GPs have lost all faith in the NHS reforms

Tell me one reason we stay in the NHS other than free at point of contact principle?

Completely agree.

private companies also have UK trained salaried GPs who are very efficient doctors.

Clarissa,

I have always admired you from afar. I completely agree with your sentiments and I am as disillusioned and fed up as you describe. There is only one of your proposals which I feel is unworkable, and that is one GP one Vote for CCGs. As far as locums and sessional GPs as well as part time salaried GPs are concerned, It is very difficult to adequately establish their numbers and to determine in which constituency they vote, especially if they work across several or many practices. Also a number of APMS providers staff their surgeries with a lot of casual medical labour. In South Sefton we have agreed that the vote should be on a vote per thousand patients per practice population basis, as this gives those who actually have the responsibility for patient care and the entrepreneurial responsibility for running their practices a clearly defined voice.

I would welcome your comments.


Yours,

Uli Pfeiffer

Well said

I am amazed that GPs cannot forsee the true intentions of these reform. We are being led down the garden path with false promises of greater freedom from bureaucracy and more repsonsiblity for patients.

The future may instead be GPs held as scapegoats by the public, whilst politicians say "it was their responsibility to look after you". We are on our way to becoming a distrusted and morally bankrupt profession.

Absolutely agree with all this.

Could not agree with you more. A far better result could have been achieved if PCT Boards were populated by GPs. As it turns out, all that will result from this botched top down reorganisation (and lest we forget the emperor's new clothes that is QIPP) will be enough chaos to bring the NHS to its knees. I commend you for highlighting the point that GPs don't want to commission; there is also a glaring gap in their en masse skills and experience to commission on a population based approach. It has saddened and astonished me from the start that some GPs have been so easily led down the garden path of these reforms.

As an aside, the big question that has never been asked of Lansley is; if the main problem with the NHS is so inefficient, which section of the Bill could possibly answer that question? It is basic GCSE exam logic. It doesn't surprise me he's not equipped with the skills to answer that question.

The current Government is only completing Tony Blair's and Gordon Brown's (with Lord Darzi's assistance before he saw the light and run off) to commercialiase The NHS. In 2004 we thought we had outsmarted the government with a new GMS contract. Our legal representatives either failed to ensure it was a permanently sealed deal in key areas or perhaps our BMA representatives declined their guidence. I still have difficulties whom to blame for all these shambles. Labour? Torries? BMA? Someone help me with a reasonable answer please.

There were many simpler and better ways to reform NHS than the path this government (and the Thatcherite Blair before them, and the thatcherite. . erm Thatcher before that) has taken. I highlighted two late last year http://minney.org/health-commissioning-will-be-done-local-authorities.
But perhaps the agenda is a little different. Perhaps the aim is to show that public healthcare doesn't work (by breaking it) so they can introduce private healthcare, all the while trumpeting the reduced taxes people pay when they don't pay for healthcare.
At present healthcare costs the average working adult around £2000 per year. meanwhile US healthcare (only available to 70% of the population) costs nearer £5000 per year, but it must be better because it isn't funded out of taxes. If I have to pay it anyway, I'd rather the old UK system!