This site is intended for health professionals only

At the heart of general practice since 1960

pulse june2020 80x101px
Read the latest issue online

The waiting game

Jeremy Hunt admits he is ‘struggling to deliver’ 5,000 GPs by 2020

Health secretary Jeremy Hunt has confessed that he is ‘struggling to deliver’ his pledge for 5,000 additional GPs by 2020, admitting that ‘it has been harder than we thought’.

Mr Hunt said that while he is not abandoning the ‘very, very important pledge’, it was 'taking a bit longer than I had hoped'.

This comes after official workforce figures revealed that the NHS has actually lost 1,000 GPs since September 2015, when Hunt first pledged to add at least 10,000 extra primary care staff, including 5,000 GPs, within five years.

Mr Hunt told The Guardian: ‘We do need 5,000 more GPs and we are struggling to deliver that pledge, but I’m absolutely determined to do so because GPs are working incredibly hard; too hard.

‘I got quite widely ridiculed when I made the pledge in 2015. I wanted to nail my colours to the mast of getting more GPs into the system. But it has been harder than we thought.'

However the health secretary continued: ‘This is not a pledge that we’re abandoning because it’s a very, very important pledge for the NHS and with general practice. It’s just taking a bit longer than I had hoped.’

Mr Hunt, who is now the longest serving health secretary, confirmed that understaffing is ‘the biggest priority that we have now. It’s a huge challenge to ramp up our staffing in the NHS.’

Speaking about NHS staff, he added: ‘They need to know that, yes, you might have one bad winter but it’s not going to be a permanent [series of] nightmarish winters and it’s not going to be a winter that lasts 12 months of the year, as in Game of Thrones.’

Mr Hunt also spoke about Prime Minster Theresa May’s commitment to the NHS, and said: ‘You should not underestimate how committed she is to the NHS. So she is absolutely 100% behind getting this right.’

He explained that he’s been ‘making the NHS’s case’ for ‘significant and sustainable funding increases’ in order to meet the challenges it is facing face, adding that he has been urging Ms May for an annual increase as close to the 4% that the NHS has during the Labour Government before 2010.

However, it seems that the treasury thinks that anything above 2% to 2.5% is unaffordable.

Mr Hunt said that he favours a 10-year budget plan, and said: ‘We have to recognise that we have a once-in-a-generation challenge and the choice we have as a country is: are we going to deal with that challenge in an ad hoc way, living hand to mouth year in year out, or are we going to look at this strategically?’

The news comes as a Pulse investigation revealed in 2017 that the Government was a long way off being able to deliver the 5,000 extra GPs pledge.

The Department of Health and Social Care told Pulse it would not be making a statement on the health secretary's comments on the pledge, which also featured in the Conservative Party's election manifesto.

NHS England also declined to comment.

Health Education England's primary care lead Professor Simon Gregory said:  'HEE is committed to continued investment in GP training through a wide range of initiatives and programmes to keep the training numbers growing year on year.

'We will continue to develop initiatives such as our general practice marketing campaign, now in its third year, to help raise awareness of general practice as a career of choice and its unique selling points as a specialty.' 

What is the Government doing to boost GP numbers?

The Government has launched a number initiatives to try to keep GPs in the workforce, such as the £2.4bn GP Forward View rescue package announced in 2016.

This included the GP retention programme, which was supporting 254 GPs to stay on in the profession by the end of last year.

Earlier this year, the Government increased the scale of its GP trainee 'golden hello' scheme, after a promising take-up last year, with 92% of places filled in 2017, according to health minister Steve Brine MP.

NHS England is also aiming to bring over 2,000 GPs from overseas - although Pulse recently reported that just 85 were in post by April.

And it has since been revealed that 1,000 full-time equivalent GPs have left the workforce since 2015 - when the Government set out to boost GP numbers by 5,000 in five years.

Additionally there are signs of growing health inequalities, with official data showing GP numbers are declining faster in areas of England where patients are on the lowest incomes.

Readers' comments (29)

  • 'Struggling to deliver'
    Sounds more like an indication for a c-section than a coherent plan for providing basic healthcare for 60 million people.

    Unsuitable or offensive? Report this comment

  • Not another “once in a generation challenge”? Lansley had one of those too, they do come around quickly, don’t they?

    Unsuitable or offensive? Report this comment

  • Excellent that Mr Hunt has realised this just before the DDRB delivers it's report for the 2018/2019 uplift for GPs (and all doctors). The current situation is that the DOH will consider that report and consider applying any uplift suggested from April 2018; but clearly now, whatever the report suggests the DOH will give GPs a much higher funding boost - that is what is required to improve GP numbers.

    In the entire history of the NHS the only thing which delivered a massive increase in GP numbers was the pay increases which came in with nGMS in 2003. At that time a payrise of 25% above inflation resulted in a 20% increase in GP numbers. That is what is required now.

    Unsuitable or offensive? Report this comment

  • NOT A HOPE. And he knows it. And he also knows that he won’t be Health Secretary in 2020.
    The only way for them to hit the 5k extra GP target is to fiddle with the figures, which they are certain to do. Wait and see.
    They are pinning their hopes on the new alphabetti of acronyms - PACS (yes, a stroke of genius to duplicate THAT one), ACOs, ACSs, oops sorry ICOs and ICSs, STPs, MCPs, ICPs, WAS (Working at Scale), AI,
    See Chris Ham’s excellent guide

    Unsuitable or offensive? Report this comment

  • And I say again, this is only relevant to England as in NI we have no government in place to deliver any changes in the current impasse, we do not live in a democratic country, we have been run by unelected civil servants for 18 months now with no electoral mandate or ability to effect change, in a western democracy the current situation is intolerable, I demand equal rights as English gps get, otherwise I really think ni Gp is totally doomed andiam really tired hearing what initiatives are being set up across the Irish Sea to bolster Gp where here we get nothing similar

    Unsuitable or offensive? Report this comment

  • Who knew ?

    Unsuitable or offensive? Report this comment

  • "I got quite widely ridiculed when I made the pledge in 2015."

    Not just then, sunshine, not just then.

    Unsuitable or offensive? Report this comment

  • My summers are now busier than my winters used to be and the winters are all but unmanageable.

    Unsuitable or offensive? Report this comment

  • Sounds like the alternative ‘clinicians’ plan has flopped massively. What a surprise!

    Unsuitable or offensive? Report this comment

  • 2 left my practice and I’m going in 4 months. Make that 5003.

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page50 results per page

Have your say