RCGP Chairman misses the opportunity to tell it as it is.

Helen Stokes-Lampard, the RCGP Chair missed the opportunity to tell it as it is on BBC1 this morning. She skied graciously away from party politics, but failed to say that:

There is no NHS – and talking only about England is belittling, especially when Wales is so bad.

The WHO agrees with the above.

That standards of access to care are appropriate for different individuals. The “cry Wolf” person/family is treated differently appropriately: But also people in work have a right to attend a doctors appointment.

Evening and weekend surgeries are all very well for large practices, but not for smaller and rural ones, and especially in areas of high unemployment. Having “access” does not mean these appointments are used properly… are GPs going to be allowed to exclude the unemployed and retired from these surgeries?

Patients receiving a “free” service where nothing is “excluded” will doubtless indicate they want more of everything.

The Health services have to be honest about what is not going top be available, and that includes, for the next 10 years, enough diagnosing doctors.

Image result for tell it as it is cartoon

Chris Smyth in the Times 27th April reports: Workers miss out because they can’t get to see doctor

Working people get a worse GP service because they cannot get convenient appointments, NHS England claims.

MPs also claim that patients in some areas find it hard to see a doctor because some surgeries close during working hours for no good reason.

The public accounts committee (PAC) criticises family doctors for erratic opening hours at the same time as warning that ministers are pressing ahead with out-of-hours appointments while failing to understand the problem. Taxpayers risk paying too much for evening and weekend appointments because they are 50 per cent more expensive than the out-of-hours services they are duplicating, a report published today claims.

A political row erupted earlier this year when Theresa May ordered GPs to open at evening and weekends, blaming those who did not for fuelling a winter crisis in A&E. She pointed to figures from the National Audit Office showing that almost half of surgeries close between 8.30am and 6pm. One in five close for at least one afternoon a week, rising to three quarters in some areas.

Higher A&E attendances were linked to surgeries with shorter opening hours.

Meg Hillier, chairwoman of the PAC, said that afternoon closing was a “ historical remnant” that had become normalised in some regions. She said: “If you can’t see your GP you are more likely to attend A&E and suffer poorer health outcomes. So we need to have GPs open at the right times.”

Three quarters of surgeries that are paid to offer evening and weekend appointments close during the working day. Ms Hillier said: “Staying open during core hours would be a cheaper way of providing more contact time with GPs than providing extended hours.”

Rosamond Roughton, of NHS England, told the committee, however, that they were prioritising out-of-hours appointments because people with jobs found it so hard to see a doctor.

“If you are in work and aged between 18 and 50, you will have a worse experience of general practice,” she said. “The older you are, the better your experience of general practice is. In terms of convenience of appointments, working-age people find it much harder to get an appointment.”

Chaand Nagpaul, chairman of the GP committee of the British Medical Association, said that there was an acute shortage of family doctors.

He said: “In this climate, it is inevitable that despite the continued hard work of NHS staff, there are not enough appointments being delivered to patients.”

An NHS England spokesman said: “Seventeen million people now have access to GP appointments at evenings and weekends and the public are clear that they want this across England. Directions have been issued which mean that practices that shut for half-days each week will lose their share of the £88 million enhanced-access scheme.”

 

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This entry was posted in A Personal View, Interviews or replies, 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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