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Three weeks ago LMC representatives and members of GPC from all over the country – over 300 of them – met as a special conference. We met in response to the call from LMCs, to urgently debate what we, the Government and others can do to revive general practice. Special conferences are different and can only consider things for which they are called – in this case – the crisis engulfing general practice, which is bringing it to the verge of collapse.
This isn’t being melodramatic. Across the country there are practices facing closure due to financial instability and recruitment difficulties. We heard calls for the ending of the inexorable and unsupported increase in workload, with GPs being forced into working 12 hours and more daily. The continuing lack of support for investment in premises and services that will allow general practice to deliver the safe quality care to patients they need and deserve has to be reversed. The burden of CQC inspections, monitoring and regulation must stop. The exponential rise in indemnity costs, particularly prohibitive for those GPs working in Out of Hours and crown indemnity has to be made available in all NHS working environments. These were just some of the issues debated, and GPC mandated to negotiate on our behalf.
The future of general practice does and will rely on the whole workforce; contractors, salaried and locum GPs working together. We are all integral to the delivery of quality patient care, now and within the rapidly evolving new models of care, supported by a skill-mix of health professionals and practices working collaboratively to ‘ensure a safe and sustainable service’.
In the last part of the conference we heard calls for the next steps, and the ultimatum to Government to work with GPC and GPs to deliver the Urgent Prescription for General Practice. To quote a call from the debate which resonated with so many, ‘if not now, when?’. Our future is on the line. Get engaged! See what your practice and your LMC are doing and we will keep you updated from this end. JOIN THE FIGHT.
Heavy tax, multiple financial leakage and strangulation, lack of understanding of how 'high' earners are poor , and the day to days risk to health and living ........to add just a few to the list......
The increase in workload is completely unsustainable. The public are getting the message loud and clear that they should not call an ambulance or go to A&E because those systems are under too much pressure already, so obviously they are coming to see their GP. The reality is that we are now seeing more and more patients in crisis, they are in desperate need of emergency hospital treatment and are just delaying that treatment by coming to see us first, not to mention increasing our workload and waiting times.create a new gmail account Once we call the ambulance we then experience longs delays in getting the patient to hospital as other calls are given priority because our patient is deemed to be safe with us. Obviously there are, but only for so long!
We can not recruit, not even to practice nurse positions, leaving us understaffed, demoralised and still trying to manage unprecedented demand for appointments.
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