This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

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.


Half of PM’s seven-day GP access pilots have cut opening hours


It is really unfortunate, not to say irritating, that Pulse can't get it's facts right and seems to wish to pander to negativity of their readership. First of all the CCG is not paying people to do these sessions, and did not set the pay scale. The GP federation is. Actually I think the GP Provider Federation have pithced the price at about the right level. Secondly, our pilot showed a 14% reduction in A&E attendances, not 3% as reported. We did not impact on unplanned admissions, but the pilot was not set up to do so. We need whole system change to coordinate Primary and Secondary Care to reduce unmplanned admissions and through other schemes may be begining to achieve this (it's early days). It is a separate initiative, which builds on and incorporates extending hours. The so called 'First Response' initiave. Again, no-one would ever earn what Peter Graves [mischievously] suggests as there aren't sufficient extended hours in a week to work the exquivalant of full time (37.5hrs) face to face patient contact. Extended hours payments take into account unsocial hours and local pay scales. It is normal for demand to fluctuate during the week, and over the seasons. We've just been through May June July August and September. Let's see what happens over winter before dismissing extended hours as part of the solution. Finally, the prupose of extended hours, as well as seeing patients that need same day access (but can't get it through their practices), is to be able to allow people who can't get to their GP during normal working hours. People who work, or have carers who work, or have other responsibilities. Finally finally, GPC have just published a paper asking for more capacity in GP, greater investment, and better responsiveness to patient need. Extended hours delivers on exactly these. It is also a platform for doing so much more in Primary such as diagnostics, some secondary care activity, multidisciplinary team work. These initiatives will release more activity from acute trusts and support further investment in Primary Care. It's a shame Pulse journalists can't see this So, we need more money [YES]. We need more doctors and nurses [YES]. So lets make the case and put it to the Government in a sensible way. I notice that some are discussing resignation - Really?? Again??

Posted date

29 Sep 2015

Posted time