General Practice after the election. (First published on the LMC Newsletter)
In 2008, Professor Don Berwick wrote in the British Medical Journal,
Reinvest in general practice and primary care—These, not hospital care, are the soul of a proper, community oriented, health preserving care system. General practice is the jewel in the crown of the NHS. Save it. Build it.
His advice was ignored. The NHS has an unprecedented funding-gap of this governement’s own making and it has no credible plan to fill it. General Practice is in a parlous state one in three training posts and one in six vacancies unfilled while older GPs are retiring early and younger ones are emigrating or choosing to work part-time. The loss of MPIG could force dozens of practices to close. The consequence is that the remaining GPs cannot cope. Something has to give.
What GPs want, according to the recent BMA…
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