Steve Taylor Profile picture
Nov 7 8 tweets 4 min read
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

Oct 18
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/🧵
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
Read 6 tweets
Aug 29
GPs - Facts or fiction 🧵
They are not seeing patients F2F
Why are waiting rooms are empty
They are not working
AEs are full because GPs aren’t seeing patients
They shut their doors during the pandemic
They are all part-time
They are paid too much
They no longer care
1/9
GPs are not seeing Pts F2F
1.4million people a day have an appt with GP practices
70% Face to Face 980000
2019 1.2m 90% F2F = 1080000
So 200000 less F2F /day
But 200000 more appts a day
There are also less GPs 2000 fewer than 2015 when the Government promised 5000 more now
2/9
Why are GP waiting rooms empty?
During the pandemic GPs were told to restrict waiting rooms & stagger appts by NHS
They did this by triage speaking to pts first, then a F2F if necessary
So what used to be packed waiting rooms with GPs running late
Now seen every 30m & safer
3/9
Read 9 tweets

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