Even the most confident, dedicated, altruistic, obsessive and motivated professionals are making mistakes..

I have no specific evidence for this statement – only the anecdotes I am hearing from former colleague and friends. It appears that now, even the most confident, dedicated, altruistic, obsessive and motivated  professionals are making mistakes.. In one year alone these pressures have helped close 181 practices. A year ago NHSreality reported on “The sick parade – of GP closures. This list heralds the end of the health service as we knew it. ” Private Medical Practice is becoming more attractive. Patients should make alternative arrangements before premiums are raised in view of the change in the Ogden discount rate formula “Now the Ministry of Justice has decided to reduce the discount rate from 2.5% to minus 0.75%.”,,,, As for the professional indemnity insurance for doctors, don’t believe the government when it says it will address this and compensate doctors. It has not got the tools (rules of the game)  and it cannot afford to even if it had changed the rules and bought in no fault compensation…..

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Hospital doctors are leaving and  General Practice is closing down.

Nick Bostock for GPonline reports 19th Jan 2017: Nearly 200 GP practices closed in 2016 alone, NHS data suggest – Up to 181 GP practices closed in the 12 months to January 2017, official data show.

Data on GP practice populations released by NHS Digital this month list just 7,532 GP practices – down 181 from the total a year earlier in January 2016.

Part of the drop in GP practice numbers in the NHS Digital data is likely to be driven by mergers, which could mean that some of the practice locations no longer listed in official figures remain open, but under the wing of a larger group.

However, BMA leaders have warned that closures are at ‘record levels’ and the latest figures suggest that the trend is not slowing down as GPs wait for government pledges of investment through the GP Forward View to take effect.

GP funding

Health minister David Mowat pledged in November that 1,000 practices would receive support in the current financial year from a £16m tranche of the GP resilience fund that CCGs must spend by the end of March. But since the GP Forward View was launched in April 2016, GPs have repeatedly warned that support is not coming through fast enough.

Responding to the latest figures, GPC deputy chair Dr Richard Vautrey said: ‘This is yet more evidence of the crisis facing general practice right around the country and is a direct result of unsustainable and unsafe workload pressures, and failures to attract enough doctors in to general practice so that it’s increasingly hard for practices to replace retiring GPs.

‘Every closure will impact on groups of patients who will worry about the loss of the relationship they had with their GP. There is now all the more urgency to invest in general practice and deal with unsafe workload levels.’

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GP crisis

GPonline warned in November that 5m patients in England could be forced to look for a new practice because one in 10 GPs said their practice was at risk of being forced to close over the coming year.

A GPonline investigation published last summer revealed that one in 20 GP practice contracts in England had been terminated since 2013. The findings showed that 140 contracts ended because of practice closures in the three years to March 2016, while 264 contracts were terminated because of a merger. A further 26 contracts were terminated and reprocured under a new provider.

Brian Milligan for BBC reports 27th Feb 2016: Insurance premiums ‘set to soar’ after compensation changes

Ben McLure in Investopaedia: Discount Rate Accounting

Paul Lucas in Insurance Business 30th Jan 2017 : What’s going on with the personal injury discount rate?

GPonline: Guide to new care models and your medical indemnity

Record Level of claims Inflation – £1000 each taxpayer per annum: How to solve the indemnity crisis

The public will only miss what they had – when its gone. GP indemnity fees spiral out of control with 25% rise last year..

Time to stop the indemnity circus

The Medical Press is scathing – and acknowledges the deconstructed Health Service(s)

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This entry was posted in A Personal View, 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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