Tag Archives: GPs

Lamb: Government failing abysmally on GP target

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Last week a study highlighted that almost a million EU workers could leave the UK after Brexit simply because they “feel less welcome and valued” in the country and in their jobs.

The impact that is going to have on our health service and the wider economy is severe.

Today, it emerged that the Government is going to spend £100 million recruiting GPs from abroad .

More than half of the Government’s 5000 targeted increase in the number of GPs are going to be recruited in this way.  Other health workers will also be sought.

As well as the £100 million, each GP who comes from abroad will cost  taxpayers £1000 per year because of the Immigration Skills Charge. Surely the sensible thing to do would be to exempt the NHS when we need these people so badly. In fact, why have it at all? It seems to me like a silly nonsense to convince the Daily Mail that we’re doing something about immigration.

Norman Lamb said that the whole thing was absurd.

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Baroness Joan Walmsley writes…150% rise in patients forced to move GP surgery as practice closures hit record levels

One of the jewels in the NHS, for as long as I can remember, has been the family GP. My GP looked after my mother before I was born and looked after me until I moved away from home. In those days the GP’s long acquaintance with my whole family was important to us. Everyone had a “family doctor”. They even did home visits!

Things are very different now. We still have primary care and acute care, but many more community nurses, health visitors, therapists and care workers, not forgetting the wide range of services offered by community pharmacists and local authorities, where they can still afford it.

Demographic change and rising demand have put enormous pressure on GPs and, in some areas, people turn up at A&E rather than wait for an appointment. However, the role of the GP is still critical to the NHS and it is important that the system enables them to play their part in preventative medicine as well as diagnosis and signposting to other services.

Unfortunately, the demand for a seven-day service, without enough extra money to pay for it, and the enormous pressures on GPs time has made it a less attractive option for newly-qualified doctors. This has led to problems recruiting enough doctors to keep practices going and an increasing retention problem. Many GPs, especially partners who have extra duties and responsibilities compared to salaried GPs, are retiring early. In the last quarter of 2016, there was a net loss of 390 GPs in the NHS. This gives us no confidence in the government commitment to recruit 5000 more GP’s by 2020. According to the BMA, even the 5000 extra training places will only allow us to break even in GP numbers.

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At some point the Tories will run out of people to blame for the state of the NHS…

I went through just about every emotion there is watching BBC2’s new series Hospital which follows events and pressures at St Mary’s Hospital in Paddington. Partly because some of what was shown is just a bit too close to my recent experience, partly because of the life and death decisions made every day with too few resources, I was in tears several times.  One man awaiting cancer surgery is told at the last minute that they don’t know if they will be able to operate because there isn’t an Intensive Care bed available for him.

This comes as every news bulletin carries ever more harrowing accounts of the pressures in hospitals at the moment. What is the response of the Minister responsible? To blame the public. He talked  saying that 30% of A & E patients don’t need to be there as if it is their fault that they have no other option. If people could get GP appointments or had community pharmacies to go to, they would never need to go to A & E. Whose fault is it that they have no alternative? Step forward Mr Hunt.

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Jim Hume MSP: SNP risks making GPs an exclusive service that many can’t access

I was interested to see this report in today’s Scotsman which featured Labour and the SNP slugging it out over cuts to GP training posts. People are finding it more and more difficult to get an early appointment with their GPs. You would think that the service that is the most common way for us to access the NHS would be better funded, but primary care now accounts for just 7.8% of healthcare funding, down from 9.8% in 2011.

It is causing a fairly massive amount of concern. You’d think that they’d want to discuss it in Parliament.

Oh wait – they did, but the Scotsman didn’t feel the need to talk about the debate initiated by Liberal Democrat health spokesman Jim Hume just yesterday afternoon.

Jim warned that the failure to recruit and train sufficient GPs risked the service becoming inaccessible to many people. He cited a survey carried out by the Scottish Liberal Democrats which showed that 4 in 10 respondents found their workload unmanageable and a third would choose a different career path.  An SNP MSP typically intervened to blame Westminster for increasing contributions to public sector pensions. In fact, it was day to day work concerns that upset GPs most:

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  • User AvatarPeter Martin 13th Nov - 12:50pm
    Innocent Bystander, Ok give me an example of " national bankruptcy" of a currency issuing country. That doesn't mean countries that have suffered very high...
  • User AvatarInnocent Bystander 13th Nov - 12:28pm
    The problem we have here is not a deficiency in frankie's power of comprehension. Rather it is these endless attempts to deny the undeniable, refute...
  • User Avatarfrankie 13th Nov - 10:21am
    Bless Peter I think we all understand the answer, hence why you are desperatly frailing around trying to ignore the question you can't answer "...
  • User AvatarRichard Underhill. 13th Nov - 10:10am
    Gary J 12th Nov '19 - 8:43pm "If they had survived it would have been right to detain them and return them whence they had...
  • User AvatarPeter Martin 13th Nov - 10:03am
    @ Innocent Bystander, A currency issuing government can involuntarily default on a loan taken out in gold or another country's currency. Maybe you are thinking...
  • User AvatarPeter Martin 13th Nov - 9:50am
    @ Paul Reynolds "Germany, Netherlands and Scandinavian countries have shown that this path is not necessary......." But have they? Neoliberals and ordoliberals like the German...