NHSE has purposely cut funding for GPs by £2bn/yr

NHSE/Govt lie about 50m more GP appts as not with GPs & double the cost
(ARRS £1.4bn / Pharmacy 1st £645m)

Fuller Stocktake is being used to destroy GP practices, reduce access to GPs for patients, is not safe or cost effective

Summary of New Roles in GP
“Research literature on new roles in healthcare suggest they cannot simply be 'parachuted' into an occupationally complex workforce with resilient job boundaries & established care delivery routines” Prof Ian Kessler

Who knew🤷🏻‍♂️
evidence.nihr.ac.uk/collection/who…

Spotting the flaws in the Workforce Plan is not that hard
Unless you are a leader at NHS England that is, who continue to shout ‘steam ahead’ as the ‘Titanic’ is sinking
The same NHSE Board cutting funding for GP practices by 20% in 8 years & promoting ‘clinicians’ in all areas

NHS England Board
ARRS Questions but no answers!
GPs are being replaced by additional roles due to funding being diverted to PCNs who allocate staff
GP Practices aren’t able to recruit as funding cut 20% £/patient real terms since 2016
Fewer GPs as excluded from funding options

NHSE Board - General Practice
Total focus on access to AN appt with additional role focus
No discussion about retention of GPs or actual GP appts
Excellent question about whether there was any ARRS planning of roles with no answer
Whilst GP leaving, practices close - No idea 🤷🏻‍♂️

Hot off the press from the The BMA

Between September 2022 and September 2023, between 15,000 and 23,000 doctors left the NHS prematurely in England alone.

We estimate that the minimum cost to NHS employers and the public purse of replacing those doctors lies between £1.6 and

Blatant breach of NHS Contract, Guidelines and internal hosp policy. This discharge letter from the big shiny hospital has a tick box to require GPs to refer patient back to the same big shiny hospital. No wonder general practice close to collapse😠😠😠😠

🗣️ | 'DAUK is shocked and saddened by the sanction handed down to Dr Sarah Benn following her Medical Practitioners Tribunal Service (MPTS) hearing.'
Our statement on the outcome of Dr Sarah Benn's hearing

dauk.org/news/2024/04/2…

Maths
It’s always worth checking the Maths from Conservative Ministers

Imagine if half the effort put into #RwandaBill had been put into any other aspect of Government
Imagine if we had leaders who actually worked for the national interest

Waiting times for hospital treatments reduced to less than 3 months for the majority of treatments

Minimal waits for GP appointments as GP numbers rising & new practices opening in new areas

Life expectancy rising

This is not ancient history it was 2010

Chris Hopson Cost benefit not assessed or proved

What capacity do 31,000 ARRS staff bring?
They have provided an additional 40million appts to GP Practices a year
For context 27,000 GPs (The total workforce) bring 166million counted consultations (30% aren’t counted)

Imagine funding GPs for GP practices 🤷🏻‍♂️

Clinical Supervision - is it safely being rolled out GMC
GP Trainers/supervisors
undertake training to supervise Drs
Not all Drs/GPs have been trained in supervision & are now being forced to supervise other roles by NHS England & take clinical responsibility
Not fair or safe

Spotting the flaws in the Workforce Plan is not that hard
Unless you are a leader at NHS England that is, who continue to shout ‘steam ahead’ as the ‘Titanic’ is sinking
The same NHSE Board cutting funding for GP practices by 20% in 8 years & promoting ‘clinicians’ in all areas

Imagine if half the effort put into #RwandaBill had been put into any other aspect of Government
Imagine if we had leaders who actually worked for the national interest

The financial cost to the NHS of doctors leaving the workforce is staggering.
 
At least £1.6 billion, according to our new research.
 
Let’s take a look at some examples 🧵👇
bma.org.uk/attrition-costs

If a Rwanda flight does take off…

Your bills will still be as expensive

Your wait for a GP/hospital bed will still be as long

Your court date will still be as delayed

Your taxes will still be as high

…but we will all be more more morally & financially bankrupt as a nation

Following the extraordinary success of the Rwanda Bill in reworking reality, the govt's latest monetary policy is to pass a law making £1=£2, thus doubling GDP!

A spad said 'We're on something here!
Sorry, on to something'

GP 🧵
At 8am accurx total triage request - UTI suspected. Sent in photo of two urine dips. Known atonic bladder/retention, not had abx 12/12.
9am text asking me to take up sample and 2nd text confirming 📞 appointment 4pm.
1pm non prescriber paramedic calls.
New dip +++ UTI