Replace GPs with nurses to boost appointments by 50 per cent, says GMS architect

One of the principal architects of the GMS contract believes practices can offer 50 per cent more appointments if they cut GP numbers and recruit more nurses, Independent Nurse can reveal.

Simon Fradd
Simon Fradd

Former deputy chair of the BMA's GP committee (GPC), Dr Simon Fradd, says practices can dramatically increase productivity by reversing the traditional balance between nurses and GPs.

Dr Fradd believes a practice of 7,000 patients could operate with a single GP alongside one advanced ‘first-contact' nurse for every 1,200 patients, and further support from other nurses and healthcare assistants.

The model would cut the number of GPs required for a practice of this size by 75 to 80 per cent, and triple advanced nursing staff. 

The former GPC deputy chair said his plans would liberate GPs to take on additional work transferred from hospitals, and adopt practice-based commissioning.

Dr Fradd is a director of Concordia Healthcare, along with former GPC chair Dr John Chisholm, another key figure behind the GMS contract. 

Concordia found nurses could deal with the majority of the calls and is now conducting a review to look at how GPs can be redeployed.

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