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At the heart of general practice since 1960

Contribute to Pulse's general election manifesto

What should politicians be focusing on this in this year’s general election? Do we need more GPs? Should revalidation be scrapped?How can we tackle obesity?

The NHS is the most important issue for voters and as polling day approaches, Pulse is collecting ideas from GPs about what policies they think the various parties should adopt.

Give us your ideas below and we will put them forward for a vote among GPs, the best will be selected for a Pulse election manifesto that will be sent to all major UK parties.

Your name or email address will not be published, this information is for our records only.

Readers' comments (12)

  • 1. Reverse mpig cuts and pms disinvestment
    2. Allow gps to be part of the early retirement cohort with full pension at 60. No one can do this crap till 70!
    3. Invest more in primary care to provide a reasonable service ala pay per consultation. I don't really care who pays. This is the only way to control demand and allow investment dependant on demand. Get rid of this free at the point of use ingrained ideology and capitation based payment.
    4. Remove the appraisal, revalidation, commissioning , Cqc rubbish.
    5. Make primary care simple. Treating patients medical needs only. Stop expanding gp remit into untrained stupid areas. Eg social care and plumbing! And reduce the number of les/des.
    6. Remove all targets. Yes, still monitor to inform on performance but targets skew priorities and by good patient centred care, most targets will be achieved anyway.
    7. Start looking after your workforce. When I first started working in the Nhs in the 90s, there was an acceptance that you worked hard, did crazy hours and didn't earn as much as in other countries with private healthcare. But you were looked after by your nhs family with sound pensions and a good working environment. A fair trade off compared to the current abuse by a monopoly employer.
    8. Invest in primary care to allow 15 min appointments as a minimum to provide better care and job satisfaction.
    9. Define core services and stop gp land being a dumping ground for unresourced work.
    10. Bring back a gp contract which is an actual contract that can't be changed unilaterally
    Action the above and not only will you have a great nhs but happy patients and doctors. Crisis solved.

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  • With regards to GP recruitment and retention I would like Mr Hunt, HMG and NHSE to familiarise themselves with and follow the health and safety executives management standards for work related stress. These are found on the HSE website:

    http://www.hse.gov.uk/stress/standards/index.htm

    "What are the Management Standards

    What are the Management Standards for work related stress?
    The Management Standards define the characteristics, or culture, of an organisation where the risks from work related stress are being effectively managed and controlled.

    The Management Standards cover six key areas of work design that, if not properly managed, are associated with poor health and well-being, lower productivity and increased sickness absence. In other words, the six Management Standards cover the primary sources of stress at work. These are:

    Demands – this includes issues such as workload, work patterns and the work environment.
    Control – how much say the person has in the way they do their work.
    Support – this includes the encouragement, sponsorship and resources provided by the organisation, line management and colleagues.
    Relationships – this includes promoting positive working to avoid conflict and dealing with unacceptable behaviour.
    Role – whether people understand their role within the organisation and whether the organisation ensures that they do not have conflicting roles.
    Change – how organisational change (large or small) is managed and communicated in the organisation.
    The Management Standards represent a set of conditions that, if present, reflect a high level of health well-being and organisational performance."

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  • Allow patients to nominate a private gp who could access nhs scripts and referrals. Mixed health economies work in many other countries and would force NHSE to improve their treatment of NHS GPs.

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  • ahmed 749
    excellent comment

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  • Bob Hodges

    Allow the buying and selling of goodwill in GP:
    - Currently this will be worth nothing so will not be 'gifting' GPs money. In fact, some practice's goodwill would be negative due to unlimited liabilities.
    - The opportunity to create goodwill and value will encourage genuine innovation in GP and possibly allow it to survive.
    - It will incentivise GP partners nearer retirement to engage with rather than block reorganisation and innovation as they will possibly have an asset to sell on retirement or it might even encourage them to delay retirement in order to build their goodwill stake (thereby easing the recruitment crisis).
    - It will also mitigate the degradation of the GP NHS pension scheme for doctors, but also provide the government with tax revenue from the sale of goodwill on retirement.
    - The value of goodwill would be heavily linked to patient list size. Providing patients with a better service will be the key to list size, and happier patients are good for politicians as well.

