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All seven practices in town set to close patient lists en masse

Practices in another town have applied to completely close their lists, saying they are ‘unable to take on more patients safely’.

The seven practices in Folkestone – which cover around 64,000 patients - have applied to NHS South Kent Coast CCG for formal list closure, saying there is a shortage of 16 full-time equivalent GPs.

They took the step of applying for formal list closure after they announced this month that 4,700 patients previously under the Folkestone East Family Practice (FEFP) would be - in the practices’ words - ‘forcibly allocated’ to practices after partners handed back their contract in May.

This is the latest in a growing number of towns that have had to close their lists en masse, including Bridlington in East Riding of Yorkshire and the Three Towns area in Ayrshire, Scotland.

This move also comes after a survey of GP practices by the BMA revealed half of practices were willing to close their lists in response to the pressures facing general practice.

The BMA said that what was happening in Folkestone was indicative of pressures across the country.

A statement issued by the practices in Folkestone said: ‘The following GP surgeries - Central Surgery, Guildhall St Surgery, Hawking & Elham Surgery, Manor Clinic, The New Surgery, Park Farm Surgery, Sandgate Rd Surgery - have taken the unprecedented action of applying to NHS South Kent Coast CCG for formal list closure in order to maintain safe patient care to their current patient population.

‘We all feel that as a consequence of the national GP shortage which has been acutely felt in Folkestone, with a shortage of 16 full time equivalent GPs we have no other option in the interest of patient safety.’

The practices say they have been highlighting the crisis for ‘over a year’ to local authorities, including the CCG, the council, the local foundation trust and the local MP.

The statement added: ‘The crisis became more acute with the handing back of the Folkestone East Family Practice (FEFP) contract which affected 4,700 people in May.

‘The practices have advised the CCG throughout that we are unable to take on more patients safely without long term investment in clinical staff as well as infrastructure to ensure the safe integration of these patients without jeopardising patient care for all residents of Folkestone.’

Dr Richard Vautrey, chair of the BMA’s GP Committee, said: ’This crisis in Folkestone highlights why four out of ten GP practices in England told the BMA in a survey only last week that they were considering applying to have their practice lists closed because their services are at breaking point. Many GP services across the country are being put under unsustainable pressure from rising patient demand, falling funding and staff shortages that are stopping them from providing safe, effective care, including enough appointments, to their local communities. The situation for practices is made even worse when one in the local area closes altogether and local health bodies fail to provide sufficient support for those practices remaining.

’It is unacceptable that even one surgery should be being placed in the position of having to close their practice list. We need politicians to realise that general practice needs an urgent, immediate plan to invest more resources into frontline patient services as we cannot allow GP services to slide further into crisis.’

A spokesperson for NHS South East Kent CCG said: ’If a GP practice feels it needs to close its patient list over a significant period, it must apply to us so we can consider the potential impact on patients and neighbouring practices and avoid displacing a problem elsewhere.

’We have received applications from seven practices in Folkestone to close their lists to new patients. These applications will be considered by the CCG and we will reply to the practices within 21 days.’

They added: ’To support practices to take on new patients, the CCG will pay practices an additional £42.68 per patient to support any additional costs for the first year. This compares favourably with other patient distribution investments to recognise the specific issues in Folkestone.’

Please note - this story was updated at 13:15 on 14 September 2017. The CCG originally said it would pay an additional £48 per patient, but it later corrected this to £42.68p.

Pic credit: John Fielding

Readers' comments (15)

  • Some of these Surgeries will see their weighted list sizes fall by 30 patients for each patient reduction in their list size depending of course on their relation with the NHSE and the ethnicity of partners.

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  • An inevitable consequence of years of under resourcing in Primary Care. Other areas will follow suit in due course. Uncertain whether adequate funds will be allocated eventually.

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  • very interesting that the whole practice has turned round and done this as a collective. it is amazing what GP's can do when they band together.

    - anonymous salaried!

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  • Hope someone ensures that this sad tale makes it into a national newspaper, so that the public are made aware and
    Jeremy Hunt is made to feel suitably uncomfortable.

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  • Vinci Ho

    It is only so long this government can carry on saying what they have been saying. The truth cannot be denied when it arrives at the front door....,
    'Ring the bells that still can ring
    Forget your perfect offering
    There is a crack in everything
    That's how the light gets in '

    Leonard Cohen

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  • Vinci Ho

    There is a Chinese saying,
    'Constant dripping of water wears a hole in a stone.'(滴水穿石)
    The battle is always a long one.

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  • End of the line?

    have applied to NHS South Kent Coast CCG for formal list closure....... tap tap tap Computer says... No..

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  • Does this mean that they accepted the 4,700 patients ? If so the heat is off as it is only a few patients a day being inconvenienced.

    Perhaps they should throw a few thousand patients off their lists to keep their other patients safe.

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  • End of the line?

    What is the contractual obligation ... 2000 patients per full time partner ... IF Taking on more then pay should rise to reflect that .. ROFL That would be too sensible and fair.. p.s There is no shortage of Doctors.. Only a shortage of doctors prepared to work to death for a pittance.. ( whilst spending every other minute reflecting and documenting)

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  • Unfortunately there is no contract obligation as to how many patient a GP can register per full time working partner. NHSE was wise enough not to include this in contract when new contract was signed in 2004.

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