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Should GPs be paid per consultation?


Dr Mcarron-Nash, You are right to say that paying GPs by the number of consultations is not original because it is use is extensive in the rest of the world where better outcomes are achieved, conveyer belt or not. The fixed price model is burying GPs in an avalanche of unfunded work. Only once the growing consultation rate is acknowledged, will it be subject to the universal laws of supply and demand and I would expect deprived areas to do well where acute consultations for self limiting disease are common. GPs are already under tremendous pressure to race through appointments, at least funding consultations would bring in new funds rather than limping on with the broken all you can eat model. You are right to say general practice is under strain from tinkering, what we need is is real reform which the GPC is failing to deliver.

Posted date

27 Jun 2014

Posted time