This site is intended for health professionals only

At the heart of general practice since 1960

pul jul aug2020 cover 80x101px
Read the latest issue online

Independents' Day

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.


NHS England enforces 1,001 patient list size limit on GP at Hand in Manchester


'In 1975, our 3 GP practice in Sussex had a combined list size of 7,500 patients - 24 hrs coverage, including out-of-hours calls and visits, was the norm on a 1:3 schedule, as was the Saturday morning surgery - a round of home visits was the norm Monday to Friday. Sunday was on a call-out basis. The practice had 2 receptionists and 1 bookkeeper. None of us were burnt out or 'demoralised. What happened? You tell me.' The demand went up. When I started in 1988, the number of consults per patient a year was about 3. It is now about 8. The advent of mobile phones has made Primary care instantly accessible so the work is far more. When I was a houseman, I did a 1:2 rota with 1:1 whenever my colleague was on holiday - so 2 weeks in a row. No-one would suggest that my job then was harder than juniors now doing their shift work as I was covering only my wards and was massively protected by the night staff nurses so did get to sleep. Comparing now and then is comparing chalk and cheese.

Posted date

30 Dec 2019

Posted time