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Headline

Of course GPs in A&E won't improve access

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Another side to this is that GP's are voting with their patients feet, so to speak. Up and down the country more and more GP's are being more resilient and saying enough is enough, and directing more patients to walk in centres or casualty, as they're overwhelmed by their workloads of over 10-11 hour days. We used to take pride in providing comprehensive continuity of care. But it's no longer possible. Certainly NHSE's drive is towards fragmentation of care, and getting numbers of patients seen by any clinicians possible. It's about quantity of care and no longer quality of care. We also need to stand strong and repeatedly tell patients "we're not an emergency service, go to casualty", once our appointments are taken. It remains to be seen how strongly the BMA will push the idea of a maximum daily workload for a full time GP, and whether hair shirted and cardie wearing GP's will accept this. I hope they will, even if it means it is detrimental to patient care. It'll be positive for the GP's health. It might mean some of these GP's will have longer careers, and NHSE can't complain they weren't warned, as A&E is overrun with even more of what were Primary care patients.

Posted date

25 Mar 2017

Posted time

5:46pm

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