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At the heart of general practice since 1960

NHS transformation plans cannot 'save' money without cutting services

Letter from Tower Hamlets GPs

The NHS is unprecedented financial crisis. The proportion of GDP spent on the NHS is going down year on year and is one of the lowest in Europe. Most acute hospital trusts are in deficit and the proportion of the NHS allocation spent on general practice is at an all time low at a time when work is being transferred from secondary to primary care. There is also a workforce crisis in general practice. Young doctors are not choosing it as a career and older doctors are leaving. The situation is such that a recent GPC survey revealed that 84% of GPs feel that their workload is either excessive or unmanageable. This is not safe for patients.

On this backdrop, the 'sustainability and transformation plans' mandated by NHS England will demand £22 billion of 'savings' across the NHS in England.

We believe that it is not possible to 'save' this amount of money without severe cuts in service. The NHS is struggling to function as it is and it is a testament to all the staff who work in it that it still provides such an excellent service.

We are not against change that is clinically evidenced but we cannot sanction this financially driven exercise.

We demand that the STPs are stopped and the percentage of GDP spent on the NHS be restored to a value to adequately resource it and provide patients with the care they deserve.

Dr Anna Livingstone, Limehouse practice

Dr Jackie Applebee, Tredegar practice

Dr Ruth Vickers, formerly of Limehouse practice

Dr Mike Fitchett, Island Health.

Mostafa Farook, practice manager, The Barkantine Practice

Dr Sella Shanmugadasan, Harley Grove Medical Centre

Dr Andrea Green, Island Health

Maggie Falshaw, practice manager, Jubilee Street Practice

Dr Archana Spahn, Ruston Street Clinic

Dr Dilesh Patel, Ruston Street Clinic

Dr Naimish Amin, Ruston Street Clinic

Carline King, nurse, Ruston Street Clinic

Laura Ross, practice manager, Ruston Street Clinic

Amy Bramley, healthcare assistant, Ruston Street Clinic 

Layla Abdul-Motlib, receptionist, Ruston Street Clinic 

Nazia Gazi, receptionist, Ruston Street Clinic

Salma Begum, receptionist, Ruston Street Clinic

Dr Ingrid Franklin, Bromley-by-Bow Health Centre

Dr Emily Woolridge, Bethnal Green Health Centre

Dr Ben Hart, Chrisp Street Health Centre

Dr Shaheena Shakoor

Dr Raquel Gracia, East One Health and Cable Street Surgery

Dr Soraya Boomla, St Stephens Health Centre

Dr Alison Smailes, Chrisp Street Health Centre

Dr Sangeeta Rana, Merchant Street Practice

Dr Nirupam Talukder, Grove Road Surgery

Dr Naureen Bhatti, Limehouse Surgery

Dr Rosanna Pollen, Bethnal Green Health Centre

Dr Kirti Shah, Grove Road Surgery

Dr Dimple Varma, Brayford Square

Dr Tai Okun, Harford Health Centre

Dr Jennie Read, Limehouse Health Centre

Dr Win-Leung Siu

Dr Kobir Ahmed, Spitalfields Practice

Dr Saida Desai, Spitalfields Practice

Dr Mohammed Sanaullah, Spitalfields Practice

Dr Alim Uddin, Spitalfields Practice

Dr Anwara Ali, Spitalfields Practice

Emma Stanford, practice manager, Spitalfields Practice 

Dr Naomi Beer, Jubilee Street Practice

Dr Shamira Bhikha

Dr Haroon Rashid, Albion Health Centre

Dr Mike Callaghan, St Stephens Health Centre

Dr Selvaseelan Selvarajah

Dr Munmun Rashid, Wapping Group Practice

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Readers' comments (9)

  • Doctor Man

    I think every GP in the UK will be adding their name to that.

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  • where so we sign?

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  • sorry where do we sign?

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  • Vinci Ho

    Sign here, no matter what .

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  • Vinci Ho

    Although it is about a different matter , but it strikes the cord on the nefarious behaviour of this government :


    ''I hope you will continue to challenge ill-founded arguments and muddled thinking and that you will never be afraid to speak the truth to those in power.
    "I hope that you will support each other in those difficult moments where you have to deliver messages that are disagreeable to those who need to hear them."
    Ivan Rogers , ex UK ambassador to EU

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  • Knowledge is Porridge

    OK, sorry to troll, but there are other ways of looking at this:
    1. Healthcare will always ask for more money than it receives. To work in a public healthcare system it is normal to complain that the government is starving it of money.
    2. Matching the spending on healthcare in other countries may actually be following them down the same black hole of insurmountable debt.
    3. The health and wellbeing of a nation is not best correlated to the money spent on its healthcare, but rather the prevailing diet, smoking, exercise, working patterns and social divisions of those who live there.
    4. There are still huge amounts of wasted resources spent on NHS care every day. Why does so much NHS communication still happen by post? There are also hugely expensive theatres, clinics and GP surgeries empty each weekend
    5. Although the conservatives are currently in power and therefore "to blame" there were also major problems with the labour government.
    6. The crisis in GP is not just with patient care, but with our falling income, and threat of lost money if our practices fail. We are worried about our own finances and not just the wellbeing of our patients.
    Solutions:
    I don't simply want more money as I pay enough tax already. I want coherent reform, and therefore maybe I want what the STP may deliver?
    - Secondary care to shift away from the tariff
    - Primary care to expand its remit, with resources to match.
    - Better use of existing infrastructure across 7 days.
    - Patients to directly contribute to NHS costs, such as paying something for every single prescription item.
    - Better protection for the NHS against litigation.
    It should be an interesting year ahead...

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  • You need Profs Hawking, Penrose, Cox, Al-Khalili and Satoy to try and understand the current running of the NHS trying to save money without cutting services when billions are wasted on internal markets and they would struggle. We mere mortals have no chance.

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  • Should be signed by every gp in England

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  • Read margaret mccarttney article on inovation vs èvidence based care in bmj. None of current ideas for changing care and care models has evidence that what is planned for gp for the future works. The only real way for ccgs to save these huge sums is to decommission
    i think was nuffield trust who estimated for uk to get to average gdp per capita spend for european countries would mean over £40 billion injection to nhs by 2020.
    simply doesnt add up.

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