How Not To Fix General Practice

In General Practice (and other parts of the Health Service) there is a natural circle of Need and Capacity. When there is unmet need it shows up as Demand and this is what usually drives increases in Capacity. However, there is a delay while capacity meets the need and politically it may be tempting to … Read more

What comes after COVID?

Coronavirus has probably done General Practice a favour. Of course it has been hard and scary being on the front line when the entire country is in free fall trying to cope with something which reaches to the core of our society. But rarely has there been a disease which has forced the NHS to … Read more

Has Coronavirus changed General Practice for ever?

There is no doubt that General Practice has changed remarkably since the start of March Use of telephone and video consultations have become the norm. All calls are triaged. Practices are routinely open on Bank Holidays. There has been a dramatic reduction in use of locums. Local support groups have been mobilised. But these have … Read more

Are you running (or do you want to run) a GP Practice?

It seems like lots of people know how to “fix” General Practice They know that units of 5-10k customers are inefficient and should be merged They know that uniformity and standardisation are the key to providing quality They know that big businesses are better than small businesses because they can afford better everything They know … Read more

Do We Really Need GP Receptionists?

It is trendy to talk about moving away from “old fashioned” GP receptionists towards call centres or even computerised phone systems and apps. Economies of scale and the efficiencies of not having staff idle between calls seem to support this industrialisation of Primary Care. 24-hour call centres promise better access and allow staff to be … Read more

Is GP Partnership Dead?

They say you shouldn’t be a GP partner any more Increasing workload Falling income Difficulty recruiting Risk of being last man standing But why has this happened There has been a squeeze on funding There are increasing demands from patients There is transferred pressure from the rest of a system which is struggling And some … Read more

Will Continuity Make YOUR Career Better?

People say continuity is good It improves patient outcome It improves patient satisfaction It improves job satisfaction But it is getting harder for patients to see their preferred GP (1) Triage may seem like it helps by reducing face to face consultations. But it spends scarce medical time on telephoning patients and trying to make … Read more