GP News

One in four GPs willing to work for online providers

Exclusive A quarter (25%) of GPs would consider working for an online private provider of general practice, a Pulse survey has found. 
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New antidepressants data highlights 'interesting trends', but shouldn't 'automatically be seen as a bad thing', says RCGP

“The data certainly highlights two interesting trends: the first is the link between patients who live in deprived areas, and poor mental health; the other that patients over 60 are twice as likely to have a prescription for antidepressants. There could be very simple explanations, such as a greater lack of alternative therapies in deprived areas, and increasing levels of social isolation and loneliness in older people - more research is needed to properly understand the reasons for both trends, but both clearly need to be addressed. "Antidepressants are of proven benefit for many patients, as a large-scale study published in The Lancet earlier this year showed, but no patient wants to be reliant on - and no GP wants to prescribe - any medication long-term, and where possible we will explore alternatives, such as talking therapies and CBT. However, there is a severe lack of these services, and choice of therapies, in the community that could benefit our patients with mental health conditions. “When GPs do prescribe antidepressants, it will have been after a full and frank discussion with the patient in front of them, based on their unique circumstances, and taking into account the physical, psychological and social factors potentially affecting their health. However, there is also the issue that the standard 10-minute GP consultation is increasingly inadequate to properly deliver care to patients with complex health needs – which mental health conditions invariably are. "NHS England's GP Forward View pledged for every GP practice to have access to one of 3,000 new mental health therapists. We need this, and its other promises - including £2.4bn extra a year for general practice and 5,000 more GPs - to be delivered as a matter of urgency, so that we can continue to provide the best possible mental health care to our patients."
Categories: GP News

College's updated response to Secretary of State's speech

"But while there is reference to GP workload, we would have liked more explicit emphasis on Mr Hancock's plans for increasing the number of 'real' GPs providing frontline care to patients. "We are currently at least 6,000 GPs short – almost one per practice in England – yet today alone over 1m patients will visit their GP surgeries. "GP workload has increased by 16% over the last seven years but our share of the NHS budget has not kept pace. GPs and our teams are facing unprecedented pressures and excellent family doctors are burning out and, in some cases, having to leave our profession altogether. "We hope to meet with Mr Hancock as a matter of urgency to discuss how we can tackle these issues, and ensure that general practice is properly resourced and GPs are properly supported to do their jobs of providing safe and innovative high quality care to patients."
Categories: GP News

Locums at NHS-run practices faced with 'unacceptable workload'

Practice Business News from Pulse Today - Fri, 07/20/2018 - 16:50
BMA representatives in North Wales have warned that locums working at health board-managed practices are being faced with an ‘unacceptable workload’.
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Technology like Babylon's GP at Hand should be available to all, says health secretary

News from GPonline.com - Fri, 07/20/2018 - 15:42
The NHS should harness new technology like Babylon's GP at Hand app, and make it available to everyone, health and social care secretary Matt Hancock has said in his first speech since taking up the post.
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Health secretary says Babylon-style GP model should become 'available to all'

Practice Business News from Pulse Today - Fri, 07/20/2018 - 14:39
The NHS should 'harness' new technology such as Babylon's GP at Hand app, and ensure that it becomes available to all patients, health secretary Matt Hancock has said.
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GPs and patients need to know they are safe in new Health Secretary's hands, says College in response to Matt Hancock's first speech to NHS

"But we are disappointed not to see more emphasis on Mr Hancock's plans for increasing the number of 'real' GPs providing frontline care to patients. We are currently at least 6000 GPs short – almost one per practice in England – yet today alone over 1m patients will visit their GP surgeries. "GP workload has increased by 16% over the last seven years but our share of the NHS budget has not kept pace. GPs and our teams are facing unprecedented pressures and excellent family doctors are burning out and, in some cases, having to leave our profession altogether. "We wrote to Mr Hancock when he was appointed two weeks ago requesting a meeting to discuss these issues, and we look forward to working with him to ensure that general practice is properly resourced and that GPs are properly supported to do their jobs of providing safe and innovative high quality care to patients. "Technology is excellent when used wisely but it can never be a substitute for GPs who are highly trained medical professionals who can consider all elements of our patients' lives. "GPs - and our patients - need to know that the new Health and Social Care Secretary understands and values the role of modern GPs and that we are safe in his hands. "Investment in general practice has been shown repeatedly to be cost-effective and to reduce pressures on other NHS services, particularly hospitals – it is investment in the entire NHS."
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Police decide not to pursue charges against hospital over Bawa-Garba case

Practice Business News from Pulse Today - Fri, 07/20/2018 - 12:14
Police have decided not to pursue charges against a Leicester hospital regarding the death of six-year-old Jack Adcock, which ultimately led to a junior doctor being struck off the medical register.
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Government to partner with Amazon's Alexa to offer NHS health advice

Practice Business News from Pulse Today - Fri, 07/20/2018 - 10:08
Patients will soon be able to ask their Alexa device for a diagnosis after the health secretary announced a partnership between the NHS and Amazon.
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One fifth of GP appointments avoidable, finds NHS England audit

