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Dr Steve Taylor Profile picture
@DrSteveTaylor
Nov 7, 2022 • 8 tweets • 4 min read • Read on X
Scrolly
GP is changing because the needs of community care have changed over the past 30 years
So in addition to Practice Nurses & GPs there are many other clinicians in the team
Thread 🧵👇🏻
1.4million people a day consult a GP practice
Demand has increased (120% compared with 2019) but GP numbers have fallen (1800 fewer since 2015)
In order to manage demand additional systems have been needed as well as using different methods to consult, & additional clinicians 2/
With 7m awaiting hospital treatment, 10m awaiting follow-up appts, an additional 500k are on long term sick leave since 2019
In addition advances in medical care mean many more are on medications, & have regular reviews of care
People live longer, population has increased
3/
There have been many reasons why GP surgeries are struggling
Many negative comments
A lot of misinformation
But there are reasons for #GPCrisis
4/
There is a lot more work being done in community care
And demand is rising
5/
The GP workforce is ageing
The Government has failed to address the issues of retention
Pension Tax
No income increase since 2005
Increased workload & bureaucracy
6/
We have to accept that funding across the NHS is not enough but the lack of investment in Primary Care leads inevitably to all the other parts struggling
10% of NHS budget spend on Primary Care
7/
An overview of the NHS shows all parts are struggling
Investment is needed in most areas
I would argue that General Practice is outperforming with 10% of the budget (£8bn)
Given sufficient it would help solve the current crisis
8/

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More from @DrSteveTaylor

Dr Steve Taylor Profile picture
Jan 15
Waiting lists a deep dive 🧵

Progress is being made on waiting lists which is good news given years of previous failure

However there are some things that are being missed and is it as good news as being touted by @wesstreeting @DHSCgovuk @NHSEngland Image
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The good news first, long waits are falling and extremely long are being removed Image
There are problems meeting the Government target of being seen within 18weeks

Although some progress the target will not be met within the period of this Government Image
Read 12 tweets
Dr Steve Taylor Profile picture
Nov 3, 2025
GP Crisis is being ignored despite the many reports

@wesstreeting even commissioned the Darzi Report but is ignoring it’s advice on GPs

@CareQualityComm State of Care
@CommonsHealth The Future of General Practice
@instituteforgov General practice across England
@pulsetoday Image
Darzi Report 2024
assets.publishing.service.gov.uk/media/66f42ae6…Image
State of Care 2025

cqc.org.uk/publications/m…Image
Read 7 tweets
Dr Steve Taylor Profile picture
Sep 15, 2025
Primary Care Training Hubs

Promoting the training & development of additional roles in General Practice, except GPs & Practice Nurses

So no prioritisation for tackling GP /GPN unemployment & underemployment? Where is the accountability? @wesstreeting

hee.nhs.uk/our-work/prima…Image
Whilst the Multi-disciplinary Team is vital to good community care, so is planning, joining up thinking & accountability

There has been a huge rise in additional roles without real understanding of the need for GPs & GPNs in practices

This is failure @NHSE_WTE & @NHSEngland Image


Training Hubs are focused on using First Contact practitioners

Undifferentiated (undiagnosed) patients

This is a role for GPs who have had a minimum of 10y to complete their training

There is no need for other clinical colleagues to take this role
cmthub.co.uk/first-contact-…Image
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Read 7 tweets
Dr Steve Taylor Profile picture
Jun 28, 2025
It’s increasingly hard to see a Doctor

Policies made by NHS leaders & Governments have lead to fewer GPs

Many GPs finishing training next month will not have jobs to start, with many unemployed or working less than they would chose

All due to policies & lack of funding for GPs Image
The biggest change over the past 5 years has been NHS England led imposition of ARRS (Additional Roles)

Aimed at increasing access to a wider workforce in primary care

Until last year this excluded GPs & practice nurses resulting in fewer roles

But a massive expansion of ARRS Image
Complaints from Nurses & GPs were finally heard last year

NHS England was forced to open the scheme to GPs & Nurses

However there was a big problem, they restricted GP roles to those that had qualified in the previous 2 years

It was announced as an emergency measure but….. Image
Read 9 tweets
Dr Steve Taylor Profile picture
Jun 25, 2025
Blackpool

Known for the Tower, the winter lights , summer holidays & Strictly Come Dancing. But behind the glamour is one of the poorest most deprived areas of the country

The life expectancy is more than 10yrs lower than the UK average & health inequalities are a huge problem Image
As recently as October 2024, the local health leaders Kevin Lavery & Dr Andy Knox were sat in front of NHS England’s board sharing insight, successes & challenges. They were applauded for the work with Chair Richard Meddings full of praise.

1hr 14mins Image
The glamour and glitz has faded. The Chair replaced & the CEO gone. The plaudits & praise forgotten in the harsh reality of the current NHS

Despite Wes Streeting’s promise of more funding for the community, top down approach to care is failing patients theguardian.com/society/2025/j…
Read 8 tweets
Dr Steve Taylor Profile picture
Jun 2, 2025
The UK is a relatively low tax economy

This means the revenue raised by Government as a proportion of GDP has been low historically

Less funding raised for infrastructure/healthcare/education etc

A thread 🧵 Image
Infrastructure spending is some of the worst

This results in poorer roads, hospitals, less beds etc Image
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Healthcare spending

It is often slated as high cost but in relation to GDP the government has to spend less than peer nations Image
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Read 6 tweets

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