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Gold, incentives and meh

GP shortages down to practices 'not delivering', says new health minister

An MP appointed as a health minister has vowed to make sure GP practices ‘take responsibility’ for having appropriate staffing for patient demand as ‘they get the money to do so’.

The Conservative MP for Thurrock, Jackie Doyle-Price, who has been made parliamentary under-secretary of state for health under health secretary Jeremy Hunt, says on her constituency website that GP shortages are in part down to GPs ‘not delivering enough’.

Though her brief has not been confirmed, there is a vacancy in the Department of Health to replace previous primary care minister, David Mowat, who lost his seat in the snap election.

Her constituency campaign page identifies that the local Basildon Hospital is improving and says ‘now lets [sic] improve our GPs’, adding that the loss of practices and continuity of care for patients heaps burdens on hospitals.

It says: ‘Here in Thurrock we have a shortage of GPs – partly because we aren’t doing enough to attract them, and partly because GP practices aren’t delivering enough to meet local demand.

‘This Government has introduced inspection of GP practices and we will be making sure that when they take responsibility for more patients they make sure they have the staff in the practice to meet demand.

‘They get the money to do so. They must invest in their practices so that patients can see their GP when they need to.’

Ms Doyle-Price has been appointed alongside Steve Brine, who is the MP for Winchester and Chandler’s Ford. Mr Brine bills himself as a ‘passionate defender’ of primary care and general practice.

His health campaign page highlights that access problems in primary care are being driven by the ‘consumerisation of healthcare’ and the growing problems of housing developments potentially swamping services.

It states: ‘As a responsible MP who puts the NHS first in his constituency I always want to listen to local GPs and work alongside them, as well as their patients to ensure we have services in the right place at the right time.

‘As more and more houses are built that also means working closely with NHS England on GP access and maintaining important, yet small, in-community provision such as we have in South Wonston and Twyford.’

Philip Dunne, MP for Ludlow retains his role as Mr Hunt's deputy and Lord O'Shaughnessy holds his seat as the DH represetnative in the House of Lords.

In a speech before the election, the soon-to-be chair of BMA Council Dr Chaand Nagpaul said politicians must 'end the callous disregard' for the plight of general practice.

jackie doyle price

Readers' comments (63)

  • Cobblers

    I had to go to the politico's website to check that journalistic licence had not taken over.

    "Here in Thurrock we have a shortage of GPs – partly because we aren’t doing enough to attract them, and partly because GP practices aren’t delivering enough to meet local demand."

    That's it, verbatim, a sort of mental disconnect that suggests all is not right in the thought processes. Part 1 is fine but what the heck has GP's aren't delivering got to do with GPs not wanting to work there? Inverse logic I would have thought?

    Then it goes on to state that GPs are getting the money to provide the staff and services. Here she is just plain wrong.

    She'll fit in nicely with IT savvy Jeremy (iMac) Hunt and his DoH stooges.

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  • You have to say if the population vote for these people they do get what they deserve!

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  • She si obviously going to get a lot of support from local Gps

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  • Literally open mouthed here - I am confused - what on earth is going on in this woman's head? If anything it is this governments persecution of the profession which has resulted in the lack of GP cover. By the same logic presumably she thinks GP's are also responsible for the reduction in Tory MP numbers? Crazy sh1t.

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  • Hilarious! Must be trying out for a new career in stand up comedy!

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  • Beyond parody.

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  • Utterly incredible that she is putting the blame on GPs

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  • Vinci Ho

    Agent Hunt
    Your achievements in dealing with these bloody GPs have been spectacular and impressive. IMF however, was slightly concerned your sidekicks lost their seats in the recent election. Our advice is to appoint and train new aides to become 'mini-me' of yourself . More success will be on the horizon
    This message will self destruct in 5 seconds

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  • Well there you go...it's looks like it's just going to be more of the same deluded drivel. There's nothing to see here....you've never had it so good folks!

    RIP General Practice

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  • Ooh I get all excited listening to hard talking MPs telling us off!
    Hopefully she will be 'tough on GPs, tough on the causes of GPs'!
    Seriously Great British Public, would paying for your own GP care be worse than services governed by people like this?

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  • Oh dear. This is going to end badly. Another well. Turfed politician spouting inevidenced rhetoric.

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  • Actually, she is right. That is what our Contract says.We have to provide appropriate and timely appointments and GMS services as needed, if patients are registered with us. We are Independent Contractors and that is our Contract.
    If we cannot provide the contractual service,for whatever reason, we can and must resign and hand back the Contract. We have no alternative, actually.
    Lack of money, staff, time, doctors etc is not the problem of the DOH, whatever the cause may be.

