This site is intended for health professionals only

Hopes and fears for 2014


Dr Maureen Baker, RCGP chair

Hope: To start to reverse consecutive years’ underfunding in general practice

Fear: That doesn’t happen. Continued decline would be a disaster





Dr Chaand Nagpaul, GPC chair

Hope: The new contract will be first step in a new trajectory of restoring trust and investment in GPs’ professionalism - instead of suffocating bureaucracy and targets

Fear: Ongoing political change thwarts this direction of travel and bureaucracy and performance management contaminate the positives





Dr Mike Ingram,  GPC member and a GP in Radlett, Hertfordshire

Hope: More time for the patient

Fear: Further erosion of the workforce making everything else - CQC inspections, extended opening etc - even more difficult





Dr Alan McDevitt, Scottish GPC chair

Hope: GPs throughout the UK will be more valued for the work they do for patients

Fear: That traditional family oriented medicine is broken apart by a market-driven ideology





Dr Michelle Drage, Londonwide LMCs chief executive

Hope: Stars are aligning for general practice in a pre-election year

Fear: Ratings on every practice front door






Dr Nigel Watson, Wessex LMCs chief executive

Hope: We’ve reached the bottom of the downward spiral of workload and despair

Fear: NHS bureaucracy puts barriers in the way of GPs reinvigorating services





Dr Charles Alessi, NAPC chair

Hope: The system will change and embrace the personalisation of care that´s needed

Fear: Big party politics will stop that from happening





Dr Charlotte Jones, GPC Wales chair

Hope: That GPs will see the benefits of the contract changes we´re working on

Fear: That nothing will be done to address the GP workforce crisis





Dr Robert Morley, Birmingham LMC executive secretary 

Hope: That changes agreed in the new contract have a significant impact on reducing uneccesary workload and that practices can concentrate on patients

Fear: Smaller practices may become unviable because of the scale of problems they face



Dr Michael Dixon, NHS Alliance chair


Hope: That we’ll reverse the resourcing thats gone into secondary care and that 2014 will be the year of Government putting its money where its mouth is and changing mechanisms such as PbR to resource primary care properly

Fear: My real fear is that general practice turns its back on the opportunity because of existing workload. If we don’t grasp it we could wither on the vine and all would take would be a future Government to allow the sale of goodwill and we’ll all end up working for Tescos



What are your hopes and fears for 2014? Please add them in the comments section underneath…