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Gold, incentives and meh

Sainsbury's plans a rapid expansion of in-store GP surgery programme

Exclusive Sainsbury’s is planning an expansion of its programme to site primary care services in its stores, with a further seven in-store GP surgeries due to open across the country this year.

The new surgeries, led by a mix of practice nurses and GPs, are set to open in Sainsbury’s stores across the country, in areas such as Harrogate, Birmingham, East Grinstead, London, York and Brighton.

The premises will be offered rent-free to GPs, and will not be run or funded by Sainsbury’s, but GP leaders have warned the move sounds ‘too good to be true’.

Sainsburys began giving GPs the option of setting up branch surgeries free of charge in its stores last year, and to date there are 13 in-store surgeries, and another 24 on the supermarket’s property, such as in car parks.

The expansion of Sainsbury’s programme to open supermarket-based surgeries comes after the King’s Fund thinktank recommended the GP ‘cottage industry’ was ‘not fit for purpose’ and that larger practices should be opened in locations convenient for patients, such as supermarkets.

Sainsbury’s executives said the availability of parking and public transport links made the supermarket a ‘great spot’ for a GP surgery and that the feedback GPs had from patients had been ‘overwhelmingly positive’ so far.

David Gilder, professional services manager at Sainsbury’s, said: ‘We know from experience that a Sainsbury’s store, often situated in a convenient location with ample parking and public transport links, is a great spot for a GPs surgery.

‘Customers tell us they really value having this service on site and GPs tell us that the feedback they have had from patients has been overwhelmingly positive.’

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But Dr Tony Grewal, medical director of Londonwide LMCs, said that while it may be tempting for GPs with ‘ill-fitting’ premises currently, they should consider whether a new branch surgery in Sainsbury’s was the best investment.

He said: ‘It sounds too good to be true. If they are providing free premises then it’s an action of such altruistic magnificence that I can’t criticise.

‘For a fully functioning surgery you would need six to 10 rooms - it seems unlikely that Sainsbury’s will be able to perform or deliver that. Branch surgeries do have problems - such as system communications. They’re not always encouraged by management.’

He added: ‘GPs should consider the security of tenure and duration - will it be reviewed every year? If they’ve got a site which is fit for these loss-leaders, Sainsbury’s could be earning notional rent. It might be another string to their bow.’

Dr John Etherton, a GP in Rotting Dean near Brighton, said opening a practice in Sainsbury’s meant general practice would become an add-on to shopping.

He said: ‘I do not feel that a supermarket of any kind is a suitable place to have a GP surgery. It distorts the public’s perception of the service provided.

‘The provision of primary care historically was and needs to be in dedicated premises where that is the main function provided. Other facilities can be added on, but it shouldn’t be the other way around where the surgery is the add-on.’

He added: ‘Some issues are phenomenally serious, [such as] a life-threatening illness or a major problem.

‘The place where that takes place should be dedicated. If you are going to register a death you need to go somewhere which is private, serious and dedicated. It’s better psychologically.’

Readers' comments (18)

  • you can lead a horse to water.............

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  • I can only assume this is a pilot for rolling out Sainsburys own GP service (as opposed to just renting premisis).

    I disagree with the historical views. The patient should choose what's best for them, not dictated by GPs. But the patients should also remember they'll get what they choose - if they want to be seen in a supermarket, they'll get what's offered in supermarket. Impersonal, profit driven, unsympathetic, cost effective service.

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  • General Practice is divided profession.We bark without the bite. I hope sainsburys will open Dental Clinics in their supermarkets and await reaction.

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  • Dr John Etherton, a GP in Rotting Dean near Brighton, said opening a practice in Sainsbury’s meant general practice would become an add-on to shopping.

    He said: ‘I do not feel that a supermarket of any kind is a suitable place to have a GP surgery. It distorts the public’s perception of the service provided.

    Distoted for the better? by beaking down the barriers of the current perception of GP's and encouraging more patients to see going to a GP as easy and not intimidating and not something that has to be done as a last resort would be beneficial to all and go some way to improve the health of all. So what if the public see going to the GP as an extention of shopping? the main surgeries will still be around. Change is required and at least this is a starting point.

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  • I support this move by Sainsburys. I think other supermarkets should also follow. What is wrong even if it leads to their own GP service? It is up to the patients to decide whether to go there or not. At present patients have to sit for hours in the GP surgeries, getting bored waiting to be seen. This way they could be sent a text message whilst they continue their shopping. This would be excellent!

