Posts Tagged “7day access”
The NHS Confederation has published a Primary Care myth buster to raise awareness that GPs already offer 7 day access. The move comes amid calls from academics for the Government to put a halt to 7 day access plans as research has not conclusively shown that 7 day access will reduce A& E admissions. Meanwhile, a small GP-led pilot scheme in Cornwall has reduced emergency admissions by 34% in a high-risk group of patients with two or more long-term conditions.
NICE has backtracked on its claim that 10million prescriptions for antibiotics every year are inappropriately prescribed. The figure was apparently based on ‘the far end of plausability’ of an estimate made by a single expert adviser.
The CQC is to make changes to the way it carries out practice inspections in order to improve the relationship between practices and inspectors. A named lead inspector for each CCG area will carry out the majority of inspections with visits spread throughout the year rather than during a 4 week window.
An error by NHS England has left 30 GP trainees in the Thames Valley and 14 in the West Midlands suspended from seeing patients for up to 3 weeks because they were not included on the performers list.
A survey of practice managers has found that 57% have applied for new jobs and many want to leave General Practice citing bureaucracy, poor pay, and a lack of training and opportunities for progression as reasons to look for management jobs in other sectors. Meanwhile, figures from the GMC show that on average, between 2008 and 2014, 2,852 certificates were issued to doctors enabling them to work abroad. Worryingly, it seems that the doctors most likely to leave are young, newly or recently qualified and without family or financial ties to the UK.
The NHS is seeking to recruit 200 US trained physician associates to four regions in the UK offering £50,000 for a 48 hour working week. The positions are for two years by which time, the first UK trained physician associates should be qualified.
Meanwhile, there are hopes that GPs will be amongst the groups to benefit from an increase on the expected pay rise of 1%. Groups with recruitment and retention issues may receive more than 1% according to the Treasury.
Data from the GP Patient Survey has found that just over a quarter of patients in England were unable to see a GP or waited a week or more to see or speak to someone last time they tried. The survery comes amid news that a quarter of 7 day GP access pilots have cut their opening hours owing to lack of demand.
According to a survery carried out by Londonwide LMCs, 1 in ten London practices face closure within the next three years. Various factors were cited as reasons practices were considering closure, including workforce retirement and difficulties recruiting new staff. One GP explained the difficulties her practice faced and the reasons behind the decision she and her colleagues made to quit. Other GPs at the Limehouse Practice were visited by health minister Alisdair Burt, in a hastily arranged visit after reports that a proposed visit by Jeremy Hunt might not take place until after the practice is forced to close later this year. In Scotland, one area has warned that any unexpected illness or leave amongst GPs could lead to practice closures, as 11 full-time posts have been vacant for between three months and two years and a further 14 GPs plan to retire by December 2016.
The Head of NHS England, Simon Stevens, has annouced that the practice-list based model of general practice could be replaced in future. Another GP has suggested practices receive payments based on numbers of consultations in order to relieve the financial pressures they face.
It has transpired that the £7.5m promised by the Government to support community pharmacists will actually be used to give them access to summary care records – a policy originally announced in 2013. As part of the drive to recruit 1000 Physician Associates by 2020, the Government is considering granting them prescribing powers to relieve the pressure on GPs. The NHS is offering £15m to practices who take part in a pilot scheme to bring pharmacists into their surgeries.
In order to save money and reduce medicine wastage, from next year, all medication costing more than £20 will have the price printed on the label. Jeremy Hunt has also said that he supports the idea of charging patients for missed GP appointments and as a first step, patients will be informed how much their missed appointment has cost the NHS.
After two rounds of GP Recruitment earlier this year, official figures show that 20% of GP Training places remain unfilled with a third round to follow later in the year.