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Independents' Day

Missing GPs found hiding under rock


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Just back from a walking break in Wales. And there, huddled under a rock on the amusingly named Fan y Big, I found 1,400 GPs. Despite shivering with cold and wet, and being forced to live on sheep-pats and dank Welsh fresh air, they said they were happier there than at the GP coalface. And they begged me not to reveal their location (Lat 51.848986, Long -3.371869).

So it was no big surprise to arrive home to find that Hatt Mancock has finally admitted that the Government’s pledge of 5,000 more GPs by 2020 is a tad off target, that ‘tad’ being more than 1K less than when the pledge was made.

He knows this because, apparently, Jeremy Hunt (remember him?) said so, and he’s talking to Simon Stevens (remember him?) about what to do – which is a nice retrospective and prospective distancing from the issue, albeit understandable because downloading 5,000 GPs is one of the few things that apparently can’t be achieved by the jabbing of an enthusiastic digit at an app.

The conclusion is that the new target date for the GP cavalry is, er, precisely when Mr Hancock knows it will happen, and not a day later. But we need not fear, because Professor Lord Darzi (you most certainly do remember him) has a potential solution, and he has a track record of those.

People will reminisce about GPs and recall that, actually, they did a pretty good job

This time, according to an article he wrote in the Times recently, it’s about nurses being able to do 70% of a GPs work, and more specifically, making them the new gatekeepers of the NHS. Yes, that’s right, nurses who, in terms of gatekeeping, are undertrained, under qualified, risk averse and completely intolerant of uncertainty. So, to paraphrase Professor Lord Darzi’s idea, the plan is to have no gate at all.

When the blind have led the blind into falling into the abyss, people will reminisce about GPs (remember them?) and will recall that, actually, in retrospect, they did a pretty good job, didn’t they?

In the meantime, I’m crawling back under this rock.

Dr Tony Copperfield is a GP in Essex


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Readers' comments (18)

  • Well said

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  • Its harder to compute that there is an even greater idiot than Hunt going around.

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  • But there is also a nurse recruitment crisis!

    I will make a pledge, I will ensure the NHS recruits an extra 10,000 primary care nurses by 2020.

    Of course, my pledge will have as much validity [and success] as the 5,000 extra GPs pledge.

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  • Cobblers

    Anyone else Google the location co-ordinates?

    Well I never! I thought Copperfield was trying to be funny by transposing his words in Fan Y Big.

    It exists. Pardon my ignorance.

    Along the Taff trail through the Taf Fechan Forest (not another word transposition).

    Added to my bucket list Copperfield thank you.

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  • National Hopeless Service

    Ive got a Drazi shaped rock in my garden. What can I hide under it?

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  • But I thought 'ONLY GPS' can do the 1000s of referrals every Tom, Dick and Harry from social services, community nursing, occupational therapy, physio and specialist nursing regularly ask me to do?
    Am I doing it wrong?

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  • The false pretence at patient safety with more regulation and paperwork tick boxes will lead to less care and drive more staff abroad. Nurses order a lot more tests and will flood the system. Good luck to them getting nurses as gate keepers (management speak for cannon fodder).

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  • My practice nurse is awesome.

    Today she referred someone to derm with pityriasis versicolor because the blotches were still there 2 weeks after treatment.

    Good luck Darzi.

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  • I don't mind if Nurses are to lead on gatekeeping, but secondary care will feel the result of this. If someone with an annoying NHS lapel badge would like to say my 30 years of hard lessons was pointless, then I will train as a plumber after all and gladly leave you all to get on (better) withjout my stupid interference!

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  • I wish I could give you 6 stars - better yet, I wish you didn't have to write the story but we live in 'interesting times' as the chinese curse goes.

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