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Doc Martin could soon be a thing of the past


The founding fathers of the NHS did not nationalise the GP's because they didn't think they would be needed once everyone was healthy and doing the decent thing and die at 66 before they used the services! The Collings report published March 1950 was the catalyst for the formation of RCGP yet GP's still don't have specialist recognition. The Dr Findlay model is remembered by those from their childhoods who are now entering the autumns of their lives and expect that sort of service. Sadly the system has not supported care in the community even after Keith Joseph tried in 1973 and every iteration of NHS planning is to shift care into the community. The resources never follow because the savings are assumptions and aspirations that get signed off at Board level yet never materialise. The move to any form of ACO ACS or whatever TLA(three letter abbreviation) can be thought up to 'save' the NHS will require GP's to be salaried and standardised and interchangeable so the patients get McDonalds medicine rather than the Michelin star they desire. There is no real career progression for the Dr Martin GP, no long service medal and no recognition of seniority. The job is very much the same on the last day as the first. The doctors that do portfolio jobs or enter medical politics either the GPC route, RCGP or NHSE seem to weather the storm that is modern primary care but not without effecting coalface provision. There needs to be another Collings report for the public and the purse string politicians to open their eyes to what is really happening and react before it is too late.

Posted date

13 Feb 2018

Posted time