GP News

GP leaders call for ‘concrete reassurance’ over pension cost rise

Scottish GP leaders are seeking ‘concrete reassurance’ from the Government that practices will not have to foot the bill for a proposed increase in employer pension contributions.
Categories: Business News, GP News

Partnership review 'optimistic and pragmatic' but needs the resources and workforce to deliver its recommendations

“This review is a vote of confidence in GP partnerships and shows that they are an important and viable option for GPs at all stages of their careers, now and in the future – but there are clear challenges that must be addressed, and this review confronts some of the key issues as to why we are currently finding it more difficult to recruit GP partners.  "We particularly welcome the focus on reducing unnecessary workload in general practice and increasing both the GP workforce, and the wider practice team. "Workload in general practice has escalated in recent years both in terms of volume and complexity, and we are now making over a million patient consultations every day, yet we are doing this with a smaller share of the NHS budget than we had a decade ago, and fewer GPs than we did two years ago. "Our members consistently tell us about the red tape they have to deal with daily that gets in the way of what matters – direct patient care. So, the report's recommendations to reduce the bureaucracy involved with CQC inspections, appraisal and revalidation and GDPR compliance - and to simplify and streamline the communication we have with colleagues across the NHS, must all be explored and implemented.  "Ultimately, no model of general practice will be sustainable without sufficient numbers of GPs and our teams, so the recommendations to implement fellowships for newly qualified GPs, extend and enhance the GP retention scheme, and ensure the GP training budget reflects the true cost of delivering placements in general practice, are all also welcome – as is the recommendation to ensure the status of general practice by formally recognising it as a specialty. "This report is optimistic and pragmatic – and has benefitted from being GP-led and having such rich GP input – but implementing the recommendations effectively will depend on having the funding and workforce to do so and hope the forthcoming workforce strategy will address this. "We urgently need the promises made in NHS England's GP Forward View, for £2.5bn extra a year for general practice and 5,000 more GPs – and a guarantee that our profession will receive a significant share of the funding outlined for primary and community care in the NHS long term plan – delivered in full and as a matter of urgency. "We eagerly await the response of the Secretary of State and Simon Stevens to the review and detail about how they plan to take forward these recommendations."
Categories: GP News

Bad press can be 'soul-destroying' for hard-working and dedicated GPs, says College

"We also know how soul-destroying it can be for hard-working GPs and our teams – across the country making more than a million patients a day – to see newspaper headlines unfairly admonishing their clinical skill and expertise and undermining their remarkable dedication to patient care. This can definitely have a negative impact on morale in general practice, and poses a real challenge to efforts to recruit more GPs and retain our existing workforce. "It's frustrating because being a GP can be the best job in the world; it is intellectually stimulating, full of variety and allows doctors to build relationships with patients that simply aren't possible in other medical specialties – we just need the time and resources to do it properly. "Without GPs and their teams, millions of patients wouldn't be able to get the care they need, close to home where they want it, and hospitals and other secondary care services would simply implode under the pressure. "That's why we need to continue to do everything we can to make general practice an attractive career path and boost recruitment, including calling on the government to make sure it is properly resourced and funded for the future. "This means seeing NHS England's GP Forward View, which promises an extra £2.5bn a year for general practice, delivered, in full, as soon as possible, along with guarantees that general practice will receive a significant share of the funding for primary and community care outlined in the NHS Long-Term Plan."
Categories: GP News

Mainstream media portrays GPs negatively, finds study

Practice Business News from Pulse Today - Tue, 01/15/2019 - 13:00
Mainstream media portrayals of GPs are overwhelmingly negative, and markedly worse than portrayals of hospital doctors, a study has found.
Categories: Business News, GP News

GP partners should be offered new legal structures to limit liability, says review

Practice Business News from Pulse Today - Tue, 01/15/2019 - 00:01
Different legal structures must be made available to partners holding GMS and PMS contracts to mitigate the risk of unlimited liability that partners face, according to the review of the partnership model in England.
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GP partners should be offered new legal structures to limit liability, concludes review

