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GPs buried under trusts' workload dump

Patient satisfaction in GPs drops to record low levels as 'intense pressures' show

A quarter of patients are dissatisfied with general practice - the lowest level since data was first collected in 1983 - a new analysis of a national survey has claimed.

The King's Fund and Nuffield Trust's analysis of the latest 2018 British Social Attitudes (BSA) survey revealed only 63% of people taking part were satisfied with GP services.

But GP leaders have stressed the 'intense resource and workforce pressures' facing general practice and noted public satisfaction could have been far lower if it weren't for the hard work of GPs and their teams.

The overall satisfaction with the NHS as a whole has fallen to its lowest level since 2007 - falling three percentage points to 53% in 2018.

Almost one in four (24%) of those surveyed reported feeling dissatisfied with their GP service, which has doubled since 2009. A total of 13% said they were neither satisfied nor dissatisfied with the service.

This year's survey revealed the main reason people were dissatisifed was due to the long time it takes to get a GP or hospital appointment.

The Nuffield Trust's director of research and chief economist John Appleby said: ‘Satisfaction with general practice – historically the service people were most satisfied with – has been falling for the past decade and is now at its lowest since the BSA survey began over 30 years ago.’

He acknowledged the ongoing pressures on GPs and warned that proposals in the NHS long-term would place even greater demands on primary care.

He said: 'This [result] may reflect continued strain on general practice, with mounting workloads and staff shortages and the evidence shows that people are finding it harder to get appointments than before.

'The NHS long-term plan expects even more of general practice – these problems will need to be addressed quickly if that vision is to be made possible.’

RCGP chair Professor Helen Stokes-Lampard said: 'GPs and our teams want to provide the best care that we possibly can for our patients, so it’s always disappointing to hear that some people are not always satisfied with the services they are receiving.

'We know that general practice is currently facing intense resource and workforce pressures, and while GPs are working incredibly hard to combat these, we understand that many patients are still waiting too long to see their doctor – something we find just as frustrating.

She highlighted that NHS England's most recent GP patient survey found 84% of patients registered at a GP practice rated their overall experience as ‘good’.

She added: ‘This demonstrates the hard work and dedication of GPs and our teams, who are seeing more than a million patients a day across the country. But working under these conditions simply isn’t sustainable for us, or ultimately, our patients.'

BMA chair Dr Chaand Nagpaul said: 'GPs, hospital doctors, nurses and other healthcare professionals are working harder than ever before to treat the ever-rising number of patients, but they are fighting a tide of poor staffing, lack of space and a lack of investment.

'Given this backdrop the levels of satisfaction could have been lower, and I believe it’s almost certainly the dedication of staff in the NHS that prevents this.'

He added: 'NHS staff are simply not being given the tools and support to give patients the care they deserve. We need the Government to urgently address this in the immediate term and to also ensure that beyond the long-term plan headlines there is a clear road map that gives the NHS the staff, resources and services it desperately needs.'

Last week, a study showed four in 10 GPs want to leave the profession in next five years, stating work intensity and workload as the main factors for leaving.

The ongoing workforce crisis in GP practices was said to hinder the Government’s plan to move hospital care into practices, a report revealed earlier last month.

Meanwhile, a BMA survey of English GP practices last month found only half of GP practice buildings are fit for purpose.

 

Readers' comments (16)

  • AL "4 TRIES IN ONE GAME" BUNDY

    How are patient satisfaction levels with NHS and private dentistry..??

    Pay peanuts get monkeys??

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  • I suspect politicians will be rather pleased. It allows further dismantling of the system because patients are seen to be dissatisfied with current arrangements. Salaried service for everyone then sell it all off - result!

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  • The Conservative plan is going splendidly.
    Brexit has proved an excellent diversion allowing ithem to dismantle all the services that matter and soften them up for the sell off.

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  • i don't understand the point of the survey. if nothing is actually done as a response to the results why have the survey in the first place? its like ordering a blood test that is not going to make any difference to your management of the patient. pointless. if, however, the health secretary's wage packet was linked to the results ie only got paid 63% of his wages !!!!!

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  • Took Early Retirement

    Frankly, as someone who also left early, partly because there were some pretty unreasonable expectations of what doctors can do, I don't give a tinker's cuss for what they patients think. Many of them don't think anyway. They will soon be dreeing their ain wierd.

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  • Today I read that due to funding cuts our local sexual health service will no longer offer contraception to those over 25 unless they need a coil or implant, and that 4 local clinics will close with those patients expected to see their GPs. So when SH won't see them for nothing we have to! And failure to get an appointment for pill now GPs' fault.
    Now extrapolate to every other service who sends their excess to us as said by hospital doctor above.

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