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GPs in crisis

hifinutt

hifinutt
As many of us know its very very hard to see a GP , services are being cut . GP`s find it difficult if not impossible to recruit partners in many places

Hence the latest action
The BMA will soon ballot GP partners on ‘collective action’ following a successful vote at the GP Committee England (GPCE) meeting today.

GPCE members have voted through a motion to proceed with a ‘non-statutory ballot’, which means any action taken by GP partners will ‘not involve contract breaches’.

The BMA has suggested that instead GP partners could limit appointments to the union’s ‘safe working maximum’ of 25, or reject workload dump by stopping or reducing ‘work that they’re not formally contracted to do’.

The committee indicated that this is a ‘first phase’ of action, and that ‘further escalation’ beyond a non-statutory ballot can be stopped if the Government agrees to make ‘contractual improvements’ in 2024/25 and restore GP funding to 2018/19 levels.
According to the union, the core funding uplift of ‘just 1.9%’ could force some surgeries to ‘shut their doors for good before autumn 2024’, highlighting that some practices have already taken the decision to close since April.

‘Despite these warnings, the Government has so far failed to make any improvements to the contract, prompting the committee to launch a ballot on collective action,’ the BMA said.

Primary care minister Andrea Leadsom has recently sought to remind GPs that the 1.9% is still ‘pending’ the Government’s response to the upcoming DDRB recommendation on GP pay.

But the the GPCE said today that there is ‘little faith’ among GPs that this ‘will be enough’ or that it will be timely enough to stop closures.

Depending on the result of the ballot, which will run online from 17 June to 29 July, GP partners may be directed to stop fit notes, prescriptions or investigations ‘which should have taken place in the hospital setting’.

If there is a majority vote, GPs will be able to take collective action such as this ‘immediately’.
 
The last couple of times in the last month I have been given same day appointments with the practice nurse.

She prescribed antibiotics and could refer onwards to a specialist if required.

I'm not sure what more a GP does.
 
Our GP surgery pretty much will only do telephone consultations and you have to book online. Blood tests at the surgery have stopped sending people to the local hospital where parking is dire and very expensive. I did manage to get a face to face after two failures to treat me virtually. Whilst I was in an almost empty waiting area an elderly man and a women who clearly had poor English were turned away and told to book online. The elderly man said he didn't have a computer and the receptionist said well do it on your phone. He didn’thave a mobile. Eventually she produced two forms and told them to fill them in. They both asked for help which was refused, told to go away and get someone to help them. Shocking patient treatment. Mind you the poor GP’s are only on £100k plus. Tell that to social workers workers with huge caseloads and working extra hours for nothing on £40k
 
Don’t forget that the population has gone from 58 million at the millennium to 68 million now
There was also lockdown
Both of these required the introduction of new working practices
As a dinosaur still in practice, I rather deplore these changes, especially now I am more and more in need of attention
 
I have very mild asthma; one puff a day of clenil to control it, with ventolin on standby in case I get a bit wheezy. I use the ventolin so infrequently that it’s disappeared off my repeat prescription on the “patient access” site. Called the GP to ask for a prescription; apparently I need to see the GP before they will give me another prescription. Next appointment i can book is 14th June. I can however queue up outside the surgery any day before 8:30 to try and secure one of their slots for the day.
It’s for Ventolin, not Methadone, FFS.
 
Elective demand (ie the number of "non-urgent" patients being referred by GPs) is around half of what it was pre-Covid. Roughly 6% annual growth then, compared to a downright weird 3% now. But acuity is much worse.

The main theory in circulation is that this is unintended demand-suppression - because people can't get GP appointments, they just aren't being helped. Which is very worrying.
 
Our local village surgery, have had the numbers increase substantially. (No one makes allowances for extra houses everywhere)The two docs who run it can't get extra docs to help out, so its all mostly phone calls, then get referred. I have sympathy with the doctors, they seem to have been left high and dry, by the milk snatching thieves
 
Around 2016 I finally lost patience with the GP practice in the village which I had been registered at for over 40 years. It had gone from a little behind the times to frankly useless. The final straw was when I was refused an appointment with my named GP who was also the practice cardio specialist.
He was a brilliant Doc and very popular ...which didn't help me..
He'd also gone from being a partner to doing less and had hinted to me that the practice's problems stemmed from the practice manager. I heard that from others and always wondered why, if it was so..that the Manager could not be shown the door?
Whatever, I was accepted at a much better practice in the next village, whose only downside is that walking to appts isn't really an option. Seems I got there just before a mass exodus from my original practice resulted in the new place being declared 'full'.
Meanwhile the original practice went from bad to worse, eventually being placed into 'special measures'. Mrs Mull continued to be registered there and didn't see a Doc for over 5 years. Things seem to be improving there and she's finally been seen, been diagnosed with high cholesterol and BP and finally put onto appropriate meds, but it took long enough.
 
Our local village surgery, have had the numbers increase substantially. (No one makes allowances for extra houses everywhere)The two docs who run it can't get extra docs to help out, so its all mostly phone calls, then get referred. I have sympathy with the doctors, they seem to have been left high and dry, by the milk snatching thieves

We've got a local practice which everyone moans about; problem is they haven't been allocated any extra cash although loads of houses have been built. The practice can't get any bigger physically due to planning restraints and the partners are quite young so i suspect they'd struggle to raise funds for a completely new premises. They need at least one more GP but nowhere to put them.
 
I have very mild asthma; one puff a day of clenil to control it, with ventolin on standby in case I get a bit wheezy. I use the ventolin so infrequently that it’s disappeared off my repeat prescription on the “patient access” site. Called the GP to ask for a prescription; apparently I need to see the GP before they will give me another prescription. Next appointment i can book is 14th June. I can however queue up outside the surgery any day before 8:30 to try and secure one of their slots for the day.
It’s for Ventolin, not Methadone, FFS.
yes this is common , we cant even book appointments in advance with GP , We would be almost dying if we relied on our GP practice , they miss so much !!!
 
Elective demand (ie the number of "non-urgent" patients being referred by GPs) is around half of what it was pre-Covid. Roughly 6% annual growth then, compared to a downright weird 3% now. But acuity is much worse.

The main theory in circulation is that this is unintended demand-suppression - because people can't get GP appointments, they just aren't being helped. Which is very worrying.
thats correct Tim , the life expectancy here is reducing ... no doubt as its so hard to get an appointment . about 2 years ago a family member went to gp about raised BP but they did nothing , then she tries to get life insurance and they insist something done .... amazingly now she is on tablets thanks to them . i could give you several stories like this
 


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