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A faulty production line

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Headline

Landmark contract deal cuts QOF by 40% and boosts global sum - but will force GPs to publish their pay

Comment

The new contract does not (if not worsens) address the 2 main issues that I, lowly GP, think are the biggest blockers for us to provide excellent care. 1) Demand 2) GP numbers My first taste of GP land was in the 80's, own on call, lots of visits but manageable numbers in surgeries excellent care and rapport. Since becoming a GP myself in the 90s i had a very short taste of that then co-ops made life a whole lot different just as the demand increased, work flowed from hospitals and surgeries became unwieldy and patients increasing in numbers, complexity and contacts but we coped. 2004 heralded the QoF and for a while this seemed ok, we had guidance, a good working relationship with hospitals- locally. Then C+B and 'Dear Team' instead of 'Dear Tom' letters. Shared care 'dumping' agreements, salaried partners, more QoF, unrealistic patient demand as DH asked for 48 hour access and more, extended hours, all to punish us for a 'flawed' contract. Yearly decreasing income, more work, population increases, the press and government concocting an A+E crisis of the GP making so that they can impose further contract changes. So neither the government or GP 'leaders' want to stand up and spell out the truth. There aren't enough GPs to cover primary care to the level of demand that the patients 'want'' becasue of the governments PR department and the increasing complexity of medicine. And no one is about to pay for more. Good luck to every GP in this country, do your best for the patients knowing that you cannot give your best under political leadership.

Posted date

15 Nov 2013

Posted time

5:04pm

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