Recruiting Doctors to Wales – some improvement but way too little capacity

It helps to have competition when recruiting. Unfortunately, competition in specialities is for cities, and centres of excellence where there is a team, research opportunity, and support. In GP world there is much less competition than there was, and locum GPs are raking it in. The majority of doctors in training come from cities and are women. These are the last people to choose to work independently, either as a consultant , or as a GP. A disaster is coming, as retirements planned outnumber new entrants, and these are not enough.

GP recruitment in Wales has improved from an all time low last year, and this year virtually all 130 places are filled. Unfortunately we need 200 per annum to maintain standards.. Now why, especially now that all foreign workers are being discouraged, did we reject 9 out of 11 applicants to medical school for so many years? And this was against the advice of the profession.. It will be interesting to see if, in an undercapacity market, whether £20,000 inducement (for some areas) and £2000 for exams will do the trick. GPs in Wales have no obligation to do late evenings and weekends, and housing is cheap. But education of their children is a high priority for doctors, and a recent article in the Economist put Wales at the bottom of the EU and the UK, and on the steepest downward slope.

How about grants for private education similar to those for the armed forces when they are posted to a “hardship” country? How about restricting movement once the GPs have qualified? To date they have been able to leave Wales but now we have Brexit and a partial rejection of the European Bill of Human rights, we might be allowed to address freedom of movement.

General Practice | Wales Deanery

GPC Wales – our work – Urgent prescription for general practice in Wales

General practice is facing increasing and unprecedented pressures, with a significant gap between the demand placed upon it and its capacity. General Practice is forced to try and cope with inadequate resources, an unsustainable workload and a workforce under considerable strain across the whole of Wales.

Our urgent prescription for general practice in Wales shines a light on these issues and provides solutions to address these challenges.

Owain Clarke in 2016 for BBC Wales: BMA in Wales wants faster action on GP ‘crisis’

GP training in Wales offers exciting opportunities GPonline 31st Jan 2017

The benefits of GP training in Wales | GPonline 22nd Feb 2017

£20,000 trainee GP offer to boost doctor recruitment – BBC News

Adrian O’Dowd for OnMedica 4 days ago reports: GP training place numbers rise in Wales 

The struggle to improve the worst education system in … – The Economist

General practice in Wales – frequently asked questions

By the way – a GP disaster is looming and by the way, Wales welcomes disenchanted English GPs..

Dr recruitment crisis deepens, especially in Wales for GPs. Too little too late… When will the media look for a scapegoat?

North Wales’s GPs on ‘verge of extinction’ – Some local practitioners are so stressed they are leaving North Wales it is claimed –

Wales gets 115% more than England for health spending, but the outcomes are worse….

Third round of GP trainee recruitment cost £113,000 to fill 72 posts

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

 

 

 

 

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This entry was posted in A Personal View, Rationing, Stories in the Media 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.

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