those under threat some breathing space to restructure and ensure they survive. Bravo.

A pledge that every city and most towns will see a ‘visible signs of improvement in primary care facilities’ under the £750m of premises investment promised before the election is a significant investment. A brave move.

The commitment to recruit 10,000 extra primary care staff – including 1,000 physician associates by 2020 - is welcome.

But this is not – in my opinion – anything approaching a ‘new deal’.

Mr Hunt said in his speech that this is just a ‘first step’, but there is scant evidence here that suggests he is really serious about tackling the deep-rooted problems facing general practice.

There is a promise to look at ‘red tape’, but putting NHS England in charge of that piece of work is almost laughable as they generate most of it in the first place.

A ‘national marketing campaign’ to extol the virtues of general practice to medical students is good, but there was very little on how they plan to encourage disillusioned, burnout GPs to stay on.

There was a commitment to ‘explore the idea’ of golden hellos to encourage GPs to work in areas of greatest need. But nothing on urgently addressing the progressive decline in funding crippling practices, or halting PMS reviews and the MPIG withdrawl.

Overall it is a small advance, when a big offer was needed. An opportunity lost. A defining moment lost in the fudge of soundbites and recycled political promises.

And don’t underestimate the health secretary. By presenting this as a ‘new deal’ to the profession, he is lining up his guns to say in a few months: ‘You have had your new deal, now hold up your end of the bargain. Stop complaining and get on with opening seven-days a week.’

He is cleverly manoeuvring the profession into a bind, and unfortunately, GP leaders appear to going along with it.

GPs must be strong and call out precisely what this is. A sticking plaster, when a long-term solution is really needed. Otherwise we could be in real trouble.

New deal? No deal.

Nigel Praities is editor of Pulse

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Readers' comments (44)

  • Maureen Baker needs to resign for her comments

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  • There not much new here is there? Premesis money was already announced, PAs are old hat and there seems to be little of substance to halt the decline in recruitment , growth in over-regulation or cuts to funding. As for a deal, all these directives seem to be imposed by one side. It's time GPs stood up to the government and took back control of their lives and careers.

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  • Maureen Baker needs to resign for her comments

    - Add me onto the vote

    - Can anyone apart from Pulse actually represent the frontline GPs

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  • second that - maureen baker you comments and lack of support towards our members prove it. RESIGN

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  • Maureen Baker needs to resign for her comments - Hear Hear.

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  • Please resign. Grassroots GP.

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  • Maureen Baker you should be ashamed of yourself. We need tough GP leaders not political sycophants.

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  • Useless RCGP as usual -I am still a member unfortunately of this hopeless self serving organisation- more rubbish from the ineffective RCGP leaders as expected

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  • The RCGP should commission a vote from its members of ' no confidence ' in the RCGP leaders (past or present in fact)

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  • Maureen Baker you DO NOT represent me

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  • I have no confidence in any of the RCGP leaders, recent past or present. Maureen Baker should resign over her comments today.

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  • Remember Graham Taylor as England manager in Qualifying matches for Euro 92 when we were rubbish and he was portrayed as a turnip?

    The same call goes out to Maureen Baker

    IN THE NAME OF GOD, GO!

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  • Chaand has been rewarded with a CBE by the Govt. Guess whose side he and the GPC are on ? I don't recall real union leaders like Bob Crow getting a gong for his genuine services to rail workers.

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  • There is a promise to look at ‘red tape’, but putting NHS England in charge of that piece of work is almost laughable as they generate most of it in the first place
    And others
    http://www.pulsetoday.co.uk/your-practice/qof/practices-to-be-given-scorecard-of-clinical-outcomes-in-further-scrutiny-drive/20010287.article

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  • Agree... I have no confidence whatsoever in Maureen Baker and think she should resign as she is not helping the profession and consistently helping to make things worse.

    The BMA is no better... and the game is up Chaand! Many GPs (but not all yet) now realise that the BMA is run by consultants primarily for their benefit. The GPC is there to pay lip service to the notion of GP representation when it in fact it has no power at all.

    GPs ,sadly, have no real representation beyond our LMC reps. It is game over and time to retire, locum or emigrate if you can.

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  • Absolutely stunned at the reponse of the RCGP's response to the so called new deal. It does nothing to sort the present day workload and recruitment crisis and gives us little hope for the future of primary care. I think the real life GPs will vote #GPNoDeal.....

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  • GP's should have considered Faust when they signed the old deal. Selling authority and autonomy rarely works out well.

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  • Jeremy Hunt - whose only remit is to wear then profession down into further submission and subordination by tghe government . Golden hullos and seven day pilot schemes have not worked . Where are the exra GPS going to come from ? Having worked in inner city Leicester for 28 years I was so fed up with the constant interference and bullying tactics by NHS England that it is no surprise why recruitemt into inner city is virtually next ti impossible . I was fortunate enough to retire at 55 na will NEVER return to the NHS . It is better to work abroad and have a far supweriort quality of work /life balance . Doesnt Hunt undertand this basic concept?!!

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  • Can any active member of the RCGP explain to me why you are still a member? OK, line their pockets for the monopoly trainee exam, but why oh why do you carry on paying for Maureen to spout such rubbish? Save your money and take your family away for the weekend. while you still can, lol

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  • RCGP = chocolate fireguard

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