Practice Business News from Pulse Today - Tue, 01/15/2019 - 00:01
Significant opportunities’ to reduce the personal risk and unlimited liability that comes with being a partner must be harnessed by the NHS to attract more GPs into the role, according to the review of the partnership model in England.
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'Urgent' pension overhaul needed to stop GP partners retiring early, says review

Practice Business News from Pulse Today - Tue, 01/15/2019 - 00:01
GP pension arrangements should be overhauled in a bid to stop GPs retiring early or reducing their sessions, the partnership review has said.
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Extended access pulls GPs away from surgeries, finds partnership review

Practice Business News from Pulse Today - Tue, 01/15/2019 - 00:01
Extended access services are enticing GPs away from practices, as the work is 'easier', the chair of the Government’s GP partnership review has said.
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CCGs should pay for data protection officers, suggests partnership review

Practice Business News from Pulse Today - Tue, 01/15/2019 - 00:01
CCGs should fund data protection officers to help overworked practices cope with patient data requests, the GP partnership review has suggested.
Categories: Business News, GP News

RCGPNI responds to review of medical school places in Northern Ireland

"Professor Gardiner's report outlines the stark realities facing the medical workforce in Northern Ireland. GPs and colleagues from other professions have been facing workforce challenges for many years as a result of a lack of planning and the College urges the Department to heed these findings and act immediately.

"The GP workforce has been changing over time. There is an increasing preference for modern work patterns, involving more flexible working and portfolio careers that involve a mix of working across general practice, hospital settings and community care services. We need to ensure we can meet the needs of both patients and professionals and having a sufficient stream of medical students and trainees across the various primary care professions is a key component of delivering this. 

"We know we currently do not have enough full-time equivalent GPs in NI working solely in primary care and that we will need even more GPs to meet patient need, as people live for longer with more chronic conditions. These complex conditions are best managed in primary care, providing general practice is properly resourced, staffed and supported and there is adequate space to host GP teams in fit-for-purpose buildings. Crucially, we need more medical students and need to ensure there is sufficient capacity to train and educate students, trainees and staff. We simply cannot transform our health services without these fundamental issues in primary care being addressed.

"Retention is a vital element of workforce stability; not only in doing more to decrease the number of students and trainees who leave NI to study, train and work elsewhere, but to retain the skills of our older colleagues who are considering retirement. Almost one quarter of GPs in NI are aged 55 and over, and we must do what we can to encourage them to stay within health and social care for as long as possible, so we do not lose their expertise.

"The figures in the medical school numbers report highlight the falling number of Foundation Doctors who enter directly into specialty training and this must be accounted for in workforce planning for the future. While RCGPNI welcomed the increase in GP training places to 111 per year, places are not being filled and recruiting into specialty training must remain a priority. 

"We also know that increasing training places is not enough in isolation to address GP workforce needs and we are pleased to see local and overseas recruitment campaigns acknowledged as a part of this solution. The College has been urging the Department to invest in a programme to attract people to live, work and train in Northern Ireland and the value of this has been recognised. We urge the Department to expedite robust plans for this work urgently. 

"The Department of Health's response to the review of medical school places once again highlights how the political stalemate continues to thwart some of the essential elements of healthcare transformation and it is clear that more must be done to prepare for the future and support the current struggling workforce. Last year, the HSC Workforce Strategy was published and the recommendations from today's report mainly lie within its remit. To date, there has been minimal transparency around the development of any action plans for taking this Strategy forward and we call on the Department to urgently put plans in place to address the serious challenges we are facing."
 
