Hello everybody, I am Sandesh Gulhane, the new BMA Scottish lead for GP trainees. We stand at the dawn of a new era of general practice with the new GP contract. This proposal will change the way we consult and though, not perfect, I believe it is a huge step in the right direction, with the Scottish government investing more money in the profession. The contract will allow Scottish GPs to concentrate upon those patients that really need expert generalists with the introduction of physiotherapists to see the MSK issues, pharmacists to review medications and repeat prescriptions, advanced nurse practitioners to see minor illness and paramedics to go on house calls. As a trainee I have gained confidence by seeing minor ailments and gained an insight into normality. It is vital that we continue to gain these skills and I will work to allow us to take on sessions with the allied health professionals in ST1, which will gradually reduce as we become more experienced. These sessions will be for training and not service so we will continue to always be supervised by a GP trainer. The manner the new contract will be implemented will define how much it affects our training but we have an opportunity to create an innovative and tailored training schedule that will be the envy of Britain.
As a GP trainee you get a vote in the poll and I would strongly encourage you to vote if you agree with me or not. You are the future of general practice so make sure your voice is heard. I want to hear your views on the new contract so please contact me @sandeshgulhane on Twitter.
I am working on getting a social media profile for BMA GP trainees, so we can better connect with you and get your opinions and issues. There are three BMA representatives for Scotland and I want to ensure that we can hear your problems and opinions.
I am aware of out of hours issues that some of you are encountering and would like to reassure you that the GP trainees subcommittee are working hard to try to improve this. I am currently trying to discover why the system is letting you down. Out of hours provides GP trainees with undifferentiated patients and is designed for training. We are supposed to be supernumerary, have adequate notice for our shifts, and have a traffic light system, to ensure we are seeing patients with the correct level of supervision. I have also been made aware that you are being told that the pay supplement you receive during GP placement is due to your out of hours work. I can tell you that this is not the case. The supplement was a recruitment incentive to ensure trainees are not financially disadvantaged for 18 months to become a GP.
Thank you for reading this post and can I just reiterate my plea for all trainees to watch the road show webcast and read the contract as you will be a GP soon and it will affect you. You do not have to be a BMA member to vote but you do need to register (email: [email protected]). Please take part in the poll and contact me for anything GP related.