BMA – Saving General Practice Report

BMA – Saving General Practice Report

  Saving General Practice This week we have published our new GPC England report, Saving General Practice.  It focuses on the need for urgent action to address the funding deficit impacting general practice, the requirement for a sustainable expansion of the workforce, the importance of a strategy for reducing workload pressures, the need to remove the burden of the current indemnity system, to deliver IT and premises solutions fit for modern healthcare and to build this on the foundation of the national GMS contract. A copy of the document is attached and details can be found here: https://www.bma.org.uk/collective-voice/influence/key-negotiations/training-and-workforce/saving-general-practice Saving General practice   There are also links to my pre-conference video and a short film we produced about the situation in Folkestone in my weekly email to GPs: http://bma-mail.org.uk/JVX-5A1PZ-6B36IQY55B/cr.aspx GP at Hand On Monday Babylon health released a press release about the launch of their GP at Hand service. I’ve attached the press release for information.  This has raised many questions and concerns, not least about the cherry picking of young health people and exclusion of many others, and we have been in direct contact with NHS England, NHS London and NHS Digital throughout the week, and have further meetings planned next week.GP at Hand FINAL London GPC Wales On Thursday I attended a meeting of GPC Wales in Cardiff. Thank you to Charlotte Jones and her team for their warm welcome. Whilst our contracts may becoming increasingly different, the issues that GPs and practices face are very similar, not least the acute problems created by the recruitment and retention crisis. It was also interesting to see the positive engagement GPC Wales has had with the police service, with a...
BMA – GP’s Prepared to suspend patient registration

BMA – GP’s Prepared to suspend patient registration

  The BMA GPs committee England has released the results of our indicative survey of GP practices on willingness to close practice lists, following the resolution from the LMC Conference in May this year. The full results are available here. With nearly 2,000 responses, the results show that a small majority (54%) would consider temporarily suspending new patient registration, but a minority (44%) would be in favour of applying for a formal list closure. The strength of feeling shown by those who responded means we are calling on the Government to address the crisis urgently. Practices have judged that the GP Forward View is failing to sustain general practice or provide the support that practices need right now. GPs and practices are facing intense pressures owing to the Government’s lack of support. Understaffing, underfunding and overworking are three pressures we constantly hear quoted, but there are many others, all combining to make general practice currently an unsustainable service and an unsustainable career option. However, it is a career that we have chosen and we all want to see sustained with sensible, long-term solutions, for us and for our patients. There is much the Government needs to do, most importantly: – A swift resolution to the indemnity crisis – A limit to workload levels so that no patient or doctor is put at risk – A sustainable expansion of the general practice and community workforce (with an end to short-term schemes with non-recurrent funding) – Surgery buildings that are fit for the 21st century. We ask practices and GPs to engage with their local medical committees and regional GPC representatives...
BMA – A call for an adequately resourced NHS

BMA – A call for an adequately resourced NHS

    Dear , Most of us are still trying to make sense of the general election result, which returned a minority Conservative Government. While the election was called on the issue of leaving the EU, it has become abundantly clear that the public were just as interested in domestic issues – and in particular, the NHS. Reflecting on the TV debates, media coverage and public views, it is evident that the electorate is no longer prepared to put up with the political pretence of promising a comprehensive NHS without ministers backing this up by providing the resources needed to care for the growing needs of the population. This was highlighted in health secretary Jeremy Hunt’s own constituency, where BMA member and GP Louise Irvine (NHS Action Party) contested the seat and received more than 12,000 votes (which was a 20 per cent share of the vote in that constituency overall) – a significant increase from the 4,851 votes which she received in 2015. This was a great achievement by Louise, which starkly underlined the vital importance of the NHS in the public’s eye. While we have the same Government and the same health secretary, there is a clear mandate from the electorate for a change of policy, and a call for a new post-election manifesto that abandons austerity and cuts, in favour of funding the NHS properly so that doctors have the time and tools to care for patients. The fact we have a minority Government can also act as leverage, with pressure from other parties and wider stakeholders, to enable this – and this will be a...
BMA – Setting the Agenda LMC Conference 2017

BMA – Setting the Agenda LMC Conference 2017

Dear , As you are aware the BMA local medical committees annual conference took place on 18 and 19 May in Edinburgh, bringing together representatives from across the UK to debate a range of issues that affect general practice. The conference is not a static, moment-in-time event, but one which has a living reality for the coming year, sending as it does clear messages to the Government from the profession, forming policies, and providing a mandate of work for the BMA GPs committee. In my opening speech (which you can read here, or watch as a webcast here), I starkly highlighted the financial brick wall that the NHS and general practice has faced during the past year, against a backdrop of the electorate having been hoodwinked by the false promise that Brexit would result in an injection of £350m per week in the NHS, when in fact we are experiencing the opposite of continued austerity measures and cuts. Despite this, GPC negotiated positive changes and investment into the GP contract in England, such as ending the avoiding unplanned admissions enhanced service, which has freed GPs and staff from the bureaucracy and workload of chasing statistics of care plans and reports. Practices can now claim full reimbursement of CQC (Care Quality Commission) fees, have guaranteed payment for the unpredictability of practice GP sickness absence, receive funding for expenses, and with a global sum that has increased by nearly £5 per head. I reiterated that these contract improvements cannot address the overarching crisis in general practice resulting from a decade of neglect and disinvestment. Many of our pressures relate to a...