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CAMHS won't see you now

GP numbers have decreased in first year of NHS rescue package

The number of full-time-equivalent GPs has decreased in the first year since NHS England released its rescue package designed to alleviate the GP recruitment crisis, official figures have revealed today. 

The provisional figures, released by NHS Digital, show that there has been an increase of 36 in FTE GP numbers excluding locums in the first three months of 2017, as the reporting of locum figures has changed in the meantime. 

However, the figures also reveal that the number of FTE GPs has fallen by 542 since NHS England released its GP Forward View in April last year, designed to meet health secretary Jeremy Hunt’s target of 5,000 extra FTE GPs by 2020.

It also means that numbers have actually decreased since the target was set in September 2015 - meaning the Government now has to recruit 5,220 FTE GPs to meet its target.

GP leaders said that the figures ’demonstrate the failure of politicians’ to give support to GPs.

These are the first figures a year on from the release of the GP Forward View. The plans developed by NHS England involved an uplift in total GP funding of £2.4bn a year by 2020, and a separate package of £500m to implement immediate measures to support general practice.

This included measures to incentivise GPs to move to the areas hardest hit by the recruitment crisis, to incentivise GPs to stay in practice if they were considering leaving, and to smooth the process to re-enter UK general practice.

But the latest figures suggest that these measures have so far failed.

The total number of FTE GPs decreased from 34,914 in March 2016 to 34,372 in March 2017.

This comes after Pulse revealed that the number of GP vacancies has increased in the past year, with 12% of all positions now vacant, and one in five practices giving up the search for a new GP.

Dr Krishna Kasaraneni, BMA GP Education, Training and Workforce lead, said: ’These figures demonstrate the failure of politicians to uphold their pledges to deliver the GPs necessary to provide the number of appointments and sustainable service that patients deserve. The overall number of GPs working in England has dropped since 2015, which leaves the NHS a considerable distance short of the current targets for the GP workforce. There is little prospect of the promised 5,000 additional GPs materialising anytime soon.

’This continued workforce crisis has left many GP practices unable to properly staff their surgeries at a time when local services are struggling to cope with rising patient demand and flatlining budgets. A recent BMA survey showed that a third of GP practices had vacancies left unfilled for a year.

’The next government must ensure that we have a properly staffed service that can meet the needs of patients.’

 RCGP chair Professor Helen Stokes-Lampard said: 'Of course any rise in GP numbers is encouraging, and we are seeing a small rise since the last figures in December – but we are still way off GP Forward View target, and indeed since September last year these figures show a drop of 381 GPs, which is a serious concern...

'Workload in general practice is soaring – 16% over the last seven years according to the latest research -  yet our workforce has not risen in step, and is now actually reducing. This isn’t acceptable.'

How GP numbers have decreased in past 12 months

 September 2015March 2016September 2016December 2016 (provisional)March 2017 (provisional)
Full-time-equivalent GPs 34,592 34,914 34,495 34,050 34,372
GP providers 19,995 19,034 21,163 20,835 20,702
Salaried/other GPs 6,826 6,687 7,292 7,300 7,390
GP registrars 4,719 4,909 5,273 5,183 5,250
GP retainers 64 68 72 69 81
GP locums 537 601 692 663 949

Source: NHS Digital

Readers' comments (18)

  • "The figures, released by NHS Digital, show that there has been a 300 increase in FTE GP numbers in the first three months of 2017, while the total number of GPs in England increased by 725 between December and March"
    And that will be the section HMG concentrates on reporting

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  • What are they smoking? Can we all have a round too:)

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  • National Hopeless Service

    So they include naughty, bad & NHS destroying locums in their lovely nice figures....

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  • Hacker: The National Health Service, Humphrey, is an advanced case of galloping bureaucracy!
    Sir Humphrey: Oh, certainly not galloping. A gentle canter at the most.

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  • Didn't pulse publish a report on how NHS digital were calculating the figures - any chance of uploading the link again?

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  • Couple of issues with the numbers. Secondly I do believe that there will be a big rise in the number of FTE GPs retiring or reducing their hours since 1st April.
    Either way we all know that the FTE GP numbers are going to reduce until General Practice is less toxic etc etc etc
    I retired this quarter in mid 50s. My niece is giving up being a GP in her 30s.

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  • 11:11 - Not sure it really matters:-

    Sir Humphrey: If local authorities don't send us statistics, Government figures will be a nonsense.
    Hacker: Why?
    Sir Humphrey: They'll be incomplete.
    Hacker: Government figures are a nonsense, anyway.
    Bernard: I think Sir Humphrey wants to ensure they're a complete nonsense.

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  • As clear as mud.
    But let's accept that there has been a decrease in the number of FTE GPs. Could NHS Digital please help us to track down our missing colleagues, starting with:
    How many are sitting comfortably at CCG governing body tables?
    How many "represent" us at LMCs?
    How many have become medical directors for Health Education England?
    How many have joined DH & NHSE and their "agencies"?
    How many choose to give pointless advice to patients (if you eat less) from Public Health England and H&W Boards platforms?

    For more on "missing GPs' read the Peverley classic:
    http://www.pulsetoday.co.uk/views/blogs/peverley/mr-hunt-i-know-where-your-5000-extra-gps-are/20033907.blog

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  • 11:44
    You forgot CQC, GP Appraisers.

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  • Invest more in General practice.

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  • and ATOS / Capita

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  • Rogue1

    Dear Moosa 1:01,
    Sorry to burst your bubble, but that wont fix things.
    If the government just puts more money into GP. Then Im afraid more doctors are fed-up with all the B-S, they will simply work less hours to keep the same pay. So again the number of FTE GPS will fall. At my local practice all the partners did that 2years ago and now work part-time!

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  • Dear 2:01
    Quite right. And thereby lies the double tragedy. "They" really do not understand the multiple whammy that's hit us. And some of those of us that do have gone native, joined the ranks of the persecutors and made things even worse for us.
    "Worse? How could it possibly get any worse?"(Stone hits head)

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  • Rogue1 - have you just managed to disprove the laws of supply and demand? If pay / amount of GP time increases the total supply of that time will increase.
    Put it another way, if total GP income / unit time was halved do you think there would be a) more GP time supplied or b) less GP time supplied?

    If employers can't recruit enough locum time should they a) drop the pay or b) increase the pay?

    This is no time for economic illiteracy!

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  • 3:27
    Keep the pay the same. Just stop all those agencies stamping on our heads. Things will pick up. It's not the work that's the problem, it's the job.

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  • They'll only miss us when we are gone.

    Sic Transit Gloria Mundi.

    .

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  • They will come from everywhere . If you father gets an overdose of morphine ...
    CCG are going to support GP closures. Hubs and tesco type scan the barcode care is waiting ..eg ..please place the illness in the ... Sorry you have ..
    This needs authorisation. ... Don't forget the LMC .They will come

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  • Council of Despair

    don't understand the figures as ;

    if you add up values for March 2017 column it comes to 34372

    if you add up the values for September 2015 doesn't add up to 34,592 but a lot less

    so are they directly comparable?

    regardless HEE has a bit of a challenge to reach an extra 5000 GPs within 3 years.

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