Generalist role 'under threat'

The generalist role of GPs could be lost if the shift of secondary care to the community goes ahead, say UK researchers.

Dr Richard Vautrey
Dr Richard Vautrey
A report into the first year of 30 demonstration sites providing care closer to home highlighted concerns that as more GPSIs are hired to carry out the work, the remit of other GPs will decline, reducing their generalist capabilities.

The comments came from those involved in 30 pilots of providing dermatology, ENT, general surgery, gynaecology, orthopaedics and urology in the community.

The services were set up in response to recommendations in the White Paper ‘Our Health, Our Care, Our Say’, published in February 2006.

Following analysis of outcomes from September 2006 to May 2007, the National Primary Care Research and Development Centre (NPCRDC) in Manchester said: ‘Comments were made that the development of GPSIs could either up-skill or deskill existing GPs.

‘They could deskill them by taking existing routine care out of general practice (possibly appropriately) leaving GPs with a more restricted workload.’

Dr Richard Vautrey, GPC deputy chairman, agreed the generalist role may be at risk. ‘If specialism is seen as more worthy than a generalist approach, there is a risk of this. There’s a real tension about how you preserve the generalist role and support those who want to be a specialist. The key is to be generalist first, specialist second.’

Comment below and tell us what you think

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

UK Houses of Parliament

Scrapping partnership model will not solve crisis in general practice, say NHS leaders

Scrapping the partnership model and moving to a salaried service will not solve the...

Dr Jackie Applebee

Doctors tell BMA to pull GP practices out of PCNs by 2023

The BMA has been told to organise the withdrawal of GP practices from PCNs by 2023...

GP consultation

3 in 10 doctors fear being blamed or facing legal action after admitting mistakes

Three in 10 doctors are worried about the repercussions of admitting to clinical...

BMA House entrance

Only 55% of Romney review recommendations on BMA sexism fully implemented

Only just over half of recommendations from the 2019 Romney review into sexism in...

BMA House entrance

GPs face pension tax penalties worth 'half their post-tax income'

Rapid swings in inflation could leave GPs facing pension tax penalties worth 'half...


BMA to demand significant pay rises to combat 15 years of real-term cuts

The BMA is set to demand significant pay rises for all doctors to undo over a decade...