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A faulty production line

How trusts are planning to place GPs in A&E

Pulse summaries what we know about the plan to put GPs in A&E

How much GP cover are trusts planning to have?

The trusts that responded to Pulse’s questions said they are planning to recruit around two GPs to cover 15-hour days.

Shrewsbury and Telford Hospital NHS Trust has said ‘one or two’ GPs will be available in the A&E from 8am to 11pm daily.

East Sussex Healthcare NHS Trust has said it is working with the CCG to establish a GP streaming service at two of its sites, with one GP at each, which will be open from 10am to 10pm.

How many GPs will be working at any one time?

Epsom and St Helier University Hospitals NHS Trust has said it is looking to recruit 2.4 WTE GPs for the streaming service and plans to monitor activity volumes ‘to ensure that they are working during hours of peak demand’, which could include evenings and weekends.

How much is the trust planning to pay the GPs working in A&E?

Two hospitals have said NHS England advised them to pay their GPs in A&E £80 per hour.

Taunton and Somerset NHS Foundation Trust has said it will align its rate of pay with the local out-of-hours service, while others have yet to agree a pay rate.

How does the trust plan to attract these GPs?

East Sussex Healthcare NHS Trust and Epsom and St Helier University Hospitals NHS Trust have both said they are working with GP leaders and local CCGs to recruit for the positions.

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Readers' comments (3)

  • Cobblers

    My rates are £100 per hour. I will specify what and how many patients I will see in an hour. I expect regular breaks (10 mins catchup per hour and half an hour at the end of the session). My session is for 3 hours. I will go home on the dot.

    What? Not keen? You wish to argue? My rates are now £125 per hour. Still wish to argue?

    (An imagined discussion with an admindroid)

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  • Council of Despair

    there are a lot of issues here ;

    1. shift length - 8am to 11pm is a 15 hr shift. Having a single GP cover that is unsafe. I've done 12 hr shifts with a single 30 minute break and it is unsafe. It is bad for he doctor and for the patient. The safety of both should be examined.

    2. Indemnity - rates for OOH are crazy and as a locum I get more money in my hand for working a tuesday than a sunday. The indemnity rates need to be covered.

    3. The rate - a 12 hr (risky) shift will net you £800 but what cost to your health and patient safety. As it will be paid by secondary care it will likely be within IR35 so the tax implications are huge i.e. the income is just not work the risk and reward.

    4. we are short of GPs everywhere - so does it make sense to pull GPs from the community and place them in hospitals.

    5. the issue with a&e as specialists in the area have pointed out isn't with being blocked up with patients with problems that GPs can solve it's to do with lack of capacity (beds) in the hospital - so this does not solve anything.

    6. the assumption is that the GPs in a&e will be able to deal with the 'GP' problems that go to a&e. Any GP that has worked in walk in centres will tell you that patients turn up for a range of issues from repeat scripts to wanting referals - a&e GPs won't be able to deal with this so paitients will have to go back to their registered GPs anyway! so again it won't solve these cases.

    cut a long story short - when is plan B happening as i have hope for the futrure of the NHS when schemes like this are being pushed?

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  • This is new is it? Odd, since I and a number of colleagues were doing this 'GP in A&E' lark quite successfully before the turn of the millennium, and carried on doing it on an intermittent basis until just a few years ago when I decided I was too old to stand around all day and retired to my comfortable leather recliner in the OOH call centre. What goes around, comes around in the NHS 20 year recycle process.

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