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

Mar 2
NHS - THE BOTTOM - NOT A BOTTOMLESS PIT

If you spend little for 30 out of 40years you will have less of everything

Seems like that’s what’s happened
1🧵
NHS - THE BOTTOM - NOT A BOTTOMLESS PIT

If you spend little for 30 out of 40years you will have less of everything

Seems like that’s what’s happened
2/🧵
NHS - THE BOTTOM - NOT A BOTTOMLESS PIT

If you spend little for 30 out of 40years you will have less of everything

Seems like that’s what’s happened
3🧵
Read 4 tweets
Feb 4
🆘GP Crisis🆘

GP is the most monitored, regulated, inspected area of #NHS

Tick boxes for referral, monitoring, appts, appraisal, learning, training

It has more targets - CQC/NHSE/GMC/Gov

8000 too few GPs - more leaving

1.4m appts/day

#GPCrisis
🆘GP Crisis🆘

Too many targets in order earn the money to provide care for patients

Means many appts are provided just for targets - not necessarily for the care patients really need

2🧵
🆘GP Crisis🆘

The CQC inspection process duplicates much of the monitoring done in GP

Adds levels of bureaucracy to over burdened GPs

GPs pay for the inspection

Little support is given

Would be better replaced with a support service helping practices improve

🧵3
Read 5 tweets
Feb 3
GP Appts - Workflows - Thread🧵

Annual reviews- predicable constant flow

Monthly - some Chronic disease follow-ups/Mental Health/ Acute follow-ups - more predictable

Acute - illness/change in condition/seasonal/variable

Urgent - unwell/need treatments/assessments

#TeamGP
Is it possible to manage flows through GP surgeries better

Annual reviews for chronic disease

A birthday month spread throughout the year

Pre-booked months ahead of time
🧵/2
Reviews

Also reasonably predictable numbers

Some needing FU from annual reviews

Some FU from acute presentations

Mental health etc

Prebook within the month - arranged at time of previous appt with clinician
🧵/3
Read 7 tweets
Nov 7, 2022
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/
Read 8 tweets
Oct 18, 2022
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, 2022
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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