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Dr Steve Taylor

@DrSteveTaylor

Jun 28

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

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

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…..

Read 9 tweets

Dr Steve Taylor

@DrSteveTaylor

Jun 25

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

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

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

@DrSteveTaylor

Jun 2

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 🧵

Infrastructure spending is some of the worst

This results in poorer roads, hospitals, less beds etc

Healthcare spending

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

Read 6 tweets

Dr Steve Taylor

@DrSteveTaylor

May 19

GP TRAINING an example for @gmcuk @wesstreeting @DHSCgovuk @NHSE_WTE

GPs are trained extensively Minimum:
5 years of medical school
2 foundation years which include surgery and medicine
Plus 3 years minimum as experienced Doctors with extensive supervision, exams & assessments

GPs understand the full curriculum of education as set out by RCGP

This is a full and comprehensive curriculum covering all aspect of medical education and health & social care rcgp.org.uk/mrcgp-exams/gp…

The examinations GPs undertake are thorough & evidence based, with years of research & experience.

GPs have clear guidelines and recommendations regarding scope of practice, before they can consult with undifferentiated patients

Only GPs can do thisrcgp.org.uk/mrcgp-exams

Read 8 tweets

Dr Steve Taylor

@DrSteveTaylor

Apr 12

1500 more GPs added to the workforce or have they?
@wesstreeting
The headline this week was 1500 more GPs have been added to the workforce since the change in the rules around recruitment of GPs in the Additional Roles Reimbursement Scheme (ARRS) allowed GPs to be recruited.

But behind the headlines there isn’t as much to be happy about. I am continuing to hear of GPs unable to get work, or work the number of sessions that they would like . GP unemployment and underemployment hasn’t gone away, despite patients needing GPs.

GPs restricted to those who have qualified within the past 2 years, barring a huge proportion of the GP workforce who are struggling to get work.

The ARRS roles themselves are often less well paid, less defined, often split between practices the best for a newly qualified GP.

Read 10 tweets

Dr Steve Taylor

@DrSteveTaylor

Jul 15, 2024

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

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