An endangered species? You may be lucky to find a GP soon…

An endangered species? You may be lucky to find a GP soon… It will be better in the cities as they have the best schools, and most of the part time, and predominantly female, GPs come from suburban schools. The current situation cannot be solved quickly, and any sensible professional would never have got to this situation. Therefore they should not be expected to find a short term way forward.  Meanwhile the Guardian reports: Record number of GP closures force 265,000 to find new doctors … It’s going to get worse.. and part of the problem is the belittling of GPs in Hospitals, and the lack of exposure medical students get to GP. Access and waiting times are both threatened, even for GPs

Image result for i would not start from here cartoon

15th July and the Times reports: Hundreds of GP practices forced to close or merge

More than 200 GP practices across England have closed or merged in the last year.
Data from NHS Digital reveals that while just eight practices opened, 202 closed or merged. Practices were affected in all regions, but the north of England experienced the most change, with more than 60 closing or merging, while more than 50 closed or merged in the South East. The Midlands and the east of England had the most new surgeries.
Last year, NHS England announced a £500 million “turnaround package’“ to help struggling surgeries. NHS England data shows that between last summer and this, the same time period covered by the 202 closures and mergers, more patients became registered with GPs across the entire country. Taking into account that some patients may register with more than one GP, 58,492,541 patients were registered with a GP on July 1 this year, up from 57,744,814 the year before.
Helen Stokes-Lampard, chairwoman of the Royal College of GPs, said: “When practices are being forced to close because GPs and their teams can no longer cope with ever-growing patient demand without the necessary funding and resources, it’s a huge problem.” Dr Richard Vautrey, acting chairman of the British Medical Association’s GPs committee, said: “With over 200 practices closed or merged in the last year and many more struggling to manage their workload pressures, it is time for government and NHS England to step up their efforts to resolve this crisis before even more patients lose their much loved local GP service.”

The Yorkshire Post: ‘Hundreds of GP practices closed or merged in a year’

In Wales the BMA – Welsh General Practitioners Committee (GPCW) has not been listened to for years. BMA in Wales wants faster action on GP ‘crisis’ – BBC News and Hywel Dda is one of the worst (and most rural) areas in Wales.

BMA heatmap reveals scores of struggling GP practices across Wales …

Half of North Wales GP surgeries on ‘verge of closure’ claims doctors …

GP practice closures ‘at record levels’, GPC chair tells BMA annual …

In Scotland on 4th December 2016 the Herald reported: Scotland’s GP crisis deepens as vacancies soar

SCOTLAND’S GP crisis has deepened with one-in-three practices reporting a vacancy, the British Medical Association claims.
Last year the BMA found that almost a fifth of practices surveyed had at least one vacancy for a GP but the figure has since risen from 17 to 28 per cent.
The shock figures follow the closure of a rural GP clinic. Glencairn Medical Practice shut the doors of its Fenwick premises in East Ayrshire on Friday….

BMA – List closures in Scotland

In N Ireland: 20 GP surgeries face closure in Northern Ireland affecting 120,000 …

Patients ‘forced to change surgeries as record number of GP practices …

and in GP magasine in May Nick Bostock reports: General practice in parts of Northern Ireland ‘one closure from collapse’

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This entry was posted in A Personal View, General Practitioners, Medical Education, 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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