Steve Taylor Profile picture
May 8, 2023 8 tweets 5 min read Read on X
GP ‘plan’ - phone lines but no REAL people

2000 Fewer GPs than 2015 when Jeremy Hunt promised 5000 more by 2020

GP Practices & Pharmacies are closing

Contracts that don’t pay enough

Being navigated to a struggling service will increase unhappiness for all Image
Steve Barclay rightly says GP practices are providing 2 million more appts a month than 2019

Consulting with half the population of the UK a month

GPs have done this with below inflation funding for the past 5 years

GPs are leaving in increasing numbers

Contracts handed back Image
GP is one of the most technologically advanced in #NHS

Embraced online forms of communication during the pandemic

Provide 20% more appts than 2019

Govt obsession with face-face appts undermines this very initiative

Tech is NOT the problem

GP numbers, funding, bureaucracy are Image
Whatever the Govt says

It is the lack of GPs that’s the problem

That problem stems from failures to address the underlying causes

Raising patient expectations of a smaller number of GPs will increase frustration for all

Blame MPs, DHSS, NHSE not GPs
COMMUNITY HEALTH CARE - COLLAPSE

UK population ⬆️⬆️7% - 2012-23

GPs ⬇️ 7%

District nurses ⬇️42%

Health Visitors ⬇️30%

Learning Disability Nurses⬇️23%

School Nurses⬇️25%

Nursing home beds ⬇️ 12%

Residential Care home beds ⬇️16%

#GPCrisis Image
🆘GP Crisis🆘

The NHS GP contract - 230 pages

NHS & Government regulation for GP services

GPs are forced to accept what little the Government will provide for Primary Care

£163/person/year

Without proper funding General Practice will collapse

8000 too few GPs

More leaving Image

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More from @DrSteveTaylor

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
Mar 9
Is General Practice FOR SALE?
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/lor…
Panorama gathered evidence that PAs were not being properly supervised at the Operose practice. The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. The practice treated them as equivalent to GPs

bbc.co.uk/news/health-61…
An investigation by the BBC’s Panorama programme found that Operose Health was using physician associates to undertake appointments because they are cheaper to employ than GPs.

theguardian.com/society/2022/j…
Read 7 tweets
Mar 6
GP Partners to blame for missed Cancer Diagnosis

In the case below the poster was asking whether to complain.
I feel for all involved
The patient who was delayed
The PA who will be upset at missing this
The receptionist who was doing what they were told
The GP who was worried
🧵 Image
The GP Partner is to blame here because ultimately they are held responsible
They make the decisions for how the practice is run.
Employed the PA, put the PA on the Doctors rota, allowed the PA to see undifferentiated patients. Told the receptionist how explain to patients
2/
GP Partners are responsible for ensuring that everything done in their practices are safe.

They are responsible to the patients, themselves, their staff, the building, the CQC, GMC, NHSE etc.

They are liable.

3/
Read 10 tweets

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