There are not enough doctors – but the professions just keep lowering the bar & reducing the funding
The RCGP has estimated that around 400 doctors are stuck in limbo after repeated failures to pass its MRCGP exam, prompting GP leaders to call for the college to ‘look again’ at the exam.
RCGP chief examiner, Dr Pauline Foreman told Pulse while the College was sympathetic to the problem faced by the GPs Dr Sinha represents, they couldn’t reasonably overhaul the exam.
Dr Foreman said: ‘We explained to Dr Sinha that his proposal is not deliverable within the current legal regulatory framework, and that many of the changes required to enable it are not within the remit of the College.
She added ‘it would not be reasonable or proportionate’ for the College to develop a new licensing exam ‘for the small group of doctors who are unable to reach the standards’.
But former RCGP chair Dr Clare Gerada told Pulse she agreed the GPs could help the workforce crisis, and – while she didn’t think the CSA was discriminatory – the ‘whole process of working in the NHS disadvantages overseas doctors.’
Dr Gerada said: ‘I do think we should look again at alternative routes to MRCGP. Not letting people in who are not good enough, absolutely not. But we should be looking at alternative spaces where these GPs can work.’
Dr Krishna Kasaraneni, chair of the GPC’s education, training and workforce subcommittee, said: ‘We’re set on the mindset that an exam proves somebody’s competence, the exam proves you can perform in that exam. Certain aspects overlap with competence, but because they’ve passed an exam doesn’t make them a good GP, and failing doesn’t make you a bad GP.’
‘What we need to be able to do is to train GPs in an atmosphere where they get proper training in general practice from day one, rather than identifying problems when they’ve failed the exam a few times.’
The percentage of NHS funding being given to primary care will decrease this year, despite Government claims that it is prioritising general practice, finds Jaimie Kaffash
Health secretary Jeremy Hunt will fail to deliver this year on his promise to increase the proportion of funding going into general practice, despite the 3.2% funding uplift, a Pulse analysis has found.
NHS England budget allocations have revealed that in 2016/17, general practice will receive only 7.23% of the NHS budget – down from 7.31% in 2015/16.
This is despite the health secretary promising to increase the proportion of funding received by general practice and both the GPC and RCGP pushing for the proportion of spending on primary care to increase to at least 11%….