Thread by @DrSelvarajah

GP nationalisation 🧵 - It’s not really about that. SoS is talking about GPs giving up their contracts & being employed by hospital trusts incl foundation trusts. Foundation trusts are independent publicly owned organisations, bit like academy schools. 1/5

So why do this? Integrated care systems are being formed (44 in England). Modelled after ACOs in 🇺🇸. Although it’s supposed to be a partnership, it’s likely the local trust or another large organisation would be prominent. So, having GPs employed by them is better for system. 2/5

There’re GPs employed by Trusts in Wolverhampton. In Yeovil (Somerset) via a subsidiary. We have large corporations/partnerships running GP practices. So this isn’t really nationalisation of GPs, it’s just moving to a salaried model under a large employer NHS or private. 3/5

So what’s the problem? I’ve tweeted about them. Continuity of care for patients will be affected. Capacity issue won’t addressed, still 8k GPs short. Focus on relieving acute pressures in hospitals rather than focus on community based, proactive & chronic diseases management.4/5

@MartinRCGP @DrFJameel @rvautrey @BMA_GP have expressed their concerns too along with other GP leaders. See their tweets. #TeamGP is already very efficient dealing with 1 million patients/day for 8-9% of the #NHS budget. This proposal is distraction. Fix capacity and access. 5/5.