The RCGP has warned of a ‘worrying downward trend’ as the number of GP practices in Wales continues to decline. buff.ly/44siMpB

Scrapping GP partnership model would be a ‘disaster’, says Government buff.ly/44mu4M4 #GPpartnership #GPcontract #primarycare

PAs being given direct access to the Foundation Programme

While Foundation Drs across the country are sat on placement lists, unsure where they are going to live

Dr Navina Evans, why are these posts not going to Drs?

Why are Drs being replaced?

Credit: Dr Done Alison Moore

They just replied to an enema.

Every time I try and quit something like this happens and I know that I can't.

Hats off to the social media team at the GMC on this, and hats off to explosive enema (that's not a sentence I ever thought I would be writing).

“Does shortage of GPs matter?”
Via The British Journal of General Practice

Summary?
It does when it comes to life expectancy

In the same world?
NHS England Workforce, Training and Education replacing GPs with PAs

Aided by? GP colleagues in senior leadership roles

Ignoring science, governed by hubris

Stop this

bjgp.org/content/early/…

Pay costs at Guy's and St Thomas' has increased £150m, it must be cut by £55m this year. It is using 2,000 temporary staff a month.

‼️THIS is what white privilege in UK NHS healthcare looks like.

Meanwhile, Black & Global Majority doctors face systemic racism that targets with formal disciplinaries, MHPS hearings, GMC referrals & removal from register PLUS trauma for issues resolvable locally.

#BeAntiRacist

GP Practices are closing, financially unviable, younger GPs leaving
some unemployed
Yet NHS England Victoria Atkins Andrea Leadsom MP 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

What appt is value for money in Primary care?
Acute Respiratory Hub £48
Pharmacy First £48
ARRS staff appt £35
All funded by NHS England or ICBs

Or General Practice appts £20 - reduced in real terms by 20% in 8 years

amanda doyle Kamila Hawthorne Amanda Pritchard Andrea Leadsom MP

I’m a former Physician Associate now at medical school. After 4 years more training, with more responsibility on day 1 of work, I will be taking at least an £11k pay cut from what I’d be earning as a PA.

Going from PA to Doctor should be a promotion, with pay to reflect this.

Pay £55 for a Private GP video call - GMC registered 🤔

NHSE pays £165 for all your GP services for a year
Average number of appts is 7 with 5 being Face to Face
£35 less than 2016 in real terms

The Govt/NHSE don’t want you to see a NHS GP & refuse to fund GPs just alternatives

Amid doctor shortage, NPs & PAs seemed like a fix

Data’s in: Nope - American Medical Association

That finding “prompted us to really analyze the whole population”
“We moved to a model of a Doctor being the primary care provider”

Who knew🤷🏻‍♂️
ama-assn.org/practice-manag…

A shocking new report reveals that 10 GP practices in Cumbria and Lancashire are at risk of immediate closure, with a further 111 struggling financially due to soaring costs.

I've written to the Health Secretary urging her to support our vital GP surgeries before it's too late.

Change in environment, will lead to lasting change in behaviour
#populationhealth #LeadershipMatters
Insightful conversation Simon Sinek #bluezone
youtu.be/uNsEnaUbExA?si…

Doctors are angry

They are angry about the working conditions for staff across many hospital.

People with learning disabilities ‘dying too young and from preventable causes’ independent.co.uk/news/uk/nuffie…

Wellens Syndrome is a clinical syndrome characterised by biphasic or deeply inverted T waves in V2-3, + chest pain.

It is highly specific for critical stenosis of the left anterior descending artery (LAD).

A striking feature of the controversies over MAPs replacing GPs, or the Fullerisation of general practice so that acute illness is hived off to transactional hubs, is that patients are never consulted. After Fullerisation paused in NW London, #NWLondonJHOSC give chance to debate

What do I think about AAs?

I wish I’d been one.

I’d be at least £50k better off with amazing training. I’d be spending my life giving anaesthetics in daytime hours.

They’re living the dream while medics are in the bin. Medics must stay in the bin & #BeKind . Or else.
<ends>

Not so long ago, I was setting up covid vaccination clinic at Bobby Moore for homeless and unregistered population groups #COVID19 North East London Health and Care Partnership Newham London 💙 Barts Health East London NHS Foundation Trust (ELFT) Newham Health Collaborative Bobby Moore Fund