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  • Altruistic Sainsbury's ? Our local branch charges £3 for its car park -redeemable when you spend £5 + in store; and who's pharmacy will the patients patronise? Shopping will become an add-on to illness.

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  • Just goes to show how much profit Sainsburys can see in provision of primary care services and presumably a knock on benefit in shop/ pharmacy sales. This is especially interesting at the moment when many practices are claiming that they are struggling to make a living from their own practices at the moment.

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  • A supermarket seems far too inconvenient. Why not base a GP surgery in a public lavatory - that way a patient can use a urinal while I check their blood pressure and really save time - thats accessable healthcare - could assess their prostate at the same time. Where does this sort of rubbish end?

    Build 'bigger practices' - what you mean a really big practice, with lots of doctors and lots of nurses, and all the doctors could have a special interest in something different and you could offer diagnostic tests and interventions there too, and maybe train doctors that are more junior?! That sort of surgery already exists and has its own special name - its called a hospital.

    Patients who want a GP surgery in sainsburys are welcome to it. Don't be expecting me to drop your shopping round if you request a home visit though. And don't complain when you realise you can't get an appointment because all the appointments are filled by people who want to see a doctor while they happen to be shopping, as opposed to wanting to see a doctor because they are ill.

    Rant complete, for now.

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  • You are being prepared for co-payment in England. The complacency of the English voter astonishes me.

    Is your shopping free in Sainsburys? No. You expect to pay for it. Do you really think Sainsburys, Virgin and other large corporates are setting up with the expectation that they will be forced to deliver a no-limit contract free at the point of use? Of course they dont. The profits for a consumer driven healthcare service are yet to be fully realised. They know that soon they will be allowed to charge for patients to see their staff (and they will be the minimally qualified from other EU countries to drive down cost)

    Expect, within 5 years, to pay to see the GP in England, in the order of £20 per 15 minute consultation. And thats for starters. Welcome to the Health and Social Care Act which starts in April 2013.

    The NHS in England is dying, and in terminal stages now. It survives, ill and not out of the woods, in Wales, and in Scoltand is making a recovery.

    Wake up, England. before it is too late.

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  • The end of the medical profession and the start of the medical commodity!

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  • I can only presume the government would be happy for us to be selling alcohol and cigarettes to our patients as well?

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  • I agree with the comments that patients should get what the choose. Even where primary care is of excellent quality the access is poor. Have any of you tried to get an appt or sat waiting for ages to see a GP? Probably not because we treat ourselves or ring up a colleague (I know we shouldn't but we do). Primary care as we know it is dying and we have to face it. We'll all be salaried in 5-10 years. The result will be a standardised service with good access but risk adverse practitioners and layers of appraisal and policies and procedures. It was a done deal after the 24 hr care was relinquished but that was unsustainable.

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  • If the rent is free, there is some rationale behind this. This may be a clue:

    Local services in the City of London -- from City Resident magazine Spring 2011:

    "The NHS walk-in clinic by Liverpool Street is now a private, paid-for service due to funding changes to Primary Care Trusts (PCT)... In addition, Boots pharmacy at Liverpool Street Station is working closely with the PCT, who ran the clinic, to deliver further services. Boots has a private consulting room and provides wound care, dressings, advice on minor ailments and referrals to appropriate services. It also offers smoking cessation advice, the flu vaccine and advice and access to emergency contraception."

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  • It would be interesting to know if these proposed surgeries are fully compliant as per CQC requirements

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  • If our patient with pulmonary TB or other transmittable disease visits a supermarket a the disease could easily be spread to large number quickly. The risk to community health by this development cannot over estimated. No health professional should encourage or allow such a dangerous developmemt

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  • Hmmmmm. What would you good doctors say to a surgery at Waitrose?

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  • I hope Sainsbury's haven't shot themselves in the foot because the proposed DH's plan to 'make every contact count' and for GP's to shake hands, tip hats and give dietary advice, will see GP's advising their patients to skip aisles 3, 5, and 8 through 12 on the way out, and head straight for the carpark.

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  • Sainsbury have no interest in taking over the practice clinical service - far from it. But they are very interested in the 30,000 attendances each year which will convert into profits from the good things they sell and the prescriptions they will capture for their in-store pharmacies. Let's face it, everyone wants to make a living and if patients get nice surroundings, easy parking and fresh bread and the practice gets fit-for-purpose premises and a fast-track on discounted Beaujolais, who's the loser?

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