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Independents' Day

GPs to get one year training to work across primary and acute care

GPs are to get one year’s training to equip them to work across primary and acute care under new plans announced for Scotland.

Speaking at Holyrood earlier this week, First Minister Nicola Sturgeon announced that 10 areas will pilot ‘new models of care’ over the next year, including 140 pharmacists being recruited to work in GP practices and GPs, district nurses and health visitors working together teams.

The sites, to some extent reminiscent of England’s ‘vanguards’, will see two pilots of ‘community health hubs’, in which GPs are ‘clinical experts’ overseeing patient treatments whilst working alongside district nurses and health visitors.

The plans, outlined in the Programme for Government 2015/16 is aimed at ensuring GPs’ time is focused more on ‘complex diagnosis’. The Scottish Government is planning to draw on the pilot results to ‘determine the next stage of service reform’ within the new Scottish GP contract which is under negotiation on track for a 2017/18 implementation.

The report said: ‘In the future, GPs must be able to focus on complex diagnosis, organise the management of conditions and drugs as part of multi-disciplinary teams, and tackle the challenges that come with managing more people in the community.’

It added: ‘A unique feature of these hubs is that part of the healthcare team will be a new type of doctors - qualified GPs who will receive an additional year of training to give them the skills to work across primary and acute care.’

Ms Sturgeon said the pilots would be funded by previously announcement investment and cover ‘at least 10 sites across urban and rural’ Scotland.

She said: ‘We will support GPs to work in clusters and develop new ways of working with district nurses, health visitors, rehabilitation teams and health improvement services and using different services such as intermediate care beds.

‘We intend that the good practice learned from this will be implemented across Scotland over the course of the next Parliament - supported by a renegotiated and fit for the future GP contract.’

Readers' comments (8)

  • Why are the Scots always more sensible and rational than the English politicians....? Does a dram make so much of difference !

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  • IS this more sensible?

    Looks like the same old crap to me. More pharmacists, more nurses, more health visitors...anything but more GPs.

    The head in the sand approach to the GP crisis.

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  • Well, i have seen the job spec for this and i am less than impressed. Its a really attractive option of you are a partner as you get a "free" GP for 3 sessions weekly for a year (as salary paid by NES) but for the person themselves, they actually only spend 3 sessions a week in GP. There are 4 in secodnary care and the others are "education". I think this is an excuse tosucker newly qualified GPs into being secondary care dogsbodies. If i wanted to be in acute care in hospital, i would have done core medical and not GP. I think anyone in these posts is going to have to work extra hard to develop/maintain their ability as a GP in just the 3 sessions a week. I think this will attract people who failed to get into core medical and went to GP as their fallback as trainees. It is also very vague as to how these shiny new "hubs" will be finded or resourced. Its not at all clear if these pilots will even continue after year 1. I pity anyone who does apply for this and i wish them the very best of luck but as a scottish first5, i certainly wont be one of them.

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  • Vinci Ho

    Personally , I would believe in the dragon girl , Daenerys Targaryen, far more than Darth Vader to deliver health services next 5 years.

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  • this is just making you work as a dog in secondary care as there are no doctors!!11

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  • You never stop learning so where do you draw the line:1 extra year,2 more,5 perhaps?Extending the training programme will just put more people off.I never learnt anything being a ward bitch.

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  • Nicola Sturgeon's suggestions are excellent.

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  • its not a bad idea. many GPs are currently working in OOHs near main A&E. sharing skills will benefit A&E.
    I am supportive of this idea.
    one of the good ideas I have heard from any government for a long time.

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