Steve Taylor Profile picture
May 8 8 tweets 5 min read Twitter logo Read on Twitter
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 4
When part-time is really full-time

When GP hours are counted

Official figures for GP working hours are counted in sessions

A session is 4hrs 10 mins or half a day

9 sessions is 37.5hrs or full-time officially

But there is a problem

🧵1 Image
A GP session or half day can actually exceed 6hours

For the majority it is between 5-6hrs

This means the hours counted are underestimated by 1-2 hours session

So GP hours are not officially accurate

2🧵 Image
GPs working 6-8 sessions are officially counted part-time

The vast majority are often exceeding Full-time hours

3🧵 Image
Read 8 tweets
Apr 22
UK HAS A RETENTION CRISIS

35% of UK trained Drs are leaving

5000 UK trained nurses are leaving/year

In a global healthcare market for workers the UK is reliant on immigration for over half of #NHS Drs & Nurses

But with pay falling many are choosing better options

#NHSCrisis
Doctors leaving the UK in increasing numbers

Australia, Canada, Saudi, Qatar, New Zealand making it easier for UK Doctors to work

Better pay and conditions

#NHSCrisis ImageImageImageImage
The UK trains a mere 7500 Drs but needs 15000

35% of UK trained Drs are leaving

UK increasingly needs international medical graduates

I am personally very grateful to my IMG colleagues without whom the NHS would have failed ImageImage
Read 8 tweets
Apr 12
I grew up in Bucks - it’s always been conservative - MP @SteveBakerHW

Chair of the Conservatives @GregHands was in the same year at school

I’m not a left wing activist

I’m a GP of 30yrs that sees the needs & cares

The Govt have got the #NHS so wrong

Time to listen #NHSCrisis Image
Read 7 tweets
Apr 9
RISHI SUNAK’S - PAST MEDICAL HISTORY

Mother a Pharmacist had her own business

Father a GP a well funded GP practice

It should mean he knows the #NHS

But TODAYS pharmacists may be working in Boots, GPs struggling with workload & funding, & Rishi’s life would be different
🧵1 Image
Things have changed a lot in the past 40yrs

Drs & pharmacists find themselves with large student debts, lower pay & a much more uncertain future

Income for GPs has reduced 30-40% in real terms

A pharmacist is likely to be in a large multiple pharmacy chain not an owner

🧵2 Image
Doctors & pharmacists are choosing different paths to Rishi’s parents in the 80’s & 90’s

Instead of opening the UK to talent, the current pay and conditions, have lead to an increasing exodus of talented medics

Australia, Qatar, Canada, Saudi & NZ opening doors
🧵3 ImageImageImageImage
Read 9 tweets
Apr 5
#NHS pressures - Not being noticed

Week ending 24/3/23 - 12,052 deaths above the 5yr average

- private homes (22.3%⬆️624 excess)
- hospitals (10.1%⬆️488 excess)
- care homes (5.9%⬆️134 excess)
- other settings (14.4%⬆️115 excess)

1361 excess deaths in a week
624 Covid related
Read 6 tweets
Mar 25
DOCTORS ARE LEAVING UK

We live in a global market for health care workers

If the UK continues to undervalue Doctors they will leave in increasing numbers

Pay, conditions & workload is a RETENTION issue

GMC Report 👇🏻
gmc-uk.org/-/media/docume…

#GPCrisis #PayRestoration
Read 6 tweets

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