- 31 percent of GPs said they are unlikely to be working in general practice in five years with stress and retirement cited as the main reasons for this.
- 5 percent of GPs* report that their practice is likely to close in the next year. These are not practices that are merging with others.
- 37 percent of GPs* said that in the practice where they work, there are GP vacancies that have been open for more than three months.
- NHS Liverpool CCG (87)
- NHS Northern, Eastern and Western Devon CCG (67)
- NHS Kernow CCG (54)
- NHS Lambeth CCG (45)
- NHS Gloucestershire CCG (41)
- NHS Horsham and Mid Sussex CCG (-52)
- NHS Walsall CCG (-33)
- NHS Portsmouth CCG (-29)
- NHS Hull CCG (-22)
- NHS Thanet CCG (-19)
- Larger practice teams, which would enable GPs to spend more time than the standard 10-minute consultation with patients who need it.
- A wider range of healthcare professionals to provide a wider range of clinical services in GP surgeries.
- IT systems allowing more surgeries to use video consultations as part of a standard range of consultation options, and to enable joined-up care across the NHS.
- Modernised, fit-for-purpose surgeries as the 'hub' of the community
- A bigger workforce, where more healthcare professionals will choose general practice as a career and are supported by better-funded training placements in the community.
Royal College of General Practitioners
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Increase in diagnostic tests is 'appropriate' given our growing and ageing population, says RCGP
- Sonia: a cascading silver muslin coat covered in three years' worth of lupus medication packets. Lupus, an autoimmune disease once considered untreatable, attacks the body's immune system causing multi-organ failure: "taking so many pills is a burden, but it's saving Sonia's life,” says Dr Lee;
- Steve's Scarf, is made from pills prescribed by Dr Lee to help manage her patient Steve's heart disease, arthritis and diabetes – a stark reminder of the UK-wide rise in patients living with multiple, chronic conditions as people live longer;
- Wave: a depiction of Freeman's own experience of depression - a delicate stretch of blue fabric decorated with the packets of her own medication: "for some people it presents as 'black dog' but for me it was a deep blue," she explains;
- Bristol Silver: a waterfall of pill packets for common conditions and chronic disease management, collected from one Bristol pharmacy over the course of a month;
- WOWI flowers: a series of works depicting colourful flowers made from pills to treat myriad conditions from indigestion to tuberculosis.
More GP access to diagnostic tests, and more time with patients needed to further improve timely cancer diagnosis, says RCGP
"However, as this report highlights, a key factor in being able to diagnose patients in a timely way comes down to having access to the right diagnostic tests – and GP access to appropriate tests in the community is currently amongst the lowest in Europe.
"The report is also right to acknowledge that GPs are in a very difficult position when it comes to referral and face harsh criticism if they refer too many patients to specialist care, and complaints if they don't refer enough.
"Despite these difficult circumstances, GPs are doing a good job of detecting cancer – something that can be very hard in general practice, particularly within the constraints of the standard 10-minute consultation, as several cancers start with very vague, non-specific symptoms which are similar to many other, more common conditions.
"Figures show that 75% of patients found to have cancer are referred after only one or two consultations, and in the last five years the proportion of cancers diagnosed as an emergency has dropped from 25% to 20%. A higher proportion of patients are also being diagnosed at an earlier stage of the disease.
"But without access to the right tests, this is simply not sustainable. We desperately need for GPs and our teams to have better access to high quality diagnostic tools in the community and the appropriate training to use them.
"Cancer must be a priority in the forthcoming NHS Long-Term Plan, but so too must general practice as a whole. Investing in general practice is an investment in the entire NHS - by having more resources and more GPs in the community, we can deliver the best possible care to all our patients, including those with cancer, and those we suspect of having cancer."