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Training bosses given two years to boost GP trainee numbers

Training chiefs have been given more time to recruit more GPs into postgraduate medical training, after a surprise 15% drop in applications for GP trainee places.

Health Education England, the body in charge of NHS workforce training has been told to ensure 50% of training posts go to GP trainees by 2016 – instead of 2015, as previously set out by the Government.

The target was contained in a ‘refreshed’ mandate published today by the Department of Health for 2014/15.

The refreshed mandate states: ‘HEE will ensure that 50% of trainees completing foundation level training enter GP training programmes by 2016.’

The previous version of the mandate required HEE to ‘make significant progress towards’ 50% of postgraduate medical training places being for general practice, but the body has so far failed to significantly boost numbers.

In 2013, despite an increase in the number of applications, the number of medical graduates actually starting a GP placement in England only increased by 95 to 2,764, still well short of the Government’s 2015 target of 3,250 places of the 6,500 places per year.

The GPC said the delay was unsurprising amid the unfolding crisis in recruitment and retention of GPs across the whole of the UK, and called for urgent action to address issues of workload and demand on practices to make the profession more attractive to junior doctors.

Pulse revealed earlier this month that an internal GPC briefing says the workforce gaps in general practice have reached ‘crisis point’ afterapplications for postgraduate GP specialty training have dropped by 15% this year putting Government targets to boost GP numbers at risk.

GPC negotiator Dr Beth McCarron-Nash said: ‘We know the aim is get 50% of young doctors to become GPs, but the bottom line is we’re failing to attract those candidates, we are failing to fill even the training places that we currently have.

‘I think this is a pragmatic acceptance that there are significant difficulties in general practice training. Obviously the view of HEE will be, “what’s the point of offering more places, if we can’t currently fill the ones that are on offer?”.’

She added: ‘They will have to look at this and change tack. They, along with other organisations, need to solve the real issue of the whole workforce feeling undervalued and demoralised as well as the funding issues. There’s no point simply expanding the number of GP trainees if practices don’t have the stability or resource to offer a partnership or salaried post. At the moment with all the uncertainties practices just do not feel they are in that position.

‘We cannot force people to become GPs. Unless we address those fundamental issues, just putting an arbitrary number on it is not going to solve the recruitment problem.’

Dr Krishna Kasaraneni, chair of the BMA’s Trainee Subcommittee said: ‘It is very disappointing that the target of 3,250 which was initially put forward by Medical Education England in the last decade seems to be postponed yet again from 2015 to 2016.

‘Without significant investment in general practice, I fail to see how this number will ever be reached. The government needs to investigate the potential problems associated with GP recruitment. Simply moving the goal posts yet again is not the solution.’

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Readers' comments (17)

  • It's not a "surprise" drop for those of us that work at the coal-face..

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  • What is the surprise?

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  • And if they fail......?

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  • Good luck cause your going to need it!

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  • make general practice more appealing and there will be no problem .

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  • The surprise IS that the drop was just 15% not more.

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  • My advice to all young doctors and medical students is to stay well clear of General Practice.It can seriously endanger your health.It has claimed the lives of two of my close GP colleagues.As you get older you become more philosophical about life and realise that it just isn't worth all the aggro.Politicians hate us.We serve a thankless public and the art of medicine has been subsumed by diktats.I would retire tomorrow if i could.

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  • The number of people coming into general practice will not increase until the return of the partnership model.

    Until there is again funding for a basic practice allowance per partner, to encourage practices to take on partners rather than salaried colleagues the gap will widen.

    Sure there is a demand for some people to be salaried, but the vast majority want to not work as second class partners, doing much the same work, but for less money.

    Now almost all PMS and APMS and a creeping number of GMS practices do not offer a BMA contract, and it is not uncommon for a workload identical to partner without the pay to be expected.

    Cut after cut, and morale is lower than ever - to pre 2004 levels, and workload is far higher, and no end to demand in sight. Simply more unfunded worked dumped on Primary care as part of CCG efforts to balance budgets.

    I wonder why I have not moved to greener pastures abroad myself, so it is no surprise the newer generation are voting with their feet and go soon after qualifying anyway.

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  • With the bad press GP training and practice has had of late, how can this be a surprise to anyone?

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  • A SURPRISE??!!.... These people need to get real! Why on earth is this a SURPRISE?!

    Its what happens when you screw honest people over and shaft them repeatedly - they vote with their feet.

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  • General practice has lost it's charm , after gruelling 3 yrs of training u will be exploited by surgeries . No planned jobs , job market is haphazard , no rules and regulation , partners (not all)will exploit salaried gps , and because of this , I know hundreds of newly qualified Gp end up in doing locums

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  • An appropriately funded partnership model is the only way to ensure continuity of care and control costs and ensure good premises etc.

    Anything else comes with a huge cost - salaried GP land will be fragmented and poor quality. Not because salaried GP's would be poor doctors but why would they go the extra mile year after year, ( of course some saintly types might). All the best GP's and Consultants are always the ones who put in more, stuff that can't be ticked on a box, be that extra hours, extra weekend rounds.

    We should be asking ourselves who do we look up to and what are their characteristics. Once we have worked that out we can then try to find a fair funding structure. That can only happen with partnerships that incentivise good practice. Not the current GMS structure which does not allow adequate funding at the most basic level.

    What is the point of having more consultant surgeons if they are only operating 1 day a week. absolutely pointless. We need people in medicine who want to do the job, not those who like the idea of the job or want the world to bend to their exact needs. This would need less consultants and less part time practice. We still aren't willing to deal with this.

    Of course everything above is logical and obvious - so there is no chance of any of it actually happening!

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  • Why was 15% a surprise?
    Until there is investment in General Practice we will not increase training numbers. Talk to any real GP and you get the bleak reality that the profession is on the verge of collapse with senior partners retiring, unfilled GP vacancies and the ever rising bureaucracy and endless work which was rejected by secondary care and shunted into primary care to clear up the mess without the slightest investment, acknowledgment and remuneration. Hardly a profession budding medical students and foundation trainees want to aspire to.

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  • Little promise to keep many of us going for long, be it escape through retirement, or like me, planning escape abroad in the next few years.....exit strategy in place......
    I would dissuade anybody from becoming a GP as it stands...hope it changes, but not betting on it.
    The ills of an over-demanding public and consumeristic mentality such that complaining to get what they want devalues the role of highly trained professionals. Would lawyers take the abuse?!
    Sufficient funding and attracting enough new GPs requires patients to pay for a lot more than they do now, and to limit free consultations, prescriptions, investigations and referrals.

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  • Dr Mustapha Tahir

    It's not more years they need. What they need is obvious to every sensible person. More funding and happier looking GPs the trainees aspire to become!

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  • The surprise is only 15% and not 50%. The GPs we have are going bankrupt, have not been paid for months and the rest are retiring or emigrating.
    The 85%, God bless their innocence and cotton picking naievity. Come in to the GP fold - get abused for a good few years, see 50 patients a day and then go slowly bankrupt. Great. Please join us fools.

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