GP News

New GP contract to mandate practices to join primary care networks

Practice Business News from Pulse Today - Mon, 01/07/2019 - 13:13
Exclusive GP practices in England can expect changes to their contract from April mandating them to join networks of 30-50,000 patients in return for a major funding boost, Pulse has learned.
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Government long-term plan to increase primary care funding by £4.5bn

Practice Business News from Pulse Today - Mon, 01/07/2019 - 10:45
Primary and community care will receive a £4.5bn funding boost by 2023/24 as part of the NHS long-term plan, the Government has announced.
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NHS Long Term Plan 'aspirational' says RCGP - but more GPs and increased funding for general practice are needed urgently

"We are pleased to see £4.5bn extra a year earmarked for primary and community care – significantly more than the Prime Minister announced last year, and the landmark commitment that these services will receive a growing share of the NHS budget. But it is not clear what precisely this means, and if we are to secure the long-term sustainability of the NHS, we need the share of funding actually going to general practices to also grow. "Increased resource directly into general practice is necessary to allow us more time to care for those patients who need it right now. This is in addition to fulfilling the aspirations of the plan which include a larger general practice workforce leading a wider range of healthcare professionals so that we can deliver care better tailored to our patients' needs, and using enhanced technology to broaden the range of consultation options for patients, to enable seamless care throughout the NHS. "GPs and our teams make the vast majority of patient contacts in the NHS, alleviating pressures across the rest of the service. Our workload has increased substantially over the last decade, yet the share of the NHS budget that general practice receives in England has fallen, and the GP workforce has been falling too. As a result, GPs are currently working far beyond what is safe or sensible, working ever-increasing hours due to the rising volume and complexity of patient demand. "The promise of a new workforce plan later this year creates an opportunity for us to alleviate these pressures over the medium to long term, but means that we are still struggling in the short term. Our greatest concern is that we still don’t have a robust plan to increase the GP workforce by the numbers desperately needed to deliver the care our patients need right now. "The focus on prevention in today's plan and the need for a greater emphasis on truly patient-centred care are both very welcome – but again, we need to know what these plans will mean for GPs on the ground, and reassurances that any planned increase in workload is matched with sufficient personnel and other resources upfront, to do this effectively and safely. "GPs are open to working differently in the best interests of patient care, and we know that working in larger groupings can be beneficial in terms of increased peer support, building resilience in the system and working more collaboratively – and primary care networks (PCN) build on models that have been shown to be successful. However, it is vital that this is done in a way that minimises disruption for hard pressed GPs and their practices and enables progress to be made in a way that protects the ability of GPs to deliver care in the way that best meets the needs of their local communities. It is also vital that continuity of patient care is prioritised. "The emphasis on widening choice for patients using digital means to consult with GPs is interesting and will be very attractive to some patient groups. However, the ‘three tests’ specified to ensure patient safety, NHS stability and fairness must be applied properly before new schemes are rolled out further. "There are lots of good ideas for specific groups of vulnerable patients and the health service as a whole, and we all want this plan to be a success for the sake of the future NHS. However, without the details of implementation, we remain cautiously optimistic. "These bold ideas need to be underpinned by a robust and comprehensive workforce strategy and a sustainable funding settlement for general practice through the GP contract. We will continue to work with NHS England to make these a reality for GP teams and their patients as soon as possible."
Categories: GP News

Five-year GP-based training could start in 2021, says NHS England adviser

Practice Business News from Pulse Today - Fri, 01/04/2019 - 17:48
A five-year GP-based training scheme could start in 2021, as part of a pilot project in east London, an adviser to NHS England has said.
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'Safe, convenient and clean' roads key to encouraging healthier lifestyles, says RCGP

