The history of denial in GP recruitment: over 50 years. The result of a sustained collusion of denial.. It’s going to get worse..

The government announced on Radio 4 today 7th April 2016 that it would recruit 6000 (not 600!) (Belfast Telegraph says 400) GPs from India. Medical Schools in India produce 80% of their doctors privately, 20% are state funded. The only criterion for entry to private medical schools are to achieve grades (almost all do) and then to pay. Whilst the UK has had 11 applicants for every 2 places given, we complain of a shortage and 10 years later we will still have to put up with doctors with less than adequate language and cultural awareness. The whole point of GP training and its rigorous application process was to avoid poor standards and communication. There is a history of denial in GP recruitment: over 50 years: the result of a sustained collusion of denial.. Without political leadership and honesty it’s going to get worse, especially in the unpopular areas… Even the Kings Fund and Chris Ham has been in denial and ducked the longer term solutions.

Sarah Knapton reports in The telegraph 7th April 2016: NHS to recruit Indian doctors to plug gaps in GP services whilst Rosina Sini for BBC News explains the effect of morale: Junior doctors’ strike: ‘I am moving to Australia permanently’ . The Times offers: Indian doctors to plug gaps in overstretched surgeries. In Scotland there is ‘Worst in a generation’ crisis for GP services – One in four practices has at least one vacancy

13th Jan 2014: GP Recruitment and Spending in Wales: The GP spending share of the health budget has plunged from the highs of 2005-2006

20th February 2014: Denial by Mr Hunt: Describing GP recruitment as a ‘crisis’ could be worsening the problem, warns Health Minister

27th March 2014: Fresh concerns raised about GP recruitment after figures showed more than 40% rise in number of GPs over age of 55 in past decade

26th May 2014: Choice is not all it is made out to be – without overcapacity including GP recruitment

9th July 2014: Doctor’s warning over “perfect storm” GP recruitment crisis

15th Jan 2015: NHS chief brands GP recruitment strategy ‘crazy’. Now that government has abandoned it, is General Practice is a key election issue

The GP recruitment farce – Mr Hunt never said the 5000 would come from the UK!

GPs reject MBAs. It’s no wonder… GP recruitment scheme offering MBAs scrapped after it attracts no GPs…

GP recruitment – and leadership opportunities?

GP trainee map reveals stark north-south recruitment divide

Health services are “vacant” – and have many GP vacancies despite oversubscription to Medical School over many years

Medical Schools: your chances – applications-to-acceptance ratio was 11.2.

Chris Ham (King’s Fund CEO) ducks the real issue. Short term problems are his agenda – not longer term solutions.

At best these doctors will plug gaps in unpopular areas. The worst aspect is that they then block jobs for 600 British Doctors – in 10 years time. This perpetuates the unethical policy of enticing doctors from countries who need them. Is Mr Hunt planning to send them back after he provides adequate manpower capacity? Does he intend to attract 600 per annum?

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This entry was posted in A Personal View, General Practitioners, Junior Doctors, Medical Education, Post Code Lottery, Rationing, Stories in the Media, Trust Board Directors on by .

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.

One thought on “The history of denial in GP recruitment: over 50 years. The result of a sustained collusion of denial.. It’s going to get worse..

  1. Pingback: The meltdown is here…. belt up, hold onto your hat, and make sure you have planned for what is not available…. | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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