If you continue without changing your settings, we’ll assume you’re happy to receive all cookies from the BMA website. Find out more about cookies
When you visit any web site, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience.
Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.
These cookies are required
These cookies allow us to know which pages are the most and least popular and see how visitors move around the site. All information we collect is anonymous unless you actively provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
These cookies allow a website to remember choices you make (such as your user name, language or the region you're in) and tailor the website to provide enhanced features and content for you.
For example, they can be used to remember certain log-in details, changes you've made to text size, font and other parts of pages that you can customise. They may also be used to provide services you've asked for such as watching a video or commenting on a blog. These cookies may be used to ensure that all our services and communications are relevant to you. The information these cookies collect cannot track your browsing activity on other websites.
Without these cookies, a website cannot remember choices you've previously made or personalise your browsing experience meaning you would have to reset these for every visit. In addition, some functionality may not be available if this category is switched off.
Our websites sometimes integrate with other companies’ sites. For example, we integrate with social networking sites such as Twitter and Facebook, to make it easier for you to share what you have read. These sites place their own cookies on your browser as a result of us including their icons and ‘like’ or ‘share’ buttons on our sites.
The headline: 1.5% drop in full time equivalent (FTE) GPs in the last 12 months, which translates in to a 1.2% drop in headcount (HC).
It is no secret that the number of GPs is not keeping up with the rising demand on general practice. While some progress has been made with recruitment into general practice training, it is the conversion of these trainees into fully qualified GPs, and more importantly remaining in the workforce, that is going to start making a difference. As I have said numerous times, this will not happen overnight, and we will not realise the ambition of expanding the GP workforce to a meaningful level for years to come.
What are the solutions?
The first one is to retain the GP workforce. There are many reasons why experienced GPs leave the workforce early. The biggest reason is the draconian pension regulations that force GPs out of the workforce. This needs fixing, and quickly.
Long-term solutions like expanding the number of places at medical schools, improving the focus on general practice education at both undergraduate and postgraduate levels and appropriately resourcing GP education and training will all play a role in stopping the rot.
There is something in the workforce data published last week which is a cause for some optimism. It is the data that shows that the number of clinical staff in general practice is heading in the right direction. A 19% increase in this group since 2015 under the current climate in general practice tells us that there are clinical staff who are willing and ready to join the teams in our surgeries, including clinical pharmacists, paramedics, first contact physiotherapists, physician associates and many others.
While this is a reason to be positive, the Government cannot consider the problem solved. Our ambition over the next five years is to expand the primary care team with allied health care professionals by over 20,000. This requires investment and commitment like we’ve never seen before.
The priorities remain:
While suggesting technology and artificial intelligence as solutions is fashionable at the moment, failure to realise the above three priorities will be the failure of general practice and, potentially, the NHS.
Krishna Kasaraneni is a GPC England executive team member
May be making extended hours compulsory as part of the Network DES and then moving the goal posts on the DES doesn't really help this cause...
Talk about organising a booze up in a brewery - as Anonymous noted they keep piling on more complex plans and caseloads on the falling numbers of GPs.
The wonder is why our esteemed GPC Members and LMCs remain starry-eyed in the face of relentlessly increasing demands placed on the remaining GPs and sign up to the ridiculous plans (Network DES the latest) and advise how to implement them? It seems nobody in the BMA has the stomach to call out BS when they smell it..
Reading this makes me sad. It just reinforces my presumption the BMA hasn’t a clue. It’s clear it has no interest representing its members. General Practice has already collapsed. I own a business where the product I sell (my services) is in short supply. Why doesn’t the price go up ? In fact it keeps going down. A business where I would make more money and have less work if I became employed. Why would anyone borrow money to invest in this business? I see friends from university with large houses, cars and planes. I drive a dinged up car and can’t afford a holiday, I worry about bankruptcy, the GMC, google reviews, my mental health, inspections, complaints, daily abuse, my children being ashamed to tell their friends I became a GP(perceived as a failed doctor) the list goes on. Pensions-couldn’t care less??? Having to be responsible for more people - physios/pharmacists (less time more risk). I don’t see how any of the things you propose improved my life in any way.
This actually taught me more than I expected!
A very detailed and up-to-date information, thank you everyone https://templerun3.co
Thanks for the great article. But I would like to add more. To avoid such problems in the future, you need to work in analytics and facebook ads, google analytics cost data import. Thus, working with various data will be much easier. Here you can study in more detail www.owox.com/.../. I am sure that there is much to learn!