Steve Taylor Profile picture
Mar 12, 2023 9 tweets 4 min read Read on X
Some will be planning to call the GP for an appt

Many will end up on hold or queuing outside

1.4 million/day consult a GP practice

Since 2015 we have lost 2000 GPs - enough for 1m patients

NO GP WANTS THIS

FUND & SUPPORT GPs or LOSE THEM

#GPCrisis Blame MPs not GPs
GP APPOINTMENTS

Despite the pressure & reduced numbers GPs have provided more appts than ever

39% are seen in a day & 82% within 2 weeks of being booked

More Face to Face than before 2019 but many more options, with tele, e-consults & text added

GPs can’t provide more Image
With GP numbers falling & no support from NHSE & Government

Practices are failing, some are closing becoming unviable with Partners forced to hand back contracts

Without significant change 20% of Practices are potentially at risk Image
What started as early retirement for some GPs due to workload, burnout & Pension Tax issues making it financially unsustainable to work

Now younger GPs completing training & leaving GP

Yet the Government refuses to accept that RETENTION is more important than training Image
GP partners don’t receive a wage

They take what is left after expenses are taken (staff, building etc) or invested in the future of the practice or repayment of loans

A patient earns a practice £163 whether they are seen 50 times or none - the average is 7/yr

It’s not enough Image
The income received by GPs for a patient has been falling in real terms

The average practice of 10000 patients will be receiving £60k less than 2016 in real terms

The coming year uplift of 3% lagging 7% behind increasing costs

This is making practices unviable Image
The stress of caring for an increase in the number of patients per GP up from 1800 to 2200 in 10 years

Managing patients waiting for hospital treatments- 10% of all patients

Financial cuts to their practices

Supporting staff & patients alike

GPs close to burnout Image
There are solutions but both the Government & NHSE have failed to listen of provide meaningful support

Some of this will be funding but much of it is ending needless bureaucracy

Support for allied community professionals so that the community can genuinely care for patients Image

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More from @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…
Image
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 Image
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 Image
Read 7 tweets
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’ Image
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
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 Image
Just 24,000 a month self pay compared to 1.4million using the NHS Hospitals
The reality is that the independent sector is benefiting from NHS waiting lists so will continue to be vocal in creating solutions
Read 5 tweets
Apr 21
Whopping Whippet stories from the Tories and Victoria Atkins

A thread of mistruths
GP appointments
50m extra but not with an actual GP (Doctor)
Read 9 tweets
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 Image
So wants behind this assumption

Firstly there has been a fall in GP Partners & rise in Salaried GPs
The headcount numbers look overwhelming Image
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 Image
Read 8 tweets
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
Read 4 tweets

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