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GPs buried under trusts' workload dump

Death by a thousand workload dumps

Editor’s blog

jaimie kaffash 2 duo 3x2

jaimie kaffash 2 duo 3x2

Another week, another two stories about the effects of little workload dumps on general practice that, put together, is making the job untenable.

In one instance, NICE’s new draft hypertension guidelines will reduce the thresholds for considering antihypertensives in stage 1 hypertension. The BMA has said that this will dump more work on primary and secondary care, without much benefit.

In the other story, GPs are having to refer patients on behalf of private providers as they don’t have access to the eReferral system – which is now mandatory for making a referral to an NHS trust.

Of course, this is on top of all the work hospitals are dumping on GPs – something that had apparently been addressed by NHS England and the BMA, but hasn’t filtered through to practices.

Both these are great examples of official bodies coming up with what they believe are great ideas but failing to see the repercussions on GP workload. We are now surely getting to the point where the impact on GP workload (and that of secondary care) should be the first factor when introducing new initiatives. We are unable to start thinking of reducing workload until we ensure no more is being dumped on GPs.

Sadly, I could write this piece every week using similar examples. But, having spent the week analysing the results of our GP workload survey, it is at the top of my mind. They are truly shocking. And we will be revealing all next month.

Jaimie Kaffash is editor of Pulse. Follow him on Twitter @jkaffash or email him at editor@pulsetoday.co.uk

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Readers' comments (8)

  • Vinci Ho

    The blind faith on technology and absolute paperless-NHD(manifested by universal e-referral with zero letter referral) has killed off any flexibility. Apart from 2 week rule referrals , nothing called ‘urgent’ referral is taken seriously by secondary care any more . GPs cannot fax or send an urgent letter to a consultant. Many serious non- cancerous conditions are being pushed to the back of the queue in all specialties .
    After all , the referral to treatment time(RTT) continues to go beyond the target of 62 days , despite the fact that most resources in secondary care are diverted to cancer care . The arithmetic just does not add up .
    Dumping workload to GPs is a natural consequence of stifling growth in resources per year in the last 10 years . Another new GP contract is merely trying to over-compensate while a serious ,honest debate of how to raise resources (various different ways to consider) for a totally protected health care budget , is now inevitable.

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  • Vinci Ho

    Correction
    ......paperless-NHS...

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  • Vinci, where do you find the time to write your thousands of words? I am completely in awe.

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  • Can't/Shouldn't we just say know? Not our responsibility to refer on behalf another doctor? we

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  • Vinci Ho

    Yes , I am the stupid bas**** who keeps writing everyday , free of charge , even when I am sitting on the toilet ! Ha ha ha 🤪

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  • excuse me , whilst i go and wash my keyboard!

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  • AL "4 TRIES IN ONE GAME" BUNDY

    Referral template
    Dear "A"
    I enclose a letter from "B" asking for a referral
    I hope you can see them as soon as is convenient
    Signed "C"

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  • AL "4 TRIES IN ONE GAME" BUNDY

    p.s. BS complaint letter replies
    best done on toilet as well

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