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My three tests for the new GP contract


My concern is that the £2.4billion promised to primary care is the same amount missing from the social care budget. Will the expectation be that Primary Care will have to fix the social care problems as well? The Five Year Forward View is almost half way and on the ground not much has changed. The Vanguard and Devolution schemes cost more to manage and the only bright hope is the Primary Care Home from the NAPC but that too needs funding to survive. All the models are pushing the profession into a fully salaried system but will kill off continuity of care and the personal doctor/patient relationship. The push for 7 day working means spreading everything thinly into shift like working. What should be commissioned is an urgent care system that meets patients expectations. Patients only know two places to access healthcare GP's or A+E. Rather than adding complexity and competition have proper triage at the front door and have the right skill mix to deal with the urgent care. Long term conditions need more time to be dealt with properly as well as the forgotten about prevention agenda. The new contract will have a sting in the tail to do more or lose funding.

Posted date

02 Feb 2017

Posted time