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.’

rachel.liddle@haymarket.com

Comment below and tell us what you think

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

NHS England to redesign GP appraisal in light of COVID-19 pandemic

NHS England to redesign GP appraisal in light of COVID-19 pandemic

GP appraisals are being redesigned to have a greater focus on wellbeing and reduced...

Primary care to lose millions in funding unless PCNs hit recruitment targets in pandemic

Primary care to lose millions in funding unless PCNs hit recruitment targets in pandemic

Hundreds of millions of pounds could be lost to primary care if primary care networks...

Practices told to prepare for 'major expansion' of flu vaccination as QOF pared back for 2020/21

Practices told to prepare for 'major expansion' of flu vaccination as QOF pared back for 2020/21

GP practices have been told to 'gear up for a major expansion of the winter flu programme'...

NHS England unveils GP contract plans for second phase of COVID-19 response

NHS England unveils GP contract plans for second phase of COVID-19 response

GPs have been told to re-start health checks and other suspended services as NHS...

More than 80% of patients report 'good' overall experience of general practice

More than 80% of patients report 'good' overall experience of general practice

Public satisfaction with GP services remains high, with 82% of patients reporting...

GPs condemn 'deafening silence' from chancellor on COVID support funding

GPs condemn 'deafening silence' from chancellor on COVID support funding

GP leaders have condemned a 'deafening silence' on COVID-19 relief funding for general...