This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

A faulty production line

Report this comment to a moderator

Please fill in the form below if you think a comment is unsuitable. Your comments will be sent to our moderator for review.

Report comment to moderator

Required fields.

Headline

BMA calls for 'urgent analysis' of NHS 111 but doubts emerge over its figures

Comment

The whole sorry affair is a direct result of failure to invest in an expansion of primary care. The 2004 contract recognised that the whole system was under duress and gave us big pay raises to shut up. This gesture was not accompanied by any forward planning, but did result in many alternative, very expensive initiatives ( community matrons, NHS direct, walk in centres, increased numbers of paramedics, increased role for pharmacists etc) each of which was incapable of meeting the objective of getting it right first time. The net result has been the creation of a tidal wave of unsatisfied need with an escalation of the concept of urgent as being something NHS111 cannot deal with right now: Semi skilled people making semi skilled decisions leading to grave errors each of which adds burden to an overheated system. There is no short term answer, as there is no spare capacity in the system. Long term solutions include a massive expansion of primary care paid for by getting rid of the very costly alternatives which have been put in place in order to avoid making such an investment.

Posted date

04 Feb 2015

Posted time

10:51am

required
required
required