Practice Business News from Pulse Today - Thu, 07/19/2018 - 17:34
A fifth of GP appointments are potentially avoidable, according to an audit funded by NHS England.
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GMC provides detail of its review into fitness-to-practise referrals for BME doctors

News from GPonline.com - Thu, 07/19/2018 - 13:57
The GMC has published the terms of reference for its investigation into why a disproportionate number of black and minority ethnic (BME) doctors are subject to fitness to practise referrals.
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Hospital trust takes over ninth GP practice

Practice Business News from Pulse Today - Thu, 07/19/2018 - 13:35
A 5,000-patient GP practice has become the latest to be taken over by the Royal Wolverhampton NHS
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84% of UK GP training posts filled after one recruitment round

News from GPonline.com - Thu, 07/19/2018 - 09:32
A total of 84% of UK GP training posts for 2018 have already been filled, figures released by NHS Education for Scotland (NES) suggest.
Categories: GP News

GP practices in one area offered £35m extra a year to work 'at scale'

Practice Business News from Pulse Today - Thu, 07/19/2018 - 09:31
Practices across mid- and south Essex will receive an extra £35m a year in funding in exchange for overhauling the way they work.
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'If Dr Bawa-Garba was white she wouldn't have landed in such deep trouble', says BAPIO

News from GPonline.com - Wed, 07/18/2018 - 22:52
Dr Hadiza Bawa-Garba may not have been struck off if she had been white, a doctors' organisation that has raised concerns about discrimination in the medical profession has suggested.
Categories: GP News

One in four full-time GPs pay more than £10,000 a year for indemnity

News from GPonline.com - Wed, 07/18/2018 - 22:51
More than a quarter of full-time GPs pay more than £10,000 a year for indemnity and nearly two thirds pay more than £7,500, according to a GPonline poll that reveals the extent of rising costs.
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Patients told they need GP firearms sign-off after police updates guidance

Practice Business News from Pulse Today - Wed, 07/18/2018 - 17:42
Patients wanting to own a firearm will have to get GP sign-off first, under new guidance from Kent Police.
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Prison health is public health - RCGP launches new position statement on care in secure environments

According to the College's Secure Environments Group, people in prison should be 'afforded provision of or access to appropriate services or treatment,' which are 'at least consistent in range and quality with that available to the wider community'. The position is clear that 'equivalence' does not mean that care provision in secure environments should be 'the same' as that provided in the community. It draws evidence from a variety of national and international health organisations, and attains to the principles that prison health is public health, and that those living in secure environments have the right to an equitable standard of healthcare. The full definition is: 'Equivalence' is the principle by which the statutory, strategic and ethical objectives are met by the health and justice organisations (with responsibility for commissioning and delivering services within a secure setting) with the aim of ensuring that people detained in secure environments are afforded provision of or access to appropriate services or treatment (based on assessed need and in line with current national or evidence-based guidelines) and that this is considered to be at least consistent in range and quality (availability, accessibility and acceptability) with that available to the wider community in order to achieve equitable health outcomes. Publication of the position follows Dr Jake Hard - Chair of the RCGP's Secure Environments Group - giving evidence to the House of Commons' Health Select Committee last month, where he made clear that improving care in secure environments can impact on patients living both in and out of secure environments. Dr Hard, said: "Maintaining and improving good health in prisons is not only right, but crucial to maintaining public health in general, as the vast majority of people in prison will be reintroduced into the community at some point." Publishing the College's definition of 'equivalence' – and having it accepted by the medical community and Government - is seen as the first step in improving the health of patients in secure environments. Dr Hard added: “It is almost such an obvious principle that it does not seem that a definition should be required but it remains an area of wide debate. If the definition is agreeable then this further enables commissioners, healthcare providers and inspectors can use the College's position to help assess the care being provided in secure environments. "Ultimately, the goal of providing 'equivalent' care requires improved partnership working between the healthcare providers and security authorities and where possible, by integration with community services. "We hope that our position statement will go some way to highlight this, as well as reiterating the importance of ensuring all aspects of prison health are properly considered and improved upon for those needing it both now and in the future."
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College 'delighted' at decision to extend HPV vaccine to boys

"We are delighted that the HPV vaccine will be extended to adolescent boys. This is something the College has been campaigning for and will go a long way in protecting both boys and girls from a virus that can trigger a wide range of cancers. "The HPV vaccine has proven extremely effective in protecting women against cervical cancer and we now have strong evidence to demonstrate that the vaccine also provides protection against a number of other serious cancers which affect both men and women, including head and neck cancer and anal cancer. "It has been frustrating that this effective vaccine has, until now, only been available on the NHS to girls but not boys. We hope parents will take up this important opportunity to get their sons and daughters vaccinated as soon as it is available to them."
Categories: GP News

Boys set to receive HPV jab after JCVI recommendation

News from GPonline.com - Wed, 07/18/2018 - 11:39
The Joint Committee on Vaccination and Immunisations (JCVI) has recommended that the HPV immunisation programme should be extended to cover boys.
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