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  • Mrs Doyle Price has a clearcut diagnosis of FITH disease and would benefit from an urgent brain biopsy- if any viable tissue is left (although the signs that this condition has spread amongst the Tory front bench and beyond has perhaps been obvious for quite some time)
    One of the most common symptoms is 'projection' in that the sufferer tends to appropriate its own major faults onto others.
    Fortunately for others the condition is looking increasingly terminal for the sufferer as others get wise to it, thus preventing its spread.

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  • Chris Kenyon

    She's clearly a genius and will go very very far. What joy it is to be led by these people!

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  • ha bloody ha
    I shall leave it to Richard 'Branston' to clear up this pickle then ?

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  • Oh she"s sorted it. Simply stop drawing any salary and use that money to plug gaps in the service. Was simple all along.

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  • Vinci Ho

    Keep your comments coming

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  • this is what the people voted for. we need to remain strong and not give in - i sincerely hope the likes of chaand and mayur get off their behinds and say something about this in our defence, and be vocal about it.

    i am already telling my patients not to complain to me that they are getting poor service from social/hospital - they voted tory, they need to deal with the consequence - im sick of taking it on the chin for these people who really dont give a toss about their healthcare providers.

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  • I sincerely hope that all of the Thurrock GP surgeries close their list outright & Tell new patients that they go and ask her to provide health services as GP dont want more money and dont want new patients as they cannot look after more patients.

    Time has come for all of us to work to the rule and stop going beyond our call of duty.
    1) To provide number of appointment only as per expected in NHS contract and not one more. All other patient needing appointment can go to A&E if the wish ,as that's not our problem.
    2) All non contracted work to be refused
    3) These patients don't care whether you have worked 12-14 hrs a day without taking a break. All they care about is that they are seen when they want to be seen.
    4) Politician's obviously don't care about us, as all they care is how can they appease public and make popular statements and remain in race for next election.
    SO WHY THE HELL WE KEEP ON BOTHERING ABOUT SAVING NHS. LET IT FAIL, WHY THE HELL WE SHOULD PROP IT UP AT THE COST OF OUR HEALTH.
    I really feel politicians and public in this country don't deserve our extra help and hard work.

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  • Brightondrjohn

    I sincerely hope that Jezza-the-Ripper gets rid of this woman straight away! If they want to completely destroy General Practice then this sort of message will do it nicely!
    I was appalled to see JH being reappointed. Why have they not spent time to evaluate the best candidates to replace the Ministers who lost their local election- their commitment to the NHS was obviously not appreciated locally.
    This is worse than Thatcherism!

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  • Another sound bite without any thought behind it.

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  • They are just an annoying noise in the background and best ignored. Please allow them to get on with making hot air which is a very important job. Meanwhile, on the coalface, I am getting on the mess they cause and looking after my patients as best I can with the resources provided.

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  • Thats the problem, I'm only spending 12hrs at work a day, I must remember to give more...

    ... sorry not happening.

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  • Allforone at 1207...contract says reasonable needs on ltc palliative care those that are ill and believe themselves to be ill on a manner to be determined by the practice...nothing about timely apots...or wpunds or half the stuff we get

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  • Patients who vote tory are like turkeys voting for x-mas.However dont wish Richard'Branston' on us to clear up this pickle.I cant think of anything worse.One off the reasons we are in the mess we are in is the creeping privatisation of the NHS.All for profit but no compassion or care!

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  • Someone f***s up the system and GPs 'fail to deliver'! What is Primary care? A maternity ward ? Should have safely packed his weird policies in condoms if he wanted to avoid an unhealthy delivery.

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  • Do the tories never learn from their mistakes? The public gave them a walloping and they still come out with this drivel, I am speechless, does nobody understand in Tory central office that health was the biggest issue that lost them support?

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  • The government, like multinationals, want increased productivity. If you look at airline pilots pay as an example, it is now rock bottom and for some no more than $22,000 a year in the states.

    There is one big difference and that is that there are a limited number of doctors in the world and 'currently' machines/robots/computers and nurses, paramedics, pharmacists are not able to take over our jobs. Unlike the airline industry where there are a huge number of trained pilots looking for jobs, the medical profession is different. We need to withdraw our contract with the NHS. It is a simple case of supply and demand. There aren't people who can take over our jobs, well not at the moment until Google's DeepMind comes to fruition.

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  • Retirement is better than this shite

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  • Ms. Doyle-Price seems to wish to exacerbate GP Workforce Problems with her ill-considered remarks! She should talk to Sarah Wollaston and think again, starting with an Apology!
    Steve Brine seems more measured and thoughtful, he may be useful and a potential asset.

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  • Vinci Ho

    A government led by so called 'elites' who are supposed to look after the best interests of people .
    Follow very closely the situation of the Granfell Tower inferno. This is from BBC news:
    ' Bunches of flowers have started being left near the fire. One has a card with it which reads: "Love and prayers to the victims and their families. Justice has to be done. People before money. RIP." '

    Many soul searching and questions are to be answered .......