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  • Ahmad - great job!
    I'll add -
    Scrap the formula - it was made to favour big practices and has lead to ridiculous situations where a Practice 'called a village practice' but located in the heart of a city is given rural payments and reimbursements of rent up to 189k per year !!
    - Where two Practices with a difference of patient list size in the same Medway towns can be given 200k more per year for having only 200 more patients than a Practice nearby,
    -Where the government pays 125 pounds for a patient's care if he registers with one Practice while only 91 if the patient is registered in another a mile away.
    -Where a big Practice with twice the standard list size is paid 270 pounds per point while the Practice with a list size of 4000 is paid only 65 pounds - this does not take into account that the big Practice has enough global sum to afford more doctors and that the workload/patients per doctor are the same for a small and for a big Practice.
    NHS officials and Managers who have failed in one job should categorically be ruled out of management positions for other NHS managerial positions. Else you have this farce of a Chief exec or Med Director from a failed hospital or Trust being transferred to another area and given a similar role or even a promotion.
    Finally - politicians need to do some soul searching and decide what they want to do instead of groping for ideas that will take them over the Elections and churning out yarns even a kid would rub his eyes at in amazement.
    If privatization is the agenda; go ahead and do it - don't beat around the bush and do things by the backdoor. Put a payment per visit service boldly and you will get the support you need from the Primary care providers. Please be honest about your intentions

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  • Hear hear, politicians being honest would be very refreshing.

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  • Politicians cannot be honest regarding the NHS,
    Their sell of "unlimited healthcare at "no cost" "is clearly too good to be true; the tax take required to sustain the current "health professional to blow your nose within 2 hours for all viral infections" would ensure any party admitting it where not elected.
    So the current paradigm :-"lie about the tax and abuse (financially) the workforce" will continue.

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  • GPs attack politicians, the Daily Mail attacks GPs, the BMA attacks the Daily Mail, everyone attacks the BMA, and who is laughing all the way to the bank? The penpushers who confiscate our money ((LES DES...targets...) and get away with it, thanks to obliging CCGs

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  • Vinci Ho

    There are no morals in politics; there is only expedience. A scoundrel may be of use to us just because he is a scoundrel.

    Vladimir Lenin


    Dedicate my favourite song of the year to those who are to vote in May , this is your favourite politician talking to ya:

    Nice to meet you, where you been?
    I could show you incredible things
    Magic, madness, heaven, sin
    Saw you there and I thought
    Oh my God, look at that face
    You look like my next mistake
    Love's a game, wanna play?

    New money, suit and tie
    I can read you like a magazine
    Ain't it funny, rumors fly
    And I know you heard about me
    So hey, let's be friends
    I'm dying to see how this one ends
    Grab your passport and my hand
    I can make the bad guys good for a weekend

    So it's gonna be forever
    Or it's gonna go down in flames
    You can tell me when it's over
    If the high was worth the pain
    Got a long list of ex-lovers
    They'll tell you I'm insane
    'Cause you know I love the players
    And you love the game

    Screaming, crying, perfect storms
    I can make all the tables turn
    Rose garden filled with thorns
    Keep you second guessing like
    "Oh my God, who is she?"
    I get drunk on jealousy
    But you'll come back each time you leave
    'Cause, darling, I'm a nightmare dressed

    'Cause we're young and we're reckless
    We'll take this way too far
    It'll leave you breathless
    Or with a nasty scar
    Got a long list of ex-lovers
    They'll tell you I'm insane
    But I've got a blank space, baby
    And I'll write your name

    People only want love if it's torture
    Don't say I didn't say, I didn't warn ya
    People only want love if it's torture
    Don't say I didn't say, I didn't warn ya

    So what names are you going to put in that blank space on the ballot paper?(I might just stick to the name of the song)

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