"We know that being physically active is a vital part of living a healthy lifestyle, which is good for everyone's long-term physical and mental health and wellbeing and in turn good for the NHS as a whole, so whatever can be done to encourage and inspire people to get up and move more should be done. "Diseases and health conditions linked to a sedentary lifestyle cause millions of patients and their families untold misery, and they cost the NHS billions a year at a time when every penny really does count. It is a courageous move by NICE to challenge sectors outside of healthcare, but one that recognises the need for a society-wide approach to encouraging people to take steps to be more active and lead healthier lifestyles, and the notion of people from the health community working with those in other sectors is a good and important one. "People are more likely to exercise - or simply choose to walk instead of drive - on roads that safe, convenient and clean. "Physical activity and lifestyle is a clinical priority for the RCGP and we have appointed our own clinical champions to support GPs to encourage patients to make simple lifestyle changes that could have a positive impact on their health. As part of this work we have recently partnered with parkrun UK, and over 500 practices have already signed up to recommend local parkruns to patients to be more active."
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Issues with private firm's GP booking system causes patients to visit A&E

Practice Business News from Pulse Today - Fri, 01/04/2019 - 12:45
A new call centre for booking GP appointments has contributed to an increase in A&E attendances, as patients struggling to get through to the booking system turned to A&E instead.
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A&E ‘streaming’ competition is causing locum shortages for quarter of GPs

Practice Business News from Pulse Today - Thu, 01/03/2019 - 17:13
Exclusive A quarter of GPs are finding it more difficult to employ locums due to competition from GP 'streaming' services in A&E departments.
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Patient wealth status 'impacts GP access more than other NHS services'

Practice Business News from Pulse Today - Thu, 01/03/2019 - 15:58
People living in deprived areas of England face greater health inequalities in relation to GP services than they do with most NHS services, new research suggests.
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New cancer diagnosis research 'exciting' for the future of healthcare, says RCGP

"Diagnosing cancer at the earliest possible stage could make a huge impact and lead to better health outcomes for our patients for many cancers, so it's really exciting to hear about this research that is just starting and we look forward to seeing the results of the forthcoming trial. "However, as this research is in its early stages it's important for patients to know that breath tests to detect cancer are unlikely to be commonplace at their GP practice anytime soon. Nevertheless, if following rigorous evaluation these trials are successful, and shown to have potential benefit for patients, then we would certainly welcome them as routine tests for patients at risk of cancer, and it would be important that GPs have easy, funded access to them once proven to be safe and effective. "In the meantime, GPs need better access to established diagnostic tools, and the appropriate training to use them. We are already doing a very good job at appropriately referring patients we suspect of having cancer despite the pressures general practice is facing and given that we have some of the worst access to diagnostic tools in the community in Europe. Ultimately, we also need to see more resources and more GPs in the community, so that we can continue to deliver the best possible care to all our patients, including those with cancer, and those we suspect of having cancer."
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Government rules out exempting GPs from GDPR subject access requests

Practice Business News from Pulse Today - Wed, 01/02/2019 - 17:12
GP will not be given the right to charge for patient information requests as it would ‘weaken the rights of patients’, culture, media and sport minister Margot James has said.
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Let your GP know if you can't make an appointment, RCGP urges patients

"When patients miss appointments it can be a frustrating waste of resources for GPs and our teams, but also for other patients who are struggling to secure an appointment for themselves. "There may be many reasons why a patient might miss an appointment, and in some cases it can be an indication that something serious is going on for that individual - but we would urge patients to let us know if they can't attend as soon as possible, so that we can offer that time to someone else who really needs it. To this end, practices are using electronic methods, such as SMS reminders, to encourage patients to keep their appointments, or cancel them in a timely manner. "Many patients are waiting far too long for a GP appointment and we can all do our bit to help - but what we ultimately need is for general practice to receive 11% of the overall NHS England budget as part of the forthcoming NHS ten-year plan to allow us to deliver the care our patients need and deserve."
Categories: GP News

Patients miss one in 20 GP appointments at a cost of £200m, warns NHS England

Practice Business News from Pulse Today - Wed, 01/02/2019 - 11:02
One in 20 GP surgery appointments are being wasted because patients do not turn up and fail to warn surgeries they are not coming, costing the NHS over £200m annually.
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Law on injury compensation could help reduce GP indemnity costs

