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GPC leader urges GPs to fight polyclinics
13 Aug 07
GPC chair Dr Laurence Buckman is urging GPs to oppose plans for NHS polyclinics, claiming they will mean the death of small practices offering personalised care.
Dr Buckman spoke out after NHS London announced it is to hold a major consultation over health minister Lord Darzi's plans for a sweeping change in GP and hospital services in the capital, which may become a model for towns and cities up and down the country.
The newly elected GPC leader, himself a single-handed GP in Barnet, north London, claims that bringing GPs together in large premises covering wide areas will deprive patients of what they need most – individualised treatment from a GP they know and trust.
Patients attached to a polyclinic may have to see a different GP each time they visit, he added.
Dr Buckman said: ‘Patients want a particular GP for a particular need. You would not get that in a polyclinic.’
The GPC chair also criticised the man behind the plans, Lord Darzi, who is also heading up a wider review of the NHS for Gordon Brown, which is expected to expand the idea of polyclinics.
‘He is a surgeon and he is giving a surgeon’s view – that all GPs are the same and they are just people who issue certificates. He does not realise that personal care is what patients really want. He wants healthcare services to have better premises and facilities – and of course I would agree with that. But it seems that he just wants to close things to save money.’
A spokesman for NHS London said: 'There is absolutely no intention of forcing GPs into polyclinics. In fact there are a number of GPs who have approached PCTs and NHS London and said that they liked the idea. They wanted to know more about it.'







Readers' comments
WE NEED TO REFELECT AND NOT HAVE A KNEE JERK REACTION. General practice is changing with increasing PT and females in the pool. The traditional concept of the GP, except for continuity of patient care, no longer holds. Whether we call them polyclinics or 'super surgeries' is semantics. We do need to look at supply and demand and move away from the dearly held concept of GP autonomy. The time has come where not only the Govt but the public expects 24/7 access. So larger buildings with 'salaried' doctors is the way forward. The next stage is to question the status the GP should be paid. As under EU rules we are specialists, we should have the same pay scale and privileges of our consultant colleagues.
One of the unique features of GPs in UK is their personalised care for patients and continuity of care. This has slowly been eroded by the current changes in NHS. If polyclinics are allowed to be formed and if it does slowly start to replace smaller practices, we will look back one day and wonder what happened?