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Gerada under fire over health bill talks with Labour

By Gareth Iacobucci | 13 Jan 2012

Exclusive RCGP chair Dr Clare Gerada has been criticised for holding talks with shadow health secretary Andy Burnham over a ‘plan B' alternative to the Health and Social Care Bill, as council members claim the meetings compromise the College's politically neutral stance.

The RCGP was among around 40 health organisations at an initial meeting with Mr Burnham before Christmas to discuss opposition to the health bill, and a second meeting was held with the medical Royal colleges this Wednesday, with Dr Gerada attending both meetings in person.

It comes as an RCGP poll of 2,600 GPs this week finding that 98% support the college calling for the health bill to be withdrawn as part of a joint approach with other medical royal colleges – and 90% supported it calling for the health bill to be withdrawn even without wider support.

Dr Gerada told Pulse that she was now unlikely to attend further meetings with Mr Burnham amid concerns the college could be seen as too closely aligned with the Labour Party.

She said: ‘I don't think there will probably be another meeting with Andy Burnham. It's been a good catalyst to get all the medical Royal colleges together but I wouldn't think it is appropriate for us to meet again through him.'

'There's a dividing line between talking to them, and talking with them. The most important thing is to make it work for patients.'

Dr Una Coales, a GP in Stockwell, south London and RCGP council member, said the talks with Mr Burnham were ‘not appropriate.'

She said: ‘It's good if she has decided not have these meetings.'

‘The College is supposed to be political party neutral, and not really supposed to be involved in politics.'

The BMA was also represented at the initial meeting with Mr Burnham before Christmas, but an official attended and no senior doctors were present.

READERS' COMMENTS

Jobbing Doctor, GP Partner,
13 Jan 2012
Do remember that Dr Coales is a strong Conservative party supporter (self-confessed) and therefore this is not an impartial comment.
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David Brownridge, Sessional/Locum GP,
14 Jan 2012
Beware the divide and rule strategy of politicians. Note how the BMA is being side-lined.
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Kailash Chand, GP Partner,
15 Jan 2012
Clare is totally justified in talking to anyone as she has the insight to know no what Lansley's reforms will do to the NHS in general & Primary Care in particular .She been chosen as true Champion of General Practice and she is doing her best to defend the interests of GPs & patients alike.The Health & Social Care Bill will affect us all, our families, and our children,our jobs,our relations with patients . This is above politics, it's about social justice. The most vulnerable in our society will suffer from this bill. Lansley's reforms will set us apart from other UK nations, will affect the disadvantaged badly, the old and the mentally ill will not fare well on a system predicated on private commissioning and competitive secondary care provision. The public health agenda,would be one of its causality.
Overwhelming majority of GPs want the Health Bill to be dropped and there is nothing wrong in talking and participating with any organisation or groups to seek the best way to do that.
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Anonymous, Sessional/Locum GP,
16 Jan 2012
I think that GPs have made their opinion known (ie they don't want the Bill) and the Chair should talk to any- and every-one that can help to achieve this goal. This clearly includes the opposition.
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Dermot Ryan, GP Partner,
16 Jan 2012
It is an unfortunateate fact that all politicians come at health care from the point of view of garnering votes an pretending they care; Andy Burnham is no better than Andy lanseley: neither comprehnd the probelems outside their own narrow political beliefs and all prospose solutions which simply do not stack up. David Camerons ill informed statements about the provision of telhealth solilutions have as much sense as Tony Blairs great NHS computing for health project. If we wish to undrstand true socialsism look no further than Cherie Blair's back for private health organisations. We need to take timeto explain to the public what works and what des not and build popular support that way, although trying to gain any consistent media coverage appears to be well nigh impossible.
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Anonymous, Sessional/Locum GP,
16 Jan 2012
How many council members are opposed to Dr Gerada's actions? You mention Dr Una Coales, a well known (in medical circles) member of the Tory party. How many others are there?
It is clear from the RCGP survey that an overwhelming majority of RCGP members are very against these reforms. If other members support these reforms they have only themselves to blame for not participating in the survey.

I see nothing wrong in what Dr Gerada has done. She has spoken to both the government and to Mr Burnham to argue on behalf of patients. That is entirely appropriate. I would expect nothing less of her, in fact.
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Lucy Reid, PCT,
16 Jan 2012
The decision to have discussions with the opposition when opposing the government's planned reforms, having already met and discussed concerns with them, has nothing to do with politics and everything to do with necessity. Lansley has been told countless times of the lack of support and is not listening. He's claimed that the latest RCGP vote is not a proper opinion poll and therefore irrelevant. He lives in a parallel universe and cares nothing for the views of either professionals or patients. If the only way to progress these concerns is to meet to discuss them with the opposition then so be it.
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Brian Fisher, Sessional/Locum GP,
16 Jan 2012
Clare needs to do what is best for patients. It seems to me that she has fulfilled the constitution by talking to both sides. Her stance on the Bill has been endorsed by a huge majority of responders so - you have the backing of the profession. The next steps will be to work towards GPs walking away if the Bill does actually get passed. We could still make it unworkable and force a far more sensible design that would actually meet the needs of the NHS right now.

Brian Fisher
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Marie-Louise Irvine, GP Partner,
16 Jan 2012
Clare is doing the right thing. She has the support of the majority of GPs. It is wrong to accuse her of being political merely for talking to politicians. The issue is already highly political - it amounts to the repeal of the founding act of the NHS - so any involvement in opposing it is inevitably political in that it is part of the political realm. I would expect no less from a leader of our profession. What really concerns me is the statement that the BMA did not send a leading doctor to meet the labour team. Why on earth not? It is supposed to be campaigning against the bill and the BMA certainly can never be accused of being too political given that is part of its role to be political. Yet it shies away from engaging with the opposition in developing a campaign against the bill.

It should be leading the campaign against it. it should call for a national demonstration along with the other health unions against the bill.
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John M. Orchard, GP Partner,
06 Feb 2012
I am appalled by the RCGPs increasing political posturing. A sample of Dr Gerada's friends does not constitute an opinion. As one one only 300 Fellows by Assessment why am I never asked to vote on these political statements or for that matter on the choice of Chairperson. I have supported the College as the champion of standards in practice, however, I totally disagree with all its political statements. Steve Field at least occupied the middle ground. For too long the RCGP has tended to loony leftwing London centric opinion. It is time the leadership was reminded of the purpose for which the college was established.
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Anonymous, Other healthcare professional,
15 Feb 2012
I do not view Dr Gerada's position and action as political posturing at all. I am sure she has met with Andrew Lansley and members of the government such as Simon Burns over previous months and for all I know the Lib Dems. She should feel free to speak to whomsoever she sees fit in the cause of standing up for patients and the continuation of high quality properly regulated general practice. If you want to influence national policy you will be speaking to politicians - whether you publicise it or not. She has been completely transparent. Being President of A royal college is a political role albeit not party political. If you want to further the cause of the profession it is essential to be a good politician. If you want to be effective you will get the media, politicians and others trying to take a swipe at you. I see Dr Gerada as having been consistent in her professional approach, having listened carefully to her college members and acted according to their views despite the detractors here.
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