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Care ‘good’ at only half of OOH providers

16 Feb 2012

Exclusive: Just half of GPs regard the clinical care offered by their local out-of-hours provider as ‘good' or better, significantly worse than their view of hospitals, Pulse's survey found.

Some 48% of respondents gave their out-of-hours provider a positive rating for clinical care – 31% good and 17% very good – compared with an equivalent figure of 64% for hospitals.

Clinical care was rated ‘acceptable' by 42% of GPs, ‘poor' by 8% and ‘very poor' by 2%.

Some 18% said they believed their patients had received care in the last 12 months that was ‘dangerously sub-standard', and 3% said they believed one of their patients had died in the last year potentially as a result of sub-standard out-of-hours care.

One GP in the Thames Valley said: ‘Recently out-of-hours doctors have been advising patients to see their GP at the next surgery. A child with haematuria was later diagnosed with a renal tumour.'

Another GP in the South West added: ‘We have raised a worrying incident with the out-of-hours provider and it has pledged to address the shortcomings identified.'

Dr Chaand Nagpaul, GPC negotiator with responsibility for out-of-hours care, said many problems lay with the way national quality requirements were being monitored.

He said: ‘I suspect many providers haven't been adequately performance managed.'

READERS' COMMENTS

Anonymous, Work for third sector,
16 Feb 2012
how many of the GPs surveyed actually make themselves available for OOH shifts?
the best service is when local GPs commit themselves to a regular OOH shift so they are part of looking after their own patients.
Not having enough GPs willing to work means that OOH shifts are pressured and existing GPs even less willing to work. I can name whole towns where not one GP works OOH.
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Anonymous, GP Partner,
16 Feb 2012
I pay 30% supperann, 50% tax and then Ni do the maths, why would i take on this very high risk work for effectively no extra income?
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Anonymous, Work for health provider,
06 Mar 2012
One GP in the Thames Valley said: ‘Recently out-of-hours doctors have been advising patients to see their GP at the next surgery. A child with haematuria was later diagnosed with a renal tumour.'

This is a national disgrace and something must be done I say! I spoke with my employers and to a man( and woman) they both said that this child should have had all the relevent bloods checked, ultrasound scan and cystoscopy straight away and the diagnosis presented to them the next working day by these so called doctors. I think the Daily Mail is quite right to highlight the shortfall in the service pain for by hardworking tax payers like me.
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