It is my opinion that every GP should now have a contractual commitment to do emergency and out of hours care pro rata with their work commitment in practice. It is only by having experience at the hot end when patients attend that they can be dealt with efficiently.
This would be an unpopular measure, especially with those bringing up children. It would be temporary until we have regained enough doctors and staff to man the 4 health services. But in emergency times you sometimes need emergency solutions. To get the GPs into A&E will need money – lots of it, and their practices will suffer. So it may be extea paramedical staff are needed in GP surgeries..
A&E departments in Wales have recorded their worst ever waiting times with just 72.1% of patients seen within four hours in December.
This figure is down significantly from the year before which saw 77.8% of patients seen within the target time.
The next worse-performing hospitals are Ysbyty Glan Clwyd at 52.5% and Royal Gwent at 53%.
The target set by the Welsh Government is for 95% of patients to be seen in that time.
Last month there was a record high demand on the ambulance service and the highest number of attendance at emergency department for any December on record.
The Health Minister Vaughan Gething announced an extra £10m to help ease pressures on A&E…..