Dr Chris Mimnagh: 25 consultations a day is a nice idea, but it's unlikely to happen

Do you get your 25 a day?

I must admit there was a certain appeal in the BMA proposals to establish locality hubs which will help limit a GP to the 'safe' level of 25 consultations a day.

Trouble is once the dream of spending most of the week with your feet up or playing golf disappears and you return to reality, the nagging voices of reason and evidence start to make you question the concept.

Our current workload is about 34 consultations per GP per day. We use a bespoke physician assessment by telephone (PHAT) model, which supports both continuity and access. We even have evidence showing that we do make less good decisions after 24 patients.

But who will see the 10 'extras' per GP per day that currently seek primary medical services? We can’t take a lesson from the airline business as we’re so often told, because their solution is to offer priority boarding for an additional charge.

And that's where the logic of the 25-a-day falls over, we need more GPs, less demanding patients, greater specialist support for long-term care and population-based health services and all this requires money and will take at least five years to sort out.

So 25-a-day will remain a nice idea, but the chances of making it into a reality are very slim.

  • Dr Chris Mimnagh is a GP in Liverpool and co-director of clinical strategy at the NHS partnership organisation Liverpool Health Partners

Read more from Chris Mimnagh

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

LMCs demand renegotiation of COVID-19 enhanced service deal

LMCs demand renegotiation of COVID-19 enhanced service deal

LMCs have called for a renegotiation of funding for the COVID-19 vaccination enhanced...

LMCs demand ballot of profession on PCN DES ahead of next contract talks

LMCs demand ballot of profession on PCN DES ahead of next contract talks

LMCs have demanded a ballot of GPs on the primary care network (PCN) DES before BMA...

Lack of support left locums at physical and financial risk in pandemic, say LMCs

Lack of support left locums at physical and financial risk in pandemic, say LMCs

Locum GPs have faced significant physical and financial risk because of a lack of...

LMCs demand NHS England apology over ‘abhorrent' claims about general practice

LMCs demand NHS England apology over ‘abhorrent' claims about general practice

LMCs have called on NHS England to apologise for ‘abhorrent and insulting’ suggestions...

CCGs to be stripped of commissioning role under reforms backed by NHS England

CCGs to be stripped of commissioning role under reforms backed by NHS England

CCGs could be stripped of their commissioning role under plans set out by NHS England,...

Shielding advice updated to reflect return to tiered system on 2 December

Shielding advice updated to reflect return to tiered system on 2 December

The government has updated its guidance for patients on the shielding list to reflect...