Is General Practice in crisis?
Is General Practice in crisis? Find out with Andy and Gandhi...
Welcome
Today - is GP in crisis?
00:00 Introduction
Overview
1:04:55 Verdict
But first… Blood bottles shortage
Whats happening
Rationing...
Are we in crisis?
Clare Gerada Article…
“General practice in crisis: stop skinning the cat”
https://bjgp.org/content/71/708/292
Director of practitioner health NHSE
More appointments… / 1422845853413388293
She has a prescription…. Look at article
More generalists
Intermediate teams
Not community house officers
Stop expansion of GP role
Extend GP training
Job plans
Own oxygen mask first
Reflection
Chooses not to address the political and funding dimension… perhaps this is wise
More data… Pulse survey
https://www.pulsetoday.co.uk/news/wor...
More GPs in training than ever? But will they work full time
https://www.bma.org.uk/advice-and-sup...
Look at… The number of patients per practice is 22% higher than it was in 2015, but the GP workforce has not grown with this demand.
As a result of this stasis, there are now just 0.46 fully qualified GPs per 1000 patients in England - down from 0.52 in 2015.
Everyone says they feel overstretched and look tired
Counter argument
5 year GP Contract negotiation delivers annual uplifts
https://www.bma.org.uk/pay-and-contra...
Golden helios for partnerships etc. ends this year
https://www.pulsetoday.co.uk/news/con...
New resources through PCNs
Continues to be Rewarding / Varied / Flexible / Portable / Interesting / Control of working life
Satisfaction with General Practice - remains high….
https://www.rcgp.org.uk/about-us/news...
Additional factors...
Media reporting?
Negative… Not open, can’t get appointment
Negative echo chamber effect
Political situation
Pushed under the bus by DoH whilst other areas celebrated - letters
Focus on access at expense of everything else
Workforce?
Salaried vs partnership
New roles, but less GP time
Technology?
Improving access and number of lanes on the motorway, but is it increasing capacity and helping us be more effective?
Physical Estates?
Money?...
Block contracting should not be embraced?
Verdict??????????????