BMA demands meeting with Hancock over 'unrealistic demands' on GPs

GP leaders at the BMA have demanded an urgent meeting with health and social care secretary Matt Hancock, condemning 'unrealistic' demands for face-to-face appointments for all patients and highlighting 'unparalleled pressure' on practices.

BMA GP committee chair Dr Richard Vautrey (Photo: JH Lancy)
BMA GP committee chair Dr Richard Vautrey (Photo: JH Lancy)

In a letter to Mr Hancock, BMA GP committee chair Dr Richard Vautrey demands more support for general practice from both the government and NHS England - and sets out a string of measures the government must take to help practices.

Dr Vautrey condemned calls from NHS England for GP practices to offer face-to-face appointments to all patients who want them - warning the demands showed 'a worrying disconnect with the reality facing general practice' and had created 'widespread anger, frustration and disappointment'.

GPonline reported earlier this week that an NHS England letter setting out the demands for practices to 'respect preferences for face-to-face care unless there are good clinical reasons to the contrary had led to calls for NHS England's primary care medical director to resign. A petition supporting this call had attracted nearly 600 signatures by the afternoon of 18 May.

GP workload

Writing to the health and social care secretary, Dr Vautrey said primary care staff had been left 'feeling increasingly demoralised by the suggestion that they are failing their patients' simply because they have been 'following national guidance around triage and remote consulting'.

NHS England itself has said that half of appointments in general practice during the COVID-19 pandemic have been carried out face-to-face - in addition to tens of millions of in-person encounters as part of the vaccination campaign.

This huge level of face-to-face care has been delivered despite NHS England instructions at the outset of the pandemic for practices to adopt a 'total triage' model.

Dr Vautrey wrote: 'Clinicians are delivering face-to-face appointments, but can only do so when it is safe for our patients. Face-to-face consultations are at the heart of good general practice, but we need real and meaningful support to reduce the current unsustainable workload burden, rather than creating unrealistic expectations without the resources to deliver them.'

BMA demands

The letter sets out a series of actions the government and NHS England must take to support general practice: 

  • A clear statement from the CMO about when it is safe and appropriate to remove social distancing measures and when to use PPE for face-to-face consultations in GP premises.
  • A major public campaign, that explicitly supports general practice, and honestly informs patients about the challenges impacting primary care.
  • An end to directive letters, and instead practices and other GP services must be allowed to deliver patient care in the most appropriate manner, meeting the reasonable needs of their patients and based on their knowledge of their local communities.
  • Commitment to fund premises development to improve ventilation and space in waiting areas.
  • Practices not to be the automatic default for patient queries which should be directed to other parts of the NHS.
  • An extension and increase to the various types of funding which have supported practices during the pandemic recovery.
  • Access to and support from mental wellbeing services for GP staff.

Dr Vautrey added: 'It is beyond doubt that general practice is under unparalleled pressure, delivering a far greater number of consultations than at the same time two years ago.

Patient demand

Demand for services has increased significantly through use of additional means of patient communication, including e-consultations, alongside responding to vaccination, shielding and COVID-19 issues. GPs and their teams have worked tirelessly to meet this need, alongside delivering COVID-19 vaccinations quickly and effectively, which has brought benefit for the whole nation.

'However, they are now also tackling the huge NHS backlog, all while GP recruitment and retention is nowhere near the levels needed.'

A DHSC spokesperson said: 'GPs have played an enormous role throughout this pandemic and we are grateful for their tireless efforts.

'To manage the increased demands placed on general practices, an additional £270m funding has been made available to ensure GPs can continue to support all patients.'

The spokesperson said the government remained 'committed to expanding the workforce and supporting general practices to deliver an extra 50m appointments a year within the next five years'.

GPonline reported earlier this month that the number of GPs per patient in England had fallen by 10% over the past five years - while demand for consultations continues to soar. 

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

The healthcare crisis in Myanmar - how UK GPs can help

The healthcare crisis in Myanmar - how UK GPs can help

Dr Jim Brockbank from Myanmar UK GP Health Action provides an update on how the military...

GPs warn of 'open floodgates' as 84% say e-consultations have driven up workload

GPs warn of 'open floodgates' as 84% say e-consultations have driven up workload

More than four fifths of GPs say e-consultation systems adopted in the pandemic have...

Map: Which CCGs have the highest COVID-19 vaccine coverage?

Map: Which CCGs have the highest COVID-19 vaccine coverage?

Tens of millions of COVID-19 jabs have been administered across England, but how...

Podcast: Greener practice, sharing patient data and additional roles

Podcast: Greener practice, sharing patient data and additional roles

In this episode we look at data extraction from GP records, ask whether the additional...

Red flag symptoms: Loss of consciousness

Red flag symptoms: Loss of consciousness

Red flag symptoms to look out for in presentations of loss of consciousness, including...

£20m fund to speed up second jabs as CCGs told to limit pressure on practices

£20m fund to speed up second jabs as CCGs told to limit pressure on practices

NHS England has announced £20m in funding to help local COVID-19 vaccination sites...