General Practice update Jan 2023

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oin Andy and Gandhi for the latest in General Practice and what is going on....


00:00 General Practice update Jan 2023

01:07 Charging for GP Appointments!

Sajid Javid’s call to charge for GP and A&E visits is ‘zombie idea’ threatening ‘principle of NHS’, say medics
https://inews.co.uk/news/health/sajid...

Former Health Secretary
Means tested fees protecting those on low incomes
Mr Javid, who will not stand at the next election, argued that “the 75-year-old model of the NHS is unsustainable” and pointed to Ireland’s “nominal 75 euro fee” for going to an injury unit without a referral and £20 fees for GP appointments in Norway and Sweden as possible models.

Thoughts
Not about the money but demand management
Delay presentations? More cost further down the road
Worsen health outcomes for the poorest

People already pay via NI/tax
Slippery slope
Expensive and fiddly to implement
Just invest in the NHS

During his campaign for the Tory leadership, Rishi Sunak set out plans to fine patients who miss GP and hospital appointments £10.
Wes streeting and labour against…



Welsh GP leaders propose new Australia-style GP contract
https://www.pulsetoday.co.uk/news/wal...

12:25 Should General Practice go Australian?
The Welsh LMC conference will vote on a motion proposing that Wales moves to an item-of-service fee GP contract similar to that used in Australia.
One motion says that the ‘conference despairs at the thought of continuing to flog the dead horse that is our capitation-based GMS contract, and we rejuvenate our call for GPC Wales to negotiate an activity-based model’.
‘conference urges GPC Wales to negotiate an IOS fee-based unified GMS contract similar to that in place in Australia’.

Charge for GP & A&E in Australia
Attract staff

20:32 Name and sh

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