The GP’s cushy deal means we’re all left to suffer in casualty

Camilla Cavendish in The Sunday Times 28th April 2013 reports:

The last time I lurched into A&E, carrying a prostrate child who turned  out not to have meningitis, I was amazed to see other children playing  merrily with the hospital toys.

As some of their parents didn’t speak much English, I wondered if maybe they  weren’t registered with a GP.

Soon afterwards a local friend admitted that she often takes her daughter to  the same London teaching hospital. She says the care is much more reliable  at A&E than at her GP surgery. Plus, as she casually put it, she can get  her child’s ear infection treated by a top doctor at 7am and not be late to  the office…….

CC is correct. The standard of access has fallen since the new contract. There are unlimited demands for health, limited resources and no disincentive to make a claim and at a time to suit the patient. (Who is meant to be at the centre of the Health Service) Solving this problem needs a new debate on the philosophy of the service – led by politicians. Aneurin Bevan would not be proud of our continuing failure to do this. And yes, I did do well financially out of the “new contract” – see comment from before 

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About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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