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Challenges in General Practice

General practice faces numerous challenges, including an increased workload with 77% of GPs reporting heightened stress levels in the past year. Many GPs complete 40-60 consultations daily, often leading to long, exhausting workdays of 11-12 hours. The RCGP warns of a significant shortfall in GP numbers, predicting 16,000 fewer GPs by 2021. Funding issues are also critical, with GPs receiving only 9% of total NHS funding in England, while calls for an increase to 10% arise. This discussion sheds light on the pressing issues affecting GPs today.

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Challenges in General Practice

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  1. Challenges in General Practice Dr Katherine Teare GP Educator Fellow October 2013

  2. Workload • 77% GPs – work more stressful past year • 40% complete 40-60 consultations/day • Salaried and locum GPs do less during working day and take less work home • 11 or 12+ hour days not uncommon • ¼ GPs had to seek support for work related stress • 7 days a week - ?reduce weekday availability and continuity of care

  3. Workforce • RCGP – shortfall 16000 GPs by 2021 • ?fewer will choose GP career • Plan – named GPs • Plan – train extra GPs – 2000 • Effect of extended hours working

  4. Funding • 90% NHS contacts in GP • GP get 9% total NHS funding in England • RCGP want 10% funding increase • RCGP want 10000 more GPs • JH wants to increase proportion NHS funding to primary care • ?PMS funding reduction to be equitable with GMS • Scaled back QoF - ?reduced payments also

  5. Set up of GP • Will we all become salaried? • Demand to improve online access to records and care plans • CG proposed move to single provider organisations spanning primary and secondary care • GPs responsible for health and social care around the clock • ?return personal responsibility for lists

  6. References • www.rcgp.org.uk/policy/fair-funding-for-general-practice.aspx • GP magazine 19/08/13, 02/09/13 • Pulse magazine October 2013

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