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GPs buried under trusts' workload dump

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1. Reverse mpig cuts and pms disinvestment 2. Allow gps to be part of the early retirement cohort with full pension at 60. No one can do this crap till 70! 3. Invest more in primary care to provide a reasonable service ala pay per consultation. I don't really care who pays. This is the only way to control demand and allow investment dependant on demand. Get rid of this free at the point of use ingrained ideology and capitation based payment. 4. Remove the appraisal, revalidation, commissioning , Cqc rubbish. 5. Make primary care simple. Treating patients medical needs only. Stop expanding gp remit into untrained stupid areas. Eg social care and plumbing! And reduce the number of les/des. 6. Remove all targets. Yes, still monitor to inform on performance but targets skew priorities and by good patient centred care, most targets will be achieved anyway. 7. Start looking after your workforce. When I first started working in the Nhs in the 90s, there was an acceptance that you worked hard, did crazy hours and didn't earn as much as in other countries with private healthcare. But you were looked after by your nhs family with sound pensions and a good working environment. A fair trade off compared to the current abuse by a monopoly employer. 8. Invest in primary care to allow 15 min appointments as a minimum to provide better care and job satisfaction. 9. Define core services and stop gp land being a dumping ground for unresourced work. 10. Bring back a gp contract which is an actual contract that can't be changed unilaterally Action the above and not only will you have a great nhs but happy patients and doctors. Crisis solved.

Posted date

09 Mar 2015

Posted time