Categories: GP News

£4.5bn primary care funding will relieve pressure on GPs, promises Hancock

Practice Business News from Pulse Today - Mon, 01/14/2019 - 09:02
Exclusive The extra £4.5bn funding boost to primary care will be used to relieve pressure on GPs rather than introducing new services, health secretary Matt Hancock has promised.
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New £4.5bn primary care funding will relieve pressure on GPs, promises Hancock

Practice Business News from Pulse Today - Mon, 01/14/2019 - 09:02
Exclusive The extra £4.5bn funding boost to primary care will be used to relieve pressure on GPs rather than introducing new services, health secretary Matt Hancock has promised.
Categories: Business News, GP News

CCGs told they must set up primary care networks by end of June

Practice Business News from Pulse Today - Fri, 01/11/2019 - 17:13
CCGs have been told to ensure that the new primary care networks, which all GP practices will be mandated to join, are in place by 30 June at the latest.
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Pilot primary care network 'freed up 3,000 appointments'

Practice Business News from Pulse Today - Fri, 01/11/2019 - 11:10
GP practices in Luton working together in a primary care network have saved 3,000 appointments and £50,000, according to NHS England.
Categories: Business News, GP News

Missed appointments can indicate something is wrong, says College

She said: "Patients with long-term conditions need regular monitoring and treatment and advice tailored to their unique health needs, so missing appointments and not being able to access that support has the potential to have a devastating impact on their wellbeing.
 
"People miss appointments for a range of reasons, but this study highlights why it's more important to show compassion to people who fail to attend, rather than punishing them - for some, life gets in the way and they forget, but others might not turn up precisely because of their health issue.
 
"As this research has demonstrated, this particularly applies to patients with mental health conditions. 
 
"It can take a huge amount of courage to ask for help when living with a mental health problem, and for some people, social anxiety or simply not feeling strong enough to leave the house could be reasons why they then don't make it to their appointment.
 
"GPs try to be extremely sensitive to this and will attempt to chase up those they are particularly concerned about, but some patients will be living with a mental health issue that the GP is not aware of and so the risk heightens.
 
"We need systems in place to better accommodate for these situations and the starting point is having more mental health therapists based in primary care, where the majority of mental health issues are identified and managed.
 
"Ultimately, we need substantially more investment in general practice across the board. NHS England's GP Forward View promises an extra £2.5bn a year for general practice, and the NHS Long Term Plan announced this week guarantees that our profession will receive a significant share of the funding outlined for primary and community care. We need these pledges turned into a reality as a matter of urgency so that we have sufficient numbers of GPs and the wider practice team to give all our patients the care they need and deserve."
Categories: GP News

No target date for recruiting 5,000 extra GPs, says health secretary

Practice Business News from Pulse Today - Fri, 01/11/2019 - 00:01
Exclusive Health secretary Matt Hancock has not set a new date for when the Government should meet its target of adding 5,000 more GPs in the workforce, Pulse has learned.
Categories: Business News, GP News

GP practices must have 'level playing field' with Babylon, says Hancock

Practice Business News from Pulse Today - Fri, 01/11/2019 - 00:01
Exclusive There must be a 'genuine level playing field' for GP practices competing with Babylon GP at Hand, the health secretary has said.
Categories: Business News, GP News

CQC appoints new chief inspector of general practice

Practice Business News from Pulse Today - Thu, 01/10/2019 - 10:53
The CQC has appointed Somerset GP Dr Rosie Benneyworth as its new chief inspector of primary medical services and integrated care.
Categories: Business News, GP News

Little evidence to support move to large-scale general practice, say researchers

Practice Business News from Pulse Today - Thu, 01/10/2019 - 09:24
There is little evidence to suggest that larger GP practices boost clinical outcomes or save money, researchers have warned.
Categories: Business News, GP News

‘Person-focused’ GP consultations may reduce frequent attendance

Practice Business News from Pulse Today - Wed, 01/09/2019 - 14:36
Training GPs to ask person-focused questions in appointments could empower frequent attenders, reducing the need for regular consultations and saving money, a study has found.
Categories: Business News, GP News

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