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Gold, incentives and meh

Nine in ten GPs think Jeremy Hunt should go

Exclusive Almost 90% of GPs believe that Jeremy Hunt should step down as health secretary, a Pulse survey reveals.

The poll of 817 GPs found that 87% of the profession believed that Mr Hunt should resign or be removed from his post, while more than 95% said they did not have confidence in his ability to manage the health service.

Just 19 GPs (2.5%) said they did have confidence in the way Mr Hunt was managing the health service, while 48 (6%) said he should not be removed from his post.

GPs responding to the survey said Mr Hunt - who became the longest serving health secretary since the establishment of the NHS this week - was described by respondents as ‘rigid’, ‘arrogant’ and ‘statistically illiterate’.

It comes as Mr Hunt has been heavily criticised for his imposition of a contract on junior doctors and his plans for a seven-day NHS, becoming the first health minister to preside over an all-out strike by the profession.

The LMCs Conference next week in London is set to debate a motion of no confidence in the health secretary, calling for his ‘immediate resignation’ - following a similar motion which failed back in 2013.

GPs have criticised him for pressing ahead with routine weekend GP appointments despite the evidence revealing a lack of patient demand, while his ‘new deal’ for general practice was described by the BMA annual representatives meeting as putting the ‘very existence’ of general practice in danger.

The General Practice Forward View has been more warmly received, despite a lot of scepticism, but was notably announced by NHS chief executive Simon Stevens, with very little input from the health secretary.

However, the main criticisms against Mr Hunt focused on his misuse of scientific data, specifically regarding the drive towards seven-day services. 

Dr Alison Bonavia, a partner in Hartlepool, said: ‘It feels as if the message to the public is being manipulated both in terms of the statistics/risks quoted and also that the issue is about rate of pay on Saturdays - this is not the overall concern of doctors.’

Jeremy Hunt’s questionable use of ‘weekend effect’ data

emergency admissions square PPL

emergency admissions square PPL

emergency admissions square PPL

The survey findings come as major new studies reveal that statistics used by health secretary Jeremy Hunt to justify the Government’s push for a seven-day service may be inaccurate.

Mr Hunt has repeatedly quoted the ‘weekend effect’ in his arguments for the Government’s mandate to provide a 7-day NHS, saying that greater staffing levels at hospitals over the weekend could prevent 6,000 deaths. The statistics quoted by Hunt are based on a study published in the BMJ in 2015 by Professor Nick Freemantle.

But four new studies over the past week have revealed that in fact, fewer patients die after being admitted to hospital at the weekend, with academics claiming that the Government’s push for a seven-day service is ‘fixing a problem that doesn’t exist.’

Two studies in the Lancet state that the weekend effect is a ‘major oversimplification’ of a complex pattern of weekly changes in quality of care which are unlikely to be addressed by just increasing the availability of hospital doctors on Saturdays and Sundays.

A further as-yet unpublished study found that studies demonstrating the ‘weekend effect’ have been based on flawed coding.

Dr Serena Jones, a partner in Herefordshire, said that Mr Hunt’s unwillingness to engage with doctors on the matter of seven-day working and the junior doctors’ contract had seen ‘everyone lose respect and confidence in him.’

She said: ‘He appears ignorant and doesn’t seem to want to hear about the struggles we all face.’

Referring to the ongoing row between Mr Hunt and junior doctors, London GP partner Dr May Cahill warned that Hunt’s dismissive attitude towards doctors’ concerns about the changes to the NHS, had alienated the next generation of health professionals in England.

She said: ‘His general attitude towards the profession and his decision to impose a contract on junior doctors that is going to ruin recruitment and retention. He is the first health minister in history to preside over an all-out strike by doctors. I can’t understand why he is still in his job.’

Other GPs argued that while Mr Hunt was unpopular with GPs, criticisms should also be levelled at others in Government backing the seven-day NHS plan, including the Prime Minister and the chancellor.

Dr Julie Draper from the Wirral argued: ‘[Mr Hunt] is doing what he is able to within a very limited budget and increasing demand. It must be remembered that he is just the face of the health service management and the majority of the policy design and implementation is done by civil servants not the health minister.’

The Department of Health spokesperson said: ’As any credible pollster would tell you, a self-selecting poll can always be expected to skew towards the negative. Given that these questions were sent to several thousand GPs, this would suggest a high proportion expressed no negative view.’

Do you have confidence in the way the health secretary is managing the health service?

Yes: 2%

No: 96%

Don’t know: 2%

 

Do you think Jeremy Hunt should resign or be removed from his post?

Yes: 87%

No: 6%

Don’t know: 7%

The survey was launched on 28 April 2016, collating responses using the SurveyMonkey tool. The 24 questions asked covered a wide range of GP topics, to avoid selection bias on one issue. The survey was advertised to readers via our website and email newsletter, with a prize draw for a Samsung HD TV as an incentive to complete the survey. A total of 817 GPs answered this question. 

 

Readers' comments (41)

  • Oh Dear, Felix.

    What a load of rubbish you are talking.

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  • He has made a mess of the NHS--why was he appointed in the first place and why is the PM not adding his comments--he remains silent when he sees never heard of strikes by junior doctors.

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  • I did not vote in the survey, but I would be willing to count myself in the "13%". Some of my fellow professionals therefore believe I must be a drug abuser, an "ass licker,prostitute,traitor or parasite". Someone, hiding behind the skirts of anonymity, presumes I must have "significant mental health issues". I sincerely hope this individual does not have to treat patients who genuinely suffer from mental health issues.
    We may be entering the terminal phase of a concept that worked in 1949 but is totally unsustainable for the disease and demographics if the 21st century.What we need at this time is incisive debate about positive alternatives, not infantile invective.

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  • Vinci Ho

    Take it easy , folks . Politics is never meant to be a game for normal human beings anyway. Agent Hunt has already made himself a 'household' name any I am sure if he writes his biography when he eventually leaves politics , the book will be still 'popular' . For that he could call himself already a winner!

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  • Bob Hodges

    Hi Robin

    Firstly, "What we need at this time is incisive debate about positive alternatives" - isn't THAT the job of the Secretary of State for Health?? Something Jeremy Hunt has had longer than anyone else to do??

    Secondly, "We may be entering the terminal phase of a concept that worked in 1949 but is totally unsustainable for the disease and demographics if the 21st century". We if you can name a country in the developed world that feels like it has a sustainable and affordable healthcare system, I'll give you a unicorn. When you consider that we spend a smaller proportion of our GDP in health than ANY other comparable nation (with the possible exception of NZ), we're starting from a position of relative strength, and in no way have you given a reason when the publicly funded healthcare without all the insurance nonsense is not every bit as applicable to the 21st Century.

    p.s. Add my name to the 'almost 90%' list.

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  • A new health secretary or even government won't make any difference. There are a hundred reasons why the job of a GP as we know it can't continue. It is an increasingly high risk job. Get out now. Do you want to end up in court or in front of GMC taking personal responsibility for a failing system. Locum, get a an appraiser job, help out at the CCG, retire, work part time, work in A&E, find something else to do. Look out for the patient in front of you - don't take on responsibility for the patients you do not have time to see safely. Look after yourself.

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  • Its the poor and vulnerable who will suffer .. These politicians can afford the private care.

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  • He is Mr Teflon isn't he?!!! I think he believes he is untouchable - he has no insight into the damage he has caused, and will undoubtedly continue to cause if left to his own devices.

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  • Who cares as long as CCG employs us and we can earn £250 k from a £300 per patient list and get more from the new list adjustments for elderly and live in beautiful Dorset .

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  • Mr Hunt = Proctalgia fugax IMHO

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