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Another 27 hospitals receive DH funding to 'build GP practices'

The Department of Health has announced a second wave of 27 hospital trusts to receive cash to set up A&E GP ‘streaming’ services by the end of the year.

The latest list brings the total amount of allocated funding up to £77m, after it was announced that 70 trusts were to receive £56m of the £100m fund – meaning the DH has yet to allocate £24m. It had initially said up to 100 hospitals would benefit.

In a statement the DH has said the funding will allow hospitals ‘to build GP practices within their A&E units’ to see patients with less urgent needs.

But Pulse revealed that nearly 420 extra GPs will be needed to staff the service, based on the model floated by health secretary Jeremy Hunt at Luton and Dunstable University Hospital.

The £100m fund was first announced in the Spring Budget in March, and NHS England chief executive Simon Stevens subsequently said that patients will be able to see a GP in ‘every A&E’ by Christmas.

List of agreed proposals

Region

Bid value

Name

London

£750,000

Epsom and St Helier University Hospitals NHS Trust

London

£757,554

Barts Health NHS Trust - The Royal London Hospital

Midlands

£596,976

East & North Hertfordshire NHS Trust

Midlands

£998,900

Norfolk & Norwich University Hospitals NHS Foundation Trust

Midlands

£221,000

The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust

Midlands

£400,000

South Warwickshire NHS Foundation Trust

Midlands

£968,000

United Lincolnshire Hospitals NHS Trust

Midlands

£650,000

University Hospitals Birmingham NHS Foundation Trust - (QE site)

Midlands

£1,000,000

West Hertfordshire Hospitals NHS Trust

North

£1,000,000

Aintree University Hospital NHS Foundation Trust

North

£975,000

Doncaster and Bassetlaw Hospitals NHS Foundation Trust - Doncaster site

North

£1,000,000

Blackpool Teaching Hospitals NHS Foundation Trust

North

£875,000

City Hospitals Sunderland NHS Foundation Trust

North

£981,560

Co Durham and Darlington NHS Foundation Trust - Darlington site

North

£200,000

Countess of Chester Hospitals NHS Foundation Trust

North

£825,500

County Durham And Darlington NHS Foundation Trust - North Durham site

North

£879,000

East Cheshire NHS Trust

North

£340,000

Harrogate and District NHS Foundation Trust

North

£660,000

St Helens and Knowsley Teaching Hospitals NHS Trust

North

£990,667

Wirral University Teaching Hospitals NHS Foundation Trust

North

£830,000

York Teaching Hospital NHS Foundation Trust

South

£944,291

Dartford and Gravesham NHS Trust - Darent Valley Hospital

South

£732,982

Oxford University Hospitals NHS Foundation Trust - John Radcliffe Hospital

South

£645,000

Maidstone and Tunbridge Wells NHS Trust

South

£855,000

Portsmouth Hospitals NHS Trust Queen Alexandra Hospital

South

£600,000

Ashford and St Peter’s Hospitals NHS Foundation Trust St Peters Hospital (Chertsey) site

South

£842,600

Weston Area Health NHS Trust

South

£225,000

Yeovil District Hospital NHS Foundation Trust

Readers' comments (12)

  • GP "steaming service"a freudian misprint maybe.

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  • ZX81

    This is where all the physician assistants are going to be working ..wouldnt be such a bad idea .. cheeper too. No doubt they'll get subsidised with crown indemnity. Cushty.

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  • Gps will be controlled by triage nurse in AE. Have to pay for parking, begging nurses to have toilet breaks and carrying that horrible bleep if you don't reply within one second then face gmc. Also getting commands from AE Drs. They have to retrain their kids about their job role. When my kids tell their teachers or parents of their friends it's easy to say gp and surgery name. But saying my parent is a gp but working in AE!!!! May need bit of practice and explanation.

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  • GP with special interest in Emergency Medicine. I dont think current model is sustainable.
    GP will manage headache along with manipulate fractures.

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  • Sounds alright to me id pick up some shifts. might actually see some ill people and will be nice to have access to some investigations. A frind of mine been doing something similar for ages with aim of admitting fewer people and he likes it. Im sure A+E will prefer focusing on major stuff. They are also not that good at GP stuffand do far to many tests on people with not much wrong with them. I don't really care if it saved country money or not It seems common sense to me to have Gps in A+E.

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  • Most docs in Emergency in Canada are GPs esp rural and no probs. They also look after all the patients in hospital day to day and specialists just consult as needed they don't have a list of inpatients.

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  • agree with Mr P McTaggart. Know of colleagues who do this work but tediously slow (3-4 patients an hour), lots of resistance from other staff to send people home ( low threshold for risk). although patients go to A=E due to precieved lack of access to GP. put GPs in A+E simply adds fuel to this fire. it will though given Penis more locum opportunities to line his pockets!

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  • I thought the Luton & Dunstable scheme cited by Jeremy Hunt was commissioned - and funded - by Luton CCG (& previously PCT) to reduce emergency admissions (& costs)?
    JH's schemes sound different.
    Will GPs be directly employed?(hosp covers liability, sick-pay, maternity & holidays - *&* employer's pension contributions, redundancy), or will service be contracted out to commercial (or non-commercial) organisations - who may find it difficult to recruit sufficient GPs?

    *If* pay is limited to £80/hr, what additional benefits will there be to bring it to close to market forces?
    Especially if contracts mean that the GPs involved cannot claim to be self-employed for HMRC purposes?

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  • Madness. We have a gp crisis. We have a demand crisis . I work in one of these scenes as a streamer and a gp and now commonly here" I couldn't get a gp appointment for today so I have come here" . " I have been referred to a specialist but the appointment isn't until next month so I have come here". " My no surgery had no appointments so told me to go to the wic and the nurse has sent me up here"
    It doesn't get existing inappropriate attenders out ,it Hoover's in a whole new cohort.
    For doing all of this work I get paid significantly higher that the local locum rate, which is less than £80 an hour and would have a significant pay cut if they bring in the £80 cap.
    Does the scheme solve anything : no as the problem is a gp staffing crisis locally + unrealistic expectations + growing waiting lists + a"better to check " mentality = unsustainable.
    Getting GPS to record obs and take a quick streaming history at huge cost is pure futility and setting up as a gp in a&e just allows patients to be seen at huge cost to the nhs instead of waiting the turn in failing gp land .
    Put the money into patient education gp education and funding gp land and you might get somewhere.

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  • The irony is that these funds are easily available to improve GP services everywhere but are not given to support GP Practices at the grassroots. You would not be struggling if you identified Practices that needed support and spent this money and helped them improve services - uptake, more access to appointments and even increasing list sizes. Quixote actions result in further chaos and NHSE and DoH personnel are wholly responsible for the mess. If these super earners were able to stop smoking what they are, they might just see true colours of the world instead of mesmeric delusions.

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