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Just three patients attend GP practice's Easter Saturday morning surgery

Exclusive A GP practice was paid £650 to see just three patients during a three-hour Easter Saturday surgery as GP leaders criticised the double-running of out-of-hours services.

Another practice with a list size of almost 15,000 patients reported seeing just seven patients during the shift, being paid around £350 for employing an extra GP to handle emergency patients.

Area teams are currently collecting data on exactly how much demand there was for the extra Saturday services, but GP leaders said NHS England’s directive to local commissioners to fund extra GP opening over the Easter weekend was wasting stretched resources.

Pulse revealed last week that out-of-hours providers were struggling to fill shifts as a result of local LESs being commissioned at short notice.

The Penn Manor Medical Centre in Wolverhampton saw just three patients from their 11,500 list turning up for the one-off Saturday session, which was staffed by one GP and two receptionists and earned it £650.

Practice manager Helen Ryan said: ‘We offered 18 appointments, 16 pre-bookable, two acute on the day. We had three patients. And that was for one GP and two receptionists.’

The surgery did provide ‘a handful’ of telephone consultations, she added, blaming the short notice given for the practice to advertise the extra opening to patients, as it was only given the details of the scheme two weeks’ prior.

Ms Ryan said: ‘[The view in our practice was] it was a bit of a waste of time. If you’d had more time to advertise it properly, or if there was a bit more of a campaign in the Midlands to say that this was available, but there wasn’t anything. 

‘Apart from people walking by, or ringing on the off chance that they just needed to listen to the out of hours details, I don’t think people would have taken much notice.’

A spokesperson for NHS England (West Midlands) told Pulse: ‘Resilience plans were put in to place to ensure appropriate services were available for patients in Birmingham, Solihull and The Black Country over the Easter weekend.

‘NHS England (West Midlands) took steps to inform NHS 111 about this initiative that was running over the Easter weekend in Birmingham, Solihull and The Black Country so that patients could be directed to the additional out of hours services provided.’

Practices in Birmingham, Solihull and The Black Country who decided to take part in this initiative have been asked to provide feedback on the number of patients that accessed services over the Easter weekend, NHS England (West Midlands) is awaiting this feedback.’

Meanwhile another practice reported seeing just seven patients from its 14,500 patient list, despite putting notices in the waiting room and also informing pharmacies and NHS 111.

The Old Station Surgery in Derbyshire was paid £350 to employ an extra GP to see emergency patients alongside its regular enhanced service Saturday opening with pre-bookable appointments, but saw just seven patients turn up.

Derby and Derbyshire LMC executive officer Dr John Ashcroft, who worked the shift himself, told Pulse his practice was just one of two participating in the local scheme.

He said: ‘We saw just seven [emergency] patients for our 14,500 list, even though we had had notices in waiting rooms, let pharmacies and CCG know.’

Although one of the seven patients had been an elderly man calling ‘on the off chance’ on the Saturday morning and ending up being admitted to hospital with symptoms of a stroke, Dr Ashcroft said the out-of-hours services would probably have met demand.

He said: ‘It needs to be a regular thing if you’re going to open on a Saturday morning for emergencies. People need to know that you’re doing it. So a one-off like this isn’t terribly effective use of resource.

‘I think the out-of-hours [service] would have met the demand probably… It’s all, one feels, a bit of a pre-election gimmick, or NHS England running around thinking “we’ve got to do something in case we get criticised”.’

NHS England (North Midlands) said they were also awaiting feedback from participating GP practices and a spokesperson said: ‘NHS England worked with practices in Derbyshire and Nottinghamshire to ensure that patients had access to urgent and pre-booked appointments over the Easter bank holiday.’

GPC member and former lead negotiator on urgent care Dr Peter Holden was also critical of the use of resources.

He said: ‘I think you’re paying twice for the same service. The real issue is that the guys who are going to provide the physical boots on the ground are the same guys who are going to be boots on the ground for the out-of-hours service. And there’s a limit to how far you can stretch these people.’

It comes as a row broke out between the Labour and Conservative parties yesterday over extended GP access, with Labour claiming 590 fewer practices’ are offering extended hours under the coalition Government.

A national spokesperson for NHS England declined to comment, referring to local area teams or CCGs that had commissioned local schemes.

This story was updated at 16.09 on 08 April to include coments from NHS England West and North Midlands area teams.

Did you open on Easter Saturday? How many patients did you see? Contact Pulse at




Readers' comments (27)

  • The proof is in the pudding. There is no demand (or supply) for routine Saturday or weekend surgeries. This needs to be confined to the bin of history and the ooh service needs to be adequately funded (NOT 111) with GP's who have full crown indemnity to provide this service. Simple.

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  • Vinci Ho

    In term of just giving more money to practices which are always underfunded : GOOD
    In terms of NHSE answering problems and ultilizing resources : CRAP
    Why can't the money go directly to the local OOH providers ?
    Yes. Desperation right before general election. And I suppose policy making zombies do no think like human beings?(moderate this comment if you want to ,editor ,I don't care!)

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  • Taxpayers' money but it will help Cameron and Hunt keep their seats and ends will justify the means.

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  • Harry Longman

    Just another unsurprising day in the supply-led NHS mentality. Oh how different when we think demand-led. We need to make it happen, and there's no time to lose.

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  • How anyone thought Joe Public would find out about Saturday opening for a single day of the year I'll never know. Could have done with the money, but the break was more important to my GPs, burnout is a very real danger we, like many others are facing.

