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With its registered patient list and universal access to a family doctor – the GP practice is one of the great strengths of the NHS.
However, it is under severe strain. Primary care services are chronically under-resourced and have been so for many years now.
The GP Forward View, published in April 2016, made commitments to increase recurrent General Practice funding by an estimated £2.4 billion by 2021.
Worryingly nearly two years later, the number of NHS GPs in England has actually decreased.
Having increased the number of medical students starting training, with a focus on the newest medical schools on graduates becoming GPs, and a small but welcome increase in doctors entering specialist GP training and the international GP recruitment scheme we are beginning to tackle recruitment; but now we need to turn to the haemorrhaging of experienced GPs from our surgeries.
So, what would stop young women GPs leaving in their late thirties? What would stop older male, and female GPs leaving partnerships to take up portfolio careers?
We must address the unlimited workload; we need to improve morale; in the short-term, we need to address the individual GP’s increasing workload done by a decreasing number of GPs in the work pool, by recruitment and a sustained investment in skill mix – GP practice nursing, physician associates, clinical pharmacists, physiotherapists in primary care and mental health workers.
For all GPs we must addressing the spiralling costs of indemnity, and to look at the fundamental issue of modern fit-for-purpose premises, the cost of which is a unique problem for GPs amongst doctors serving the NHS.
It is also important to recognise it takes five years to train a doctor and a minimum of ten years to train a new GP, so to take the current pressure off the remaining GPs we need to pragmatically make use of other skilled professionals and hone their skills to primary care.
GPs are struggling daily with infrastructure problems. Due to a lack of investment GPs are unable to accommodate the latest innovations, practices are handing back contracts because of premises, we have difficulties with data sharing, we are vulnerable to cyber-attack, and are patients are at potential risk.
For a healthier future for general practice we need:
This blog is a shortened version of a speech given by BMA representative body deputy chair and GP Helena McKeown at the Westminster Health Forum on Thursday, February 15.
While there is an acknowledged rationale in the Shaping a Healthier Future proposition and its forerunner Healthcare for buy a dissertation uk which perceives that recalibration and rearrangement of wellbeing arrangement can permit the most suitable care in the most fitting areas, this rationale has held back before the domain of general practice, where are being required to get quite a bit of what can't be managed somewhere else.
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