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Independents' Day

Hopes and fears for 2013

Pulse asks GP leaders what their hopes and fears are for the coming year


Dr Paul Cundy, chair of the GPC’s IT subcommittee

Hope: That they don’t muck around with my pension any more

Fear: Not surviving the year.


Peter Swinyard, chairman of the Family Doctors Association

Hope for 2013: For the Government to come back to the table and really to talk to us and engage with us.

Fear for 2013: That they won’t.


Dr Charles Alessi, NAPC chair

Hope: I look to 2013 as the time we discover quite how valuable primary care is.  I feel many have overlooked the fact we have one of the most skilled work forces in the world and one which manages clinical uncertainty better than most.

Fear: CCGs are autonomous organisations and need to reflect the aspirations of their constituents which are practices and the needs of their populations.  My fear is the behaviours of old around top down direction will persist.


Dr Maureen Baker, RCGP honorary secretary

Hope: GPs can find ways of working that allow them to cope better with the pressures we face

Fear: A flu epidemic or some outbreak of disease that puts a lot of pressure on GPs


Dr Michael Ingram, a GP in Hertfordshire

Hope:  That 2013 will unite GPs to deal with the issues we face. 2013 will bring many GPs one year closer to retirement.

Fear: I fear the NHS is in for a stressful 2013. I am not sure how we can handle it.


Dr Barry Moyse,  a GP in Taunton and assistant medical secretary of Somerset LMC

Hope: People going through revalidation will find it just a next step, just another thing they have to do.

Fear: I am worried about the lack of clarity about remediation. If you are going to say to people they can’t work you need to have schemes in place that addresses the problem. I don’t think it is very clear at the moment. Public perception may label them as bad doctors, but that is not the case. They are colleagues who need guidance and support.


Dr David Bailey, chair of GPC Wales

Hope:  That the UK Government leaves the GP contract alone and make no more changes, that there will be no more micromanagement. What GPs in all four countries want is a bit of stability.

Fear: The Government will go ahead and change the contract anyway; that they will not listen.


Dr Kailash Chand, BMA deputy chair

Hope: Good sense prevails in Government and they realise how low morale is for GPs, and that they welcome us to join negotiations
Fear: The political classes won’t listen and will carry on pushing their own agenda


Scottish GPC chair Dr Alan McDevitt

Hope: The UK Government will listen to our argument that GP workload is saturated. You cannot squeeze anymore into consultations without it damaging patient care.

Fear: We see the UK model of general practice start to come apart. There is a combination of factors - the threat of imposition of GP contract terms in England which undermines the stability of general practice and the way it is funded. There are also the concerns over the developing CCGs which together makes for an uncertain future for practices.


Dr Laurence Buckman, GPC chair

Hope: The squeeze on GP funding will get better

Fear: It will get worse

Related images

  • Dr Peter Swinyard 1  Charles Milligan
  • Dr Laurence Buckman 122
  • Dr David Bailey LMC 08  Paul Stuart
  • alan mcdevitt
  • Dr Maureen Baker
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Readers' comments (12)

  • Hussain Gandhi

    Hope: That the Government will listen to the profession and understand that continued pressure will lead to the system breaking.
    Fear: They will not listen, and the system will break with a mass exodus of doctors abroad. Loosing all that talent and passion will cripple the NHS.

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  • Hope: that the GPs of the country will be united in their response to government so that the BMA will be able to speak with real authority
    Fear: that the GP body will remain divided and hence the government will pick us off

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  • Mark Struthers

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  • Mark Struthers

    A malign medical establishment has already sown the barren seeds of division … and my fear is that doctors will now reap the harvest of divisiveness.

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  • Hope - NHS will continue to be a strong organisation providing the best care to our patients with strong medical leadership at every Trust and CCG and both primary and secondary care leaders working together putting patients at the heart of everything we do.

    Fear: NHS dominated by 'political medical leaders' with personal agendas and trying to make money rather than doing the right thing for patients or good doctors refusing to take on or not encouraged to take on leadership roles.

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  • What do the women think or are they letting the men do it for them.speak out ladies!!

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  • General practice is dead on its feet, it just doesn't know it yet.

    Whether by accident or governmental design,that is not yet clear.

    If you don't believe me, just ask yourself one hypothetical question -- let's say the government offered a payout for partners to sell their stake in practices -- how many would take it?

    To answer my own question, the BMA contract seems like paradise compared to my current working conditions -- I would leap at the chance.

    The difficulty will be whether partners can get off the sinking ship fast enough -- or if they will be left to go down with it -- given that the government is unlikely to bless them with the opportunity to sell up and get out.

    It seems quite incredible that the leadership of the BMA were not prepared to campaign publicly on opposition to the White Paper (rather than the pensions debacle) , which has never really been explained to the general public adequately. Because of the lack of explanation to the public, we can be expected to take the blame for all the funding cutbacks in future. The government will say that we willingly embraced commissioning.

    If the dentists were able to offer the option to their members of leaving the NHS -- why is the BMA so supine?

    Anyway, as stated above, we don't need to worry about the BMA representing junior doctors inadequately because soon they will all be gone -- either specialising and/or emigrating to Australia.

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  • Mark Struthers

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  • Mark Struthers

    Hope: that the malign activities of the drug cartels and medical mafia can be controlled before it's too late.

    Fear: that it's already too late and the criminal gangs have won.

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  • Vinci Ho

    Wish: courageous politicians put population's health above their electoral health .
    Reality : What? Seriously ? Never heard of 'courageous politicians'

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