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At the heart of general practice since 1960

Dr Maureen Baker: 'We are calling for a new deal for general practice'

Pulse editor Nigel Praities speaks with the RCGP chair at the college’s conference in Liverpool about her work coming up to the general election.

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Readers' comments (7)

  • Dear Maureen Baker,
    The pressure in practices has been deliberately created by Government policy to soften us up for more dismantlement. The NHS is being privatised and GP destroyed to fit the HMO model through 'Federation' and the Field/CQC GP practice closure program. Next step will be corporate take over.
    The Deregulation Bill will remove requirements that affect 'economic growth' or profit. This will include the necessity to have medical qualifications to deliver healthcare. This race to the bottom will reduce GPs to pieceworkers providing medicolegal cover for non-medical staff. Continuity of care will disappear and with it job satisfaction, autonomy and self respect.
    The RCGP seems to be blind to these threats. Whether through ignorance or collusion the effect is a betrayal of the profession.

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  • ...the political parties acknowledges that there is a problem within Primary Care only because we are in the running up to the next election - let's remember that the Tory's promised before the last election " no top down deregulation " of the nhs- only to unleash the biggest ever changes and pushing forward privatisation ....lets all remember : Politian tell lies - no matter for which party they would like us to vote....

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  • Ivan Benett

    It's time to fully Nationalise the NHS. Remove the independent contractor status that is causing GPs to 'drown'. Release them from the administrative burden that shackles them.
    Since becoming Salaried I have been liberated from the responsibility of managing the practice. I see patients, do my collective bit, collect my salary and go home. Let the managers manage, the nurses nurse and the GPs do General Practice.
    Also, for those that want to, to develop a skill or area of interest e.g. cardiology, like me, or ENT or whatever floats your boat. We need skilled up GPs at locality groups to manage the mass of unnecessary referrals to secondary care, and the mass of follow ups. That way money is released and goes into GP pockets. Better long term conditions management, for the whole population, reduces unplanned admissions. Everyone is a winner.
    Allow flexibility in working hours to neet the needs of younger GPs who don't want to work 9-5 (8-6) 5 days a week, but want to bring up children, look after their parents and generally 'have a life'. By the way stretching the day to 8-8pm also makes it easier for patients, who also have the same needs for work,child and parent care and a social life...and they pay for the NHS. They can come at times that suit them for proactive care, and it's more accessible for timely urgent care.
    Before people shout at me....which they will....it will take political will, resources and recruitment of many more GPs. This is not a solution for tomorrow but by 2020.
    But we have to start today by being positive about GP, planning for the vision, and showing that we are willing to change.

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  • Ivan Benett | Salaried GP | 05 October 2014 9:30am

    so we can have a bloated management system like secondary care, with managers making significant clinical decisions? Thanks but no thanks Ivan.

    You may be liberated, but it certainly hasn't been for the best interests of primary care.

    Never had you down as a rat from a sinking ship type.

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  • Some good points Ivan.
    The devil will be in the detail, or more particularly what the remuneration will be.

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  • A few counter points for Ivan's post.

    'Remove the independent contractor status that is causing GPs to 'drown'. Release them from the administrative burden that shackles them. '

    Why not just reduce the administrative burden? That would be far more effective.

    'younger GPs who don't want to work 9-5 (8-6) 5 days a week'

    I am a young GP and I want to 'have a life' - that means not working 7 day rotas on 8-8 shifts. You only have to look at emergency medicine to see what effect poor rotas and job structure have on recruitment.

    Every GP I know is thinking through their exit options and strategies. Recruitment is down - I certainly advise all my F2's to go elsewhere.

    Ivan, take a minute to reflect - you may feel you are right but you will end up with no colleagues.

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  • Ivan Benett | Salaried GP | 05 October 2014 9:30am

    some fair points and I agree a salaried model will suit many GPs but not all - you need to incorporate an option for GPs to work in different ways if they want to i.e. still be independent or even privately. You need to be more inclusive and not assume everyone wants to be salaried.

    Why not have a nationalised NHS which is smaller in scope i.e. rationalised with limited conditions covered eg cancer, a&e and therefore cheaper. The rest could be private eg cosmetic, fertility treatment etc

    GPs can then choose to work wholly in the smaller NHS as salaried or only in the private sector or a bit of both. It will keep all GPs happy?

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