Read the damning nature of this joint report.. GP shortages …. Our very own post-code lottery.

Just read the joint report of the Nuffield Trust, Kings fund, and Health Foundation reflect on the retired doctor commenting below the Times report. Developing a strategy for the Health and Care workforce In England: Summary of a roundtable discussion. 

This crisis was seen 20 years ago. What the media and the politicians should be asking is why nothing has been done, and what options are possible. The implications of doing nothing are too important. There are not enough physiotherapists, nurses, Occupational Therapists, Psychologists etc. as well as GPs and Oncologists. 

The report does not cover the other 3 health dispensations, and the situation is just as bad in Scotland N Ireland and Wales. Wales in particular has a tradition of exporting professionals, and at least 20% of all graduates leave. It will be much more for the medical professions….

I have no good news to counter this abrogation of planning. I can only apologise to the Times for reproducing their whole article as it is so important. There is a world shortage of doctors…. If we still believe in open markets then every country has to train more. Meanwhile it has to get worse, and private care will flourish, especially in cities. The Health Divide will worsen. 

Chris Smyth reports this in the Times 21st March 2019: Experts warn shortage of GPs will last for at least a decade

The shortage of GPs will last for at least another decade and patients will have to be treated by physiotherapists and pharmacists instead, a report on the NHS staff crisis has concluded.

The shortfall of nurses will also triple to more than 100,000 unless almost £1 billion is spent on training and hiring thousands from abroad, it added.

“Dire” workforce planning may derail the NHS ten-year plan because there will not be the staff to hire with £20 billion budget boost, three think tanks have said. The Nuffield Trust, King’s Fund and Health Foundation united to warn that a dearth of qualified professionals has become the critical problem facing the NHS.

They said it “defied all logic” that training budgets have been cut by 17 per cent to funnel money into NHS England as the shortage worsened. The NHS has 100,000 vacant posts in a workforce of more than 1.2 million.

“You have to run to stand still in the NHS,” said Anita Charlesworth of the Health Foundation. Ministers must restore bursaries for nursing students, giving them £5,200 a year to reduce an attrition rate in which only three in five who enrol become full-time nurses, she said, adding that overseas recruitment should grow from 1,600 a year to 5,000 annually.

The report said that for GPs there was no prospect of closing the gap for at least a decade. In 2015 ministers promised 5,000 more GPs by next year but numbers have since fallen by 1,000.

The shortfall of 2,700 will triple in five years without action, but even an intensification of efforts to train more and stop early retirement will produce only 3,500 more over a decade, leaving the NHS more than 7,000 short, the report estimated. The gap can be closed only by sending more patients to see physios and pharmacists for problems such as back pain and medicine reviews, it suggested.

Efforts to hire GPs from abroad had been unsuccessful Richard Murray, chief executive of the King’s Fund, said. “We are just not that competitive on pay and lifestyle. The numbers just haven’t come through but that isn’t for want of trying,” he said.

Baroness Harding, chairwoman of NHS Improvement, welcomed the review. “Our staff are our biggest asset and so it is vital we do more to retain, recruit and develop them,” she said.

Times on line comment:

“Baroness Harding, chairwoman of NHS Improvement, welcomed the review. “Our staff are our biggest asset and so it is vital we do more to retain, recruit and develop them,” she said.”
Staff are treated abysmally so what is actually being done. Not much. Anyone who works in a hospital who trys to raise a problem is silenced and hounded out.

World shortage of doctors:

Research Shows Shortage of More than 100,000 Doctors by 2030

U.S. faces 90,000 doctor shortage by 2025, medical school …

Canada’s doctor shortage will only worsen in the coming …

On solutions to the shortage of doctors in Australia and …

NZ’s doctor shortage: What needs to be done? – NZ Herald


This entry was posted in A Personal View, General Practitioners, Medical Education, Perverse Incentives, Post Code Lottery, Professionals, Rationing, Retired, 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.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s