Practice Business News from Pulse Today - Fri, 12/21/2018 - 14:02
A law has been passed that could help towards reducing the cost of GP indemnity cover.
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GMC 'can't lawfully stop appealing fitness-to-practise tribunal decisions'

Practice Business News from Pulse Today - Fri, 12/21/2018 - 13:17
The GMC has a 'statutory duty' to continue to appeal fitness-to-practise decisions made by its own tribunal until the Government officially strips it of its right to do so.
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GMC legal advice says it can’t stop appealing tribunal decisions until law change

Practice Business News from Pulse Today - Fri, 12/21/2018 - 13:17
The GMC has a 'statutory duty' to continue to appeal fitness-to-practise decisions made by its own tribunal until the Government officially strips it of its right to do so.
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GP practices paid just £13 per month per patient

Practice Business News from Pulse Today - Thu, 12/20/2018 - 12:48
GP practices were paid just £152 per patient last year, or £13 a month, according to the latest official data.
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GP workforce grew by 850 in three months, official data reveal

Practice Business News from Pulse Today - Thu, 12/20/2018 - 12:37
Numbers of full-time equivalent (FTE) GPs working in England rose over the summer, according to figures published today by NHS Digital.
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Feast your eyes, not your waistline, say GPs in new art exhibition

'Feast' is a smock dress made entirely from the leftover packaging from an average family Christmas Day dinner. The meal typically contains around 7,000 calories - more than double the recommended daily allowance for men and women. With millions of families indulging this Christmas, the College hopes the exhibit will serve as a reminder of the importance of eating healthily in the New Year, particularly as obesity and other multi-morbidities threaten to overwhelm an already over-stretched NHS. Feast is accompanied in the exhibition by another piece, Steve's Scarf, which is made of thousands of pills used by a patient to help control his multi-morbidities, some of them as a direct result of bad diet and overeating. Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, said: "Christmas is, of course, a very special time for celebration with our loved ones and a bit of indulgence every now and then is fine. “GPs aren't killjoys but we do want our patients to live long, healthy lives and as a nation we're already eating more now than ever before, which is having a serious impact on the health and wellbeing of millions of people. "GPs and our teams, and indeed the entire NHS, are seeing a dramatic increase in the number of patients presenting with complex conditions, including obesity, hypertension, and Type 2 diabetes, caused by lifestyle factors such as bad diet and lack of exercise. "Small lifestyle changes can often have the biggest impact, and we know that introducing some gentle exercise into a patient’s routine, eliminating a few unhealthy foods, or just getting more sleep each night can make a massive difference." The 'Feast' dress is part of the What Once Was Imagined (WOWI) collection created by textile artist Susie Freeman and her long-time friend GP Dr Liz Lee - together known as Pharmacopoeia. Working for more than 20 years, the pair have collected thousands of pills, drugs and tablet packets to illustrate the advancements of modern medicine, as well as its pitfalls and society's over-reliance on medication. The exhibition is free to view and will run in the public areas of the headquarters of the RCGP, 30 Euston Square, until May 2019. Professor Helen Stokes-Lampard, added: "It's a superb, thought-provoking exhibition, which explores several pertinent issues for general practice, one being the rising problem of multi-morbidity. "It's so important that we continue to face these challenges head on as society, and realise the crucial part that each and every one of us plays in protecting and maintaining our health and wellbeing."
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Four people taken to hospital after stabbing attack at GP practice

Practice Business News from Pulse Today - Wed, 12/19/2018 - 15:34
Three people were injured in a stabbing incident that took place on Wednesday morning at a GP surgery and a nearby health centre in East London.
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Three people taken to hospital after stabbing attack at GP practice

Practice Business News from Pulse Today - Wed, 12/19/2018 - 15:34
Three people were injured in a stabbing incident that took place on Wednesday morning at a GP surgery and a nearby health centre in East London.
Categories: Business News, GP News

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