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  • I am surprised at many comments that doctors are overpaid for work they did during Easter break.
    It is voluntary and to be paid £ 200 + per hour is not at all unreasonable.
    Considering doctors time, weekend rates for receptionists, cost of utilities, insurance, travel , locum fees and tax of 40% the Remaing income net income is probably less then £ 100 an hour asubstantial discount to patient being seen at A& E and waiting for 4 hours to be seen. GP colleagues - we need to wake up to a new dawn
    This and subsequent Governments have never seen the practicality of funding GP practices adequately and GPC & RCGP have failed to persuade the NHSE & the Government to do so.
    These ' election ' money's would soon dry up.

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  • no-one consulted because they all went to A&E or OOH anyway. We saw a silly number of patients in OOH (many of whom would have been wasting a GP appointment anyway) largely thanks to NHS23.5's "triage", trained monkeys could do a better job frankly. The government should abandon ths utterly ridiculous 7/7 idea and fund existing OOH properly but of course they want us all out of business so their private mates can take over and use the patients for profit

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  • Incidentally @Navin above, where was the 200 quid and hour being paid!?!?! That would have been fantastic, pay nowhere near that!

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  • Took Early Retirement

    Yes, I'd say £200/hour under-payment so no sympathy from me.

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  • A large part of the problem is GPs using phrases like "paid £200 per hour" as several of you have written above.
    The general public, reasonably, read that as you the GP got paid £200/hr. For most of them on less than £10/hr, that seems unfair.
    You don't hear lawyers or accountants saying they get paid £200/hr. They say their fee is whatever and many people then understand that fee goes to the business first of all.

    You must stop using words like "pay" and start using "fee" or "business fee" instead. Stop using language that helps the public to misunderstand!

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  • You won't find a bigger opponent of 7 day opening than me. But we had two GPs and 1 NP on and saw 79 patients. Split 50/50 on the day and pre-bookable appointments.

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  • Hi Andrew
    It is £ 205 per hour and calls are redirected to practice
    From locality GPs list as well via 111 and UCC.
    It is getting busier and works very well.Gps take turn to do each weekend.No acute emergencies are sent to us but redirected to Hosp .
    It is not worth working on a weekend if anything less is paid.

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  • Will these honorable doctors be doing the right thing and returning the money?

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  • in 2008 our pct paid £300 for two hour ooh surgery then came useless LES of ooh with very little money. patient now know their is no week end surgery. just opening it without patients knowledge is pointless exercise.
    in one practice a patient wrote a comment " opening on easter sunday is taking it too far"

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  • 4.27pm

    Why should they?

    Do you expect your local garage to refund your MOT if it passes it's test? If the practice is open it has met its requirement and is entitled to be paid, whether it is good use of money is another matter.

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  • Classical example of Government and the worried well and Daily Mail telling the rest of the country that GP's at weekends are required when in fact there is simply zero wish for anyone to see a GP at the weekend when they want to be with their family!!

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  • the general demand is huge
    our OOH's saw over 1000 patients during the 4 days including a 27% increase on comparable easter saturdays 2014 + 15.
    the consolidated push for 24/7 & 7/7 working will be our consummate downfall & topped up with a farcical referral rate from the experts of 111……..god help us, particularly the sick & dying patients who do actually need us.

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  • found OOH incredibly busy over the weekend - don't know if local practices were open. Many of the OOH really didn't need warrant appointments

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  • totally typical of inane demagogic wasteful shenanigans by usual throwing money away into the flames whilst rome many more will suffer due to the evil wasteful mismanagement of the nhs by this unacceptable misgovernment?

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  • Erm, the article forgot to mention 'back door privatization' of the NHS, which includes many "strategist" companies running the show in the background....dining on ashes is usually the result !

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  • Anonymous | Practice Manager | 08 April 2015 2:18pm-SPOT ON! I for one see an opportunity from 7 day working if that what the taxpayers demand;I am not sure that they do demand as opposed to political footballing. With manpower crisis, "wages" can only go up and so many opportunities for multipotfolio during weekdays.
    We lost control of patient consultation behaviour with 2003 contract when Labour created the infamous Darzi WICs and A & E opened their doors to GP patients as each sore throat was worth £ 80.
    The GP gatekeeper is now history and current/future GPs are unlikely to welcome that previous model. Bring on the 7-day week and keep quiet re income, except next year we have to publish them, which is so wrong!

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  • Princess Diana had a funeral
    Our rota said as usual I had to work all Saturday
    One patient came in at 5 for a second opinion on sore throat n a child of 8

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  • It does seem that these guys who run services such as appraisal allocate all the easy work in piles of money system for the old boys

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  • read the article guys - they didn't have enough time to let patients know about it. I'm sure if patients knew that they were open they would be full. Why? I work in a walk in centre and we are full Saturday and Sundays.

    soon you guys will be doing 7 day a week 12 hours a day as well as we have no say on our future.

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  • so many divided opinions. was a waste of time, my personal opinion, giving mixed messages to the public.

    I wonder how many people called the next saturday after reading the daily wail and got the answerphone?

    I worked the day and it to my dismay (hoping to get in and out) it was a normal fully booked morning. Doh!

    The problem is when you mention any doctors pay, not just talking about weekends or bank holidays, most of the gen public driven by the political climate and media think we should be paid in salt!

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  • This comment has been moderated.

  • Just over £200 per patient . What would the fee for a private consultation ( primary or secondary care) on Easter Sunday
    We grossly undervalue our profession.

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