The supply of doctors is finite, and has to be planned a decade ahead. Not only are doctors well paid (and regarded) but they are a moveable feast: transferrable skills mean they could work in one of many dispensations. The Commonwealth countries are particularly popular..
If the UK were to train 5 times as many doctors as we needed many more as a % would go overseas. There is a net 20% loss of all graduates from Wales, mainly to the UK, and a net 40-50% (my estimate) loss of medical graduates over 5 years.. SO it we don’t want the whole to be impractically expensive we have to persuade other countries to train enough doctors as well as the UK.
It would help if fewer women (more men) as a percentage of the total were trained. It would also help if there were a move to graduate as opposed to undergraduate entry. But even these changes, without insisting on 5 years “National Service” could fail unless the shape of the job is changed.
The fact that Scotland suggests a new paradigm emphasises the 4 different dispensations, and the lack of a “National” health service.
GP leaders in Scotland are calling for new recruitment targets to be set to boost the GP workforce north of the border and a 11% slice of NHS funding.
The Royal College of General Practitioners (RCGP) Scotland has published a new report called From the Frontline *, which draws on feedback from GPs across Scotland and their thoughts and experiences within the profession.
It has also launched a new campaign called #RenewGP, which calls for 11% of the Scottish NHS budget to make Scottish general practice “fit for the future”.
It also calls for GPs to be able to have minimum 15-minute appointments with patients in order to give them better care, but warns this would only be possible with more GPs in the system.
Tackling health inequalities was also crucial, said the report authors, who wanted GPs serving areas with high socio-economic deprivation to be appropriately resourced.
Central to all of the RCGP’s desire to improve general practice was planning for the future workforce and the report and campaign argue that as the population was living longer with more long-term conditions, Scotland needed more GP capacity to build and lead community healthcare teams………
It’s the shape of the GP’s job that needs to change. The pharmacist will see you now: overstretched GPs get help…The fundamental ideology of the Health Services’ provision. Funding of this type admits 30 years’ manpower planning failure