I know in Scotland that GPs get paid per diagnosis but also get paid for following it up as well.
Coming from one of the individuals, that did more to wreak the GP service, than most others. A guy that earned the nick name cunt.
Why the hell is he faking surprise at the result.
Without the numbers of doctors doing locum posts, many many more people would never see a GP from an already critically undermanned service.
We already have that anyway cos they are all locums.
Our Party policy to make things worse has unfortunately made things worse.
A significant contributor to this “uberisation” of GP services is the fact that we are so short of GPs in this country. This is only expected to get worse in the short term as a large number of GPs have hit retirement age but stayed on to help with the pandemic or are imminently retiring in the next couple of years. A recent survey showed 16% of GPs are expected to leave the profession over the next 1-2 years.
Against this we see population increasing in the UK, for example between 2015 – 2022 UK population increased by around 2.3 million or 3.5%. Yet we have seen a decrease in GP FTE numbers by around 1600 during the same period which is roughly a 6% loss in the number of GPs. A generally accepted rule of thumb is that depending on experience a safe number of patients registered per GP is between 1500-1700 and there is a significant increased risk of harm when GP lists exceed this. Back in January 2022 the average in the UK was 2220 registered patients per GP and this has likely got worse as more GPs have left over the last 3 months.
There is no quick fix solution to this problem as it takes a minimum of 10 years to train a GP but there are certainly things the government could do to make things better.
1. Revisit pension contribution rules for GPs that pushed many experienced GPs into retiring early.
2. Reduce the workload in terms of administration that GPs are expected to do, for example writing DWP reports, DVLA reports.
3. Keep the death certificate changes that were implemented during covid as this did massively improve efficiency for GPs.
4. Push back some of the responsibility for monitoring specific conditions back to secondary care for example ongoing monitoring of DMARDS in autoimmune disease, ADHD medication etc.
5. It will be very unpopular but there is a strong argument for increasing GPs pay to try and reduce the numbers moving abroad for significantly more than they earn here, for example it is not uncommon for GPs to earn 2-3 times what they earn in the UK elsewhere often for less hours. This will also likely increase the number of junior doctors who choose GP as a profession rather than a hospital speciality where the long term rewards financially once you reach consultant are significantly higher.
6. Reduce hospital waiting lists as this does have a positive effect on demand for GP appointments.
I am sure there are many other things that could help these were just a few off the top of my head.
Good. Imagine being warned that privatisation was going to happen if you voted these idiots in and you still voted them in.
They told you it would be funny if you all shit in this guy’s bed and now you’re being told that it’s actually your bed, no fucking sympathy tbh.
Says the man that demnised junior doctors and claimed that they were to lazy to work weekends, only to be proved wrong mere minutes after stating it. The pay is shit for the long hours, the vital stuff that all medical staff do. For some twattish reason, the government won’t give them raises for sacrificing their health, their time etc… duringg the pandemic.
Honestly, I think Uberisation is exactly what the NHS needs. Why do we still need to register with a specific surgery and then call up a receptionist to make an appointment? It’s not the 1950s anymore.
The NHS needs a single app and database that unites all primary care. You specify the maximum distance you can travel, and then it automatically books the soonest appointment at the nearest surgery. If you don’t care about in-person contact, you press a different button that gets you a same-day video call appointment.
Private healthcare has been doing it for years. It’s only the NHS that still seems to act like computers are some weird alien technology that has only just been pulled out of a spacecraft.
8 comments
Is that not happening anyway?
I know in Scotland that GPs get paid per diagnosis but also get paid for following it up as well.
Coming from one of the individuals, that did more to wreak the GP service, than most others. A guy that earned the nick name cunt.
Why the hell is he faking surprise at the result.
Without the numbers of doctors doing locum posts, many many more people would never see a GP from an already critically undermanned service.
We already have that anyway cos they are all locums.
Our Party policy to make things worse has unfortunately made things worse.
A significant contributor to this “uberisation” of GP services is the fact that we are so short of GPs in this country. This is only expected to get worse in the short term as a large number of GPs have hit retirement age but stayed on to help with the pandemic or are imminently retiring in the next couple of years. A recent survey showed 16% of GPs are expected to leave the profession over the next 1-2 years.
Against this we see population increasing in the UK, for example between 2015 – 2022 UK population increased by around 2.3 million or 3.5%. Yet we have seen a decrease in GP FTE numbers by around 1600 during the same period which is roughly a 6% loss in the number of GPs. A generally accepted rule of thumb is that depending on experience a safe number of patients registered per GP is between 1500-1700 and there is a significant increased risk of harm when GP lists exceed this. Back in January 2022 the average in the UK was 2220 registered patients per GP and this has likely got worse as more GPs have left over the last 3 months.
There is no quick fix solution to this problem as it takes a minimum of 10 years to train a GP but there are certainly things the government could do to make things better.
1. Revisit pension contribution rules for GPs that pushed many experienced GPs into retiring early.
2. Reduce the workload in terms of administration that GPs are expected to do, for example writing DWP reports, DVLA reports.
3. Keep the death certificate changes that were implemented during covid as this did massively improve efficiency for GPs.
4. Push back some of the responsibility for monitoring specific conditions back to secondary care for example ongoing monitoring of DMARDS in autoimmune disease, ADHD medication etc.
5. It will be very unpopular but there is a strong argument for increasing GPs pay to try and reduce the numbers moving abroad for significantly more than they earn here, for example it is not uncommon for GPs to earn 2-3 times what they earn in the UK elsewhere often for less hours. This will also likely increase the number of junior doctors who choose GP as a profession rather than a hospital speciality where the long term rewards financially once you reach consultant are significantly higher.
6. Reduce hospital waiting lists as this does have a positive effect on demand for GP appointments.
I am sure there are many other things that could help these were just a few off the top of my head.
Good. Imagine being warned that privatisation was going to happen if you voted these idiots in and you still voted them in.
They told you it would be funny if you all shit in this guy’s bed and now you’re being told that it’s actually your bed, no fucking sympathy tbh.
Says the man that demnised junior doctors and claimed that they were to lazy to work weekends, only to be proved wrong mere minutes after stating it. The pay is shit for the long hours, the vital stuff that all medical staff do. For some twattish reason, the government won’t give them raises for sacrificing their health, their time etc… duringg the pandemic.
Honestly, I think Uberisation is exactly what the NHS needs. Why do we still need to register with a specific surgery and then call up a receptionist to make an appointment? It’s not the 1950s anymore.
The NHS needs a single app and database that unites all primary care. You specify the maximum distance you can travel, and then it automatically books the soonest appointment at the nearest surgery. If you don’t care about in-person contact, you press a different button that gets you a same-day video call appointment.
Private healthcare has been doing it for years. It’s only the NHS that still seems to act like computers are some weird alien technology that has only just been pulled out of a spacecraft.