GP Partners

GPs earn a fantastic income compared with most

But it’s been the about the same since 2004

Maybe that’s fine

But have invested in Primary Care & continued to provide care by employing more staff, supplementing costs & on average lost 40% income

#teamGP Thank you!
GP - Salaried income

This has increased yearly but lags far behind inflation

There is not enough funding in General Practice to pay staff in line with inflation

Partners have subsidised any increases
GP Funding

This has reduced compared with increase in demand

Much of NHS work has been moved to the community

But funding hasn’t followed the work

#GPCrisis #TeamGP
All community care is struggling with provision & funding
GP numbers

The number of GPs is falling in all areas & worryingly in all age groups but particularly the younger ones

Workload & funding are the issues

#GPCrisis
The pressures for GPs are becoming too much

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More from @DrSteveTaylor

Mar 12
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
Read 9 tweets
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

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