General practitioner

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Workload undermines PCNs, finds survey

PCNs (primary care networks) could make a positive difference if given resources, time and practical support – but workload has proven unmanageable for a significant proportion, a BMA survey has revealed.

However, doctors leaders said it is likely that early optimism has been ‘seriously impacted’ by concerns around the draft PCN service specifications, released by NHS England just before Christmas.

In what it hopes will be an annual survey, the BMA asked clinicians about their experience of being involved in the creation of PCNs, the recruitment of a new workforce, the delivery of new services and also their views on the future.

The report found that 63 per cent of respondents said they were confident in providing strategic and clinical leadership to their network.

However, almost half, 49 per cent, of clinical directors classed their workload as unmanageable. And almost two thirds, 63 per cent, said the same about the workload of practices in their network.


Poor relations

The survey also revealed a majority of clinical directors, 57 per cent, feel confident in developing relationships and working collaboratively with local medical committees but 53 per cent described their relationships with local integrated care systems or sustainability and transformation partnerships as ‘poor’.

When asked to rank what was needed for PCNs to succeed, adequate funding and availability of GP workforce were highlighted as priorities.

The results come on the same day the deadline for feedback on NHS England and NHS Improvement’s draft service specifications for PCNs ends, and the findings echo much of the same concerns raised by the profession in recent weeks.

The survey was carried out before the release of the draft specifications.


Ease pressures

BMA GPs committee chair Richard Vautrey (pictured below) said: ‘These survey findings show the drive and ambition of clinical directors, who want PCNs to improve services for patients and begin to address some of the pressures that have been negatively impacting general practice for the last decade.

‘However, it’s clear that PCNs cannot be expected to solve all problems facing the profession and the wider NHS – especially if concerns around present levels of workload are not heeded.

Richard Vautrey, GPC chair 2017

‘This is especially relevant with regard to feedback around the recently-published draft service specifications from NHS England and NHS Improvement, with clinical directors right across the country expressing their grave concern about the impossibility of delivering what has been specified, even with the planned workforce expansion.’

Dr Vautrey added: ‘Less than a year after they were introduced as part of the GP contract, it is a crucial time in the development of PCNs and it is vital they are given adequate funding and practical support – and that any goals are fair and realistic – if they are to deliver on their potential.’

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