Is General Practice in Crisis?

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Is General Practice in crisis? Find out with Andy and Gandhi...

Welcome

Today - is GP in crisis

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… https://twitter.com/drawfoster/status...

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 worki

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