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  • Vinci Ho

    On the contrary, there is certainly no question on how effective the responses of firefighting , emergency and NHS are. More so , the generosity of the local communities helping each other .

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  • well very informative.
    the fact the practice failed wasn't the fact that we had no applicants in 5 years and everybody else had retired and demand was insane. it was down to me all along!

    I was only working every day of the week after all often with ridiculously long and stressful days, obviously I was part of the problem

    stil health minister, that's your problem now as im paid by the hour and will leave GP ing as soon as I can.

    beat the dedication and hard work out of them eh..bound to work

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  • David Wrigley

    Well this doesn't bode well from an incoming new Health Minister - "They must invest in their practices....".

    It says so much that a politician can hold such views and not understand the realities of life in the NHS or general practice.

    Mind you I am sure she thinks the NHS is 'strong and stable'.....

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  • Just received an e-mail from Oxfordshire:? supply and demand reality?:

    The financial package on offer is the equivalent to over £17,000 a session (still to be paid via a limited company, whilst falling outside of IR35), which is considerably higher than the UK average of £9000 per session.

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  • Tory MP shortages are a result of the Conservative government not delivering

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  • dear health minister,
    due to the mess you have made of the primary care system I no longer have a practice.
    I think youll now find it is you that has to invest to pay me a competitive rate

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  • NOT ONE COMMENT TO SUPPORT THIS LADY. NO SURPRISE AS SHE HAS NO CLUE ABOUT HOW GP'S ARE PAID.
    CLOSE LISTS PLEASE AND SEE THE MAGIC

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  • Apparently she is an economics graduate who has worked for South Yorkshire Police and first got elected as an MP with a majority of 90 or so; her current majority is les than 400 and is a drop from the last election.She also advocates hospitals selling off land to housing developers.This to me is far from a glittering resume'.Her thinking is confused and not linear.I wish she would change her name to Hunt.

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  • Yet another who hasn't got a clue! It's contagious.

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  • Sadique Khans joke about Hunt is also appropriate for her.

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  • Again - a complete absence of insight into the problems facing General Practice. It is either wilful or utter stupidity. There did eventually come a point when everyone realised that the Titanic under their feet was sinking - even those clinging to the near vertical stern.

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  • Council of Despair

    i think what she is trying to say is that some Practices take the money from increased patient list sizes and don't then recruit enough staff i.e. they take the money for themselves.

    there may have been a time when this was true but the CQC seems to look into this i.e. ratio of GPs to patients.

    the reality is that many practices have no choice but to take on more patients as they are forced too and they would rather not have the workload as they can not find GPs to recruit or the money given is so poor that it won't attract available GPs.

    the way forward -

    1) close lists if you have reached capacity
    2) more GPs
    3) more funding to make posts attractive

    number 1 can be backed up by GPC if they are willing but 2&3 are the governments job and they are failing.

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  • Well, her perception of GPs not doing enough work is also what the general public thinks. (what, he has a 5 hour lunch break ?) Only 2 options left. Either resign from the Contract and become a locum and get paid for the hours worked. Or change the GP Contract to a fee per consultation. Different Fees for telephone consultation, in hours consultation, home visit and out of hours consultation. No one can then argue that GPs are getting paid and not doing the job.

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  • Outstanding display of ignorance!

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  • AnonGP1 you hit the nail on the head. Fee per consultation is the way to go.

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  • This could be used for the next Labour campaign on the NHS?! You couldn't make it up! "Out of touch. Incompetent. Inept. Clueless. Dangerous." This quote could end up in lights. A Tory aid firing broadsides at themselves! Genius.

    I didn't want Corbyn but this is insane!

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  • Maverick

    HaHaHaHaHa...
    Sweet Jesus, I can't believe I'm reading this. What planet does she come from?
    What was the number of that truck drivers school.... I might need that number...

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  • AlanAlmond

    I guess if you accept a contract you are actually obliged to carry it out. We need to grow some balls and start saying no. We're in the mess that we are because we have continually agreed to pretty much anything that's been imposed ..all we do is say 'yes...' and then moan about what we've agreed to do. No wonder half wits like this woman get totally confused..why do we think contracts don't apply to us like everybody else. The error lies entirely with us for agreeing to a set up which completely shaft us..how weak and utterly stupid is that? Why do we continually comply? Greed of a few? Trapped and no way out? I don't know ..the consequence is the lack of fellow idiots prepared to be GPs..those left behind continuously saying 'yes' are either trapped or stupid ..which kind are you ?

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  • These people were picked by Jeremy Hunt. Dan Poulter couldn't agree to do his bidding and was relegated to the back benches . Madame Doily-Carte is simply obeying and kissing Jeremy's Hamster.

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