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GPs could be asked only to focus on complex patients, suggests NHS director


Martin Great idea, but who will take care of the so called non complex patients. Many opportunistic diagnosis takes place when patients attend for "non complex" visits. Also the UK primary care workforce does not have enough qualified nurse clinicians or other practitioners to work with Gps in looking after acutes. These colleagues may have independent prescribing rights and may be very good at identifying and treating acute conditions, but will never take full responsibility for their patients nor do they have the qualifications and knowledge to address broader Healthcare needs and will only feel comfortable in working with a GP who the buck often passes into when things go wrong . I am aware that you have been appointed into this new role and you want to make your mark, but making a statement such as what you have simply causes more turmoil with some half baked civil servant or politician thinking that is a great idea and making further nonsensical changes to the GP contract .Do not destroy one of the biggest assets that the NHS has which no other country can boast about - NHS general practice that is still the most cost effective healthcare service (per episode of care when compared to community services or hospital services).in most areas the health communities cost to see a GP is cheaper than going to A&E, all secondary care out patients , a Physio, audiologist, District nurse or community matron episode). Rather increase the number of community based hospital consultants who would be able to be based in the community with their GPs and would be able to even more effectively manage Chronic Diseases. Cheaper to have our Good consultant colleagues In the community rather than in the ineffective Acute Trusts system that currently chews up PBR tariffs ineffectively. Please think carefully before making such statements and consult with frontline GP colleagues rather than far removed academics !

Posted date

09 Jan 2014

Posted time