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At the heart of general practice since 1960

Submit your questions for Dr Kailash Chand

We will be hosting an online Q&A with BMA deputy chair, and retired GP Dr Kailash Chand today and would like you to submit your questions.

Dr Chand is one of the heavy-weight hitters of the profession, and he has had to defend general practice from what seemed like constant attacks this year.

He has taken the Government to task over extreme funding pressures, a recruitment and retention crisis and patient care ‘being compromised by an NHS which is close to breaking point’ this year.

The hour long chat will take place from 2pm, and you will be able to put your questions to him about the burning issues facing general practice ahead of next year’s general election.

To make sure you get to pose your question to Dr Chand then leave them in the comments below, tweet them to @pulsetoday - and don’t forget to use the hash tag #AskChand - or send them to us at feedback@pulsetoday.co.uk.

Readers' comments (6)

  • Given that GPs are being brought to their knees by rapidly escalating demand, resource cuts, a recruitment crisis and over-regulation, how can we take back control of out profession?

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  • General Practice is being destroyed and a new integrated salaried model is being proposed by Andy Burnham. Does he agree with him?

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  • I know you are never going ask the following questions but ...

    1. why are alternative models of care never discussed?

    2. given a trillion pound UK deficit why is the BMA/GPC plan to only ever complain and ask for more money? Don't you have any other ideas?

    3. Given that the BMA/GPC is unable to take any industrial action - then what use is the BMA as a union.

    4. why does the GPC cave in on most / all government initiatives?

    5. Can you name one successfully negotiated concession from the government that the GPC has made?

    6. Is the NHS more important than the profession?

    7. How long to you think general practice has to go?

    8. would you advise your family and friends to be GPs?

    9. Can we trust any of the political parties?

    ....

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  • To increase funding to General Practice will only result in taking it from somewhere else in health. More money can not be the answer. Loosing doctors to other countries or working part time to preserve ones sanity is incredibly expensive. Can the BMA, much like the aviation industry develop standards of working practice so that we can continue to deliver high quality care? EWTD do not account for intensity and are something no GP has ever been able to adhered to. Our roles must be defined more narrowly or our contact changed to mirror the other 92% of the NHS budget, where if you see a patient you get paid. Not the impossible task of being able to cater for 3 to 5 consultations a year and then manage increasingly complex, chronic and ageing patients on top of whatever acute issues they may have. Specialists are amazing at what they do, but the second a patient has more than 1 condition it must be a genetalist that leads that care, so I agree GP is key to this but at the expense of what, acute care, number of appointments (this takes more than 10 minutes), immunisations, phlebotomy, smears? It is QoF that has made us focus on chronic disease at the expense of acute and A&E know all about that. Collectively as GPs we say yes, we do not say in our contracts that we will set limits to the amount of time we will spend in patient contact or doing their admin a fundamental that is key to our future ability to make good decisions for our patients, can the BMA focus on this first to slow the haemorrhage of doctors?

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  • So in short, not 90% of patient contact for 8% or even 11% of the budget but rather 70% of contact for 8%. Contact have risen in GP from 300M to 350 or 370M a year for a reduction in proportional funding, so I think a reduction in our work load is very justified and when we have the doctors to once again cater safely for 90% we will.

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  • Una Coales

    1. As you were recently shortlisted as a Labour candidate for the Heywood and Middleton by-election, do I take it you concur with Labour shadow health minister Andy Burnham's plan to strip GPs of their independent status and make all GPs salaried? As you recall, in 1948 private GPs agreed to work for the NHS as long as they could maintain independent contractor status.

    2. As deputy chair of the BMA, what direction is the BMA taking NHS GPs?

    3. And perhaps you can explain why as deputy Chair of the doctors' trade union, you are not balloting NHS GPs on some form of industrial action as Unison and others have for their NHS healthcare workers? The Chair is a hospital consultant, so as a retired GP and deputy Chair of the BMA, you have a better understanding of the insurmountable stress GPs are under with more work for less pay?

    4. And finally what does the BMA plan to do for BME GP trainees? This evening I received a tweet from a female BME who has failed CSA 3 times and spent £7k on exam and course fees. In her mind, she does not think the exam is fair and asks what she should do? With student government loans approaching £100k to study medicine for 5-6 years, surely it becomes an extremely high risk venture for a BME doctor to pursue GP training when the CSA exam fails UK BMEs 4x more than UK whites and when the GMC hands out sanctions to UK BMEs twice as often as UK whites. A BME cannot afford to pursue general practice with such a high risk career breaking exam, a huge debt to repay and a more punitive GMC for being a BME?

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