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Steve Taylor

@DrSteveTaylor

Oct 18, 2022 • 6 tweets • 7 min read • Read on X

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People are waiting hours for ambulances/A&E appts⬆️⬆️
Although 999 calls up, those conveyed to A&E similar to previous yrs, as are A&E attendances
GP appts are up 120% cc 2019
So where is the problem?
Beds? Occupancy? Discharge? Covid?
What is the fix?
#NHSCrisis 1/🧵

Out-patient attendances just returned to 2019 levels
But 7m awaiting treatments
Treatments and investigations below 2019
Hospitals working more slowly
What’s the problem? 2/🧵

@DAUK_GP

GPs continue to consult at records levels
Fewer GPs doing more
Referrals for investigations/2WW remain
Overall referrals to hospitals slightly lower presumably due to backlogs and use of ‘Advice and Guidance’
So GPs aren’t the problem 3/🧵
#GPCrisis @DAUK_GP @BMA_GP

Social care funding remains low
Provision of beds in community reduced
Ageing & increasing population
Part of the problem 4/🧵
#SocialcareCrisis

Beds and capacity in secondary care reduced over decades of underinvestment
We don’t have capacity in secondary care to deal with population we have
The big problem
Blame MPs not GPs 5/🧵End
#NHSCrisis

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More from @DrSteveTaylor

Steve Taylor

@DrSteveTaylor

Jul 15

GP Core funding is just £107.57/patient/year
@BMA_GP
@DAUK_GP has until now been using the average total figure £165 which includes premises payments, prescribing income & payments for QOF, which are not part of the core contract
Either way it’s not enough
digital.nhs.uk/data-and-infor…

There are huge variations in the income receive per practice with even the average £165 hiding differences in dispensing practices vs non-dispensing

So focusing on £107.57 core GP funding reflects more closely what practices get to employ the staff to provide care for patients

The payments received from NHSE are increasingly linked to targeted or non-recurring payments, rather than core contract, making budgeting harder for practices

They’re used to provide all the services provided by a GP practice

An example of an average practice using £165 income

Read 7 tweets

Steve Taylor

@DrSteveTaylor

Jun 16

Richard Meddings - Chair of NHS England ‘Doctors are over-qualified’
Asked if it should be possible to train a doctor in less than 7 years
‘I would have thought so. Or you go to physician associates – so you change the skill levels’

NHS England Board has Post Office Board ‘vibe’

dailymail.co.uk/health/article…

Sajid Javid made Richard Meddings the chair of NHS England 2022
‘brings to the role a wealth of experience’, including ‘years of management in the financial services industry’, giving him a mandate to ‘change and reform’ the health service

Credit Suisse🫣
tribunemag.co.uk/2023/03/the-nh…

Read 4 tweets

Steve Taylor

@DrSteveTaylor

May 13

NHS vs Private providers

With less than 15% of NHS work done by Private providers, the ‘easy’ stuff, they aren’t going to be the solution to backlogs

Govt/Labour have continued to listen to their leaders

There are solutions which require listening to those who understand

https://twitter.com/drstevetaylor/status/1777734356280467459

Just 24,000 a month self pay compared to 1.4million using the NHS Hospitals

https://twitter.com/drstevetaylor/status/1777734356280467459

https://twitter.com/tomhcalver/status/1614341285887852545

The reality is that the independent sector is benefiting from NHS waiting lists so will continue to be vocal in creating solutions

https://twitter.com/tomhcalver/status/1614341285887852545

Read 5 tweets

Steve Taylor

@DrSteveTaylor

Apr 21

Whopping Whippet stories from the Tories and Victoria Atkins

A thread of mistruths

https://twitter.com/drstevetaylor/status/1782021584128975156

Nurses 🤔

https://twitter.com/drstevetaylor/status/1782021584128975156

https://twitter.com/drstevetaylor/status/1781938144557846780

GP appointments
50m extra but not with an actual GP (Doctor)

https://twitter.com/drstevetaylor/status/1781938144557846780

Read 9 tweets

Steve Taylor

@DrSteveTaylor

Apr 3

GP Partnerships - Time for a salaried service?
I keep hearing politicians say that GPs don’t want to be Partners & want to to be Salaried

Well that’s a self fulfilling prophecy since they are the ones deciding funding
Remove the funding for a business & who would want to do it

So wants behind this assumption

Firstly there has been a fall in GP Partners & rise in Salaried GPs
The headcount numbers look overwhelming

But if you strip away the numbers to Full-Time equivalent GPs
The picture gets less clear in terms of a movement to salaried GPs from Partners

Read 8 tweets

Steve Taylor

@DrSteveTaylor

Apr 3

GP Practices are closing, financially unviable, younger GPs leaving
some unemployed
Yet @NHSEngland @VictoriaAtkins @andrealeadsom are failing to fund GP Practices with a cut of 2% this year
20% £/patient real terms cut in funding since 2016
This is not News it needs repeating