GPs rebuff calls for major changes to general practice in London

GP leaders have disputed calls in a report by a leading think tank for major changes to the organisation and delivery of primary care in London.

Dr Michelle Drage: King's Fund report should have focused more on positives
Dr Michelle Drage: King's Fund report should have focused more on positives

The King's Fund report, General practice in London: supporting improvements in quality, said GPs in the capital needed to work more closely with hospitals and community services, make better use of IT and data, and move more quickly towards operating in federations or networks.

The King's Fund said that although some practices in London performed well, others were 'not equipped' to face the future challenges of an ageing population and unprecedented financial pressures.

It said major changes to the organisation and delivery of primary care in London were needed to ensure all practices could meet those challenges.

In a response to the report, Londonwide LMCs argued that rather than calling for a radical redesign of general practice, GPs should ‘instead start working with the successful model we have’.

Londonwide LMCs said: ‘What general practice in London really needs, and what patients deserve, is growth in the recruitment of GPs and practice nurses, better staff training, incentives to work collaboratively together and with other services in the community, and essential improvements to existing premises.’

Although Londonwide LMCs welcomed many of the report's proposals, it pointed out that co-ordination of care and the idea of practices collaborating were not new to general practice in the capital.

Londonwide also criticised the King’s Fund report for comparing GPs in London to those in England and said it was often ‘grudging’ in its reporting of London successes.

Londonwide LMCs chief executive Dr Michelle Drage said: ‘There are a number of positives in this report, but sadly most of these are obscured by the focus on the national average, as opposed to comparisons with other large cities that face some of the same diverse challenges as London.

‘The report is too quick to jump to yet another system redesign solution, rather than building the positives and successes of the existing model, and how with the right support, improvements would deliver  even better outcomes for the capital’s patients – a strategy for which Londonwide LMCs has a clear vision to share.’

Viewpoint: The King's Fund on how general practice should change

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

Free coronavirus news and resources on GPonline, MIMS and MIMS Learning

Free coronavirus news and resources on GPonline, MIMS and MIMS Learning

As the coronavirus crisis continues, we at Haymarket are constantly seeking new ways...

Quarter of GPs self isolating for coronavirus as Hancock promises 100,000 tests a day

Quarter of GPs self isolating for coronavirus as Hancock promises 100,000 tests a day

Around one in four GPs are self isolating - many of them unnecessarily - as frontline...

Cashflow fears for locums as government relaxes 10-week pension rule

Cashflow fears for locums as government relaxes 10-week pension rule

Locums will have longer to declare pensionable income under plans to relax a 10-week...

More than 6,000 GPs in second wave of doctors given temporary GMC registration

More than 6,000 GPs in second wave of doctors given temporary GMC registration

More than 6,000 GPs who have retired or no longer hold a licence to practise are...

Updated PHE advice on PPE backs eye protection for GPs

Updated PHE advice on PPE backs eye protection for GPs

GPs should wear eye protection in addition to a mask, gloves and apron when providing...

Repurpose industry now to tackle PPE shortage, says doctors' union

Repurpose industry now to tackle PPE shortage, says doctors' union

UK industry should be 'immediately repurposed' to produce personal protective equipment...