It’s often hard to get your MP to understand specific GP problems and influence decisions Take for example Ilford North where GP to patient ratios are some of the worst in the country and aren’t improving 2661 patients/GP up 510 since 2018 🏴󠁧󠁢󠁥󠁮󠁧󠁿 2257 patients/GP If only the local MP had any influence

Simple Maths for Historians (Wes Streeting) Resident Drs used to be paid £100 They lost 35% = £65 Even if the pay increased 28.9% of £65 = £83.78 Still down £16.22 £100k debts, reduced job prospects & working conditions Labour isn’t good at Maths www.instituteforgovernment.org.uk/comment/pay-...

@thegreenparty.org.uk @zackpolanski.bsky.social 👇🏼

It’s often hard to get your MP to understand specific GP problems and influence decisions Take for example Ilford North where GP to patient ratios are some of the worst in the country and aren’t improving 2661 patients/GP up 510 since 2018 🏴󠁧󠁢󠁥󠁮󠁧󠁿 2257 patients/GP If only the local MP had any influence

GPs - ‘Lazy, laggards’ 1.3million appts take place in General Practice each day 20 x more than A&E 3.5 x more than hospital out-patients 5million more appts each month than 2019 Wes Streeting has decided he doesn’t need GPs Let’s see if people agree www.kingsfund.org.uk/insight-and-...

In general the smaller the GP practice the better the satisfaction from patients, the more appointments offered per patient, the shorter the waits, lower costs Yet … Wes & NHSE are pushing for large Neighbourhood Centres ignoring existing GP practices Why? What’s the reason?

This report was published 20 October 2022 This was the day Liz Truss announced her resignation Also the day General Practice was ignored & lost potentially forever publications.parliament.uk/pa/cm5803/cm...

This report was published 20 October 2022 This was the day Liz Truss announced her resignation Also the day General Practice was ignored & lost potentially forever publications.parliament.uk/pa/cm5803/cm...

In general the smaller the GP practice the better the satisfaction from patients, the more appointments offered per patient, the shorter the waits, lower costs Yet … Wes & NHSE are pushing for large Neighbourhood Centres ignoring existing GP practices Why? What’s the reason?

🗣️| @drstevetaylor.bsky.social: “It's clear from the LMC Conference that GPs are extremely unhappy with the Government's position towards general practice. “It must listen to general practice in delivering community care. Failure to do so will result in worse patient care." dauk.org/england-lmc-...

GPs - ‘Lazy, laggards’ 1.3million appts take place in General Practice each day 20 x more than A&E 3.5 x more than hospital out-patients 5million more appts each month than 2019 Wes Streeting has decided he doesn’t need GPs Let’s see if people agree www.kingsfund.org.uk/insight-and-...

When Hospital Trusts run community care Virtual beds £665 for a 4 admission in your own bed, in your own home with telephone access to hospital For half the cost you could have a daily GP & District Nurse visit Fund community care delivered by community clinicians & managers

GPs are asking for funding so that patients can have greater access to GPs You will hear something different from Wes Streeting & Government They will say that there is more funding & GPs but there isn’t anywhere near enough of either They aren’t telling you the truth

When Hospital Trusts run community care Virtual beds £665 for a 4 admission in your own bed, in your own home with telephone access to hospital For half the cost you could have a daily GP & District Nurse visit Fund community care delivered by community clinicians & managers

GPs are asking for funding so that patients can have greater access to GPs You will hear something different from Wes Streeting & Government They will say that there is more funding & GPs but there isn’t anywhere near enough of either They aren’t telling you the truth

‘Professional protectionism’ = patient protection It’s really important people understand why knowledge is needed in patient care Protecting a role eg Nurse/Dr is about protecting patients from harm You don’t know what you don’t know or understand what you have never been taught

‘Professional protectionism’ = patient protection It’s really important people understand why knowledge is needed in patient care Protecting a role eg Nurse/Dr is about protecting patients from harm You don’t know what you don’t know or understand what you have never been taught

Not everything has to be cost effective. Society is about caring too! However the estimated loss to the economy of sickness is £150bn a year www.oxera.com/wp-content/u... And the UK has the highest waiting lists for healthcare in the G20

As an unwell disabled unpaid carer who's had no choice than defer 2 spinal neurosurgeries for 6 months, due to care left down and nobody caring enough to get that addressed to date, this certainly does not surprise me.

People don’t suffer from Taxes People suffer because the UK doesn’t Tax & invest in the nation Worse healthcare, roads, schools, pensions and decades of the rich getting richer The UK is a low tax economy with low public investment

Is Pharmacy First working? NHSE now insist Pharmacists do it, despite struggling to meet thresholds, £17/consult + £500 for 20-29 / £1000 for 30 300k/month is less 1% of consults in GP, 31million, but most cost more than double the amount of a GP appt to provide - why? Just fund Pharmacies & GPs

It makes no sense

Is Pharmacy First working? NHSE now insist Pharmacists do it, despite struggling to meet thresholds, £17/consult + £500 for 20-29 / £1000 for 30 300k/month is less 1% of consults in GP, 31million, but most cost more than double the amount of a GP appt to provide - why? Just fund Pharmacies & GPs

Make taxes great again, especially for the uber wealthy. Instead of arguing over how we spend the money we currently invest, what if we imagine what we COULD DO with that public investment.

People don’t suffer from Taxes People suffer because the UK doesn’t Tax & invest in the nation Worse healthcare, roads, schools, pensions and decades of the rich getting richer The UK is a low tax economy with low public investment

Once upon a time a report was written by MPs across parties for Parliament outlining how to fix General Practice Hours were spent taking evidence, the conclusions were clear No one read it or if they did they ignored it Including Wes Streeting committees.parliament.uk/publications...

Once upon a time a report was written by MPs across parties for Parliament outlining how to fix General Practice Hours were spent taking evidence, the conclusions were clear No one read it or if they did they ignored it Including Wes Streeting committees.parliament.uk/publications...

Wes Streeting & Labour are planning the demise of the Family Doctor this was clear 2yrs ago GPs have been fighting to provide the best care possible for patients yet have been faced with 20% cuts in funding Replacing the Family Dr eases the path to the Tesco/Boots/Corporate GP

I had a haircut last week It took a week to book & when I arrived there was only one hairdresser, instead of the usual 4 One away, one sick, one unable to recruit A man walked in, honestly he looked in great need of a haircut ‘Sorry mate we’re fully booked’ The parallels …

GP CRISIS 102,000 hairdressers in England with 40,000 salons 38,000 GPs with 6200 Surgeries 31 million people consult GPs every month & a similar number have haircuts You can see the problem @wesstreeting @DHSCgovuk People spend £400pa on hair GPs receive £169pa per patient

I had a haircut last week It took a week to book & when I arrived there was only one hairdresser, instead of the usual 4 One away, one sick, one unable to recruit A man walked in, honestly he looked in great need of a haircut ‘Sorry mate we’re fully booked’ The parallels …

102,000 hairdressers in England with 40,000 salons 27,000 GPs with 6200 Surgeries 31 million people visit GPs every month a similar number have haircuts You can see the problem @rthonwesstreeting.bsky.social judging by Wes’s trim he is going to the hair salon a lot more than his GP unlike many

GP Crisis is due to Top-Down management ~20% cuts in £/patient funding in 10yr ~Partnership future undermined ~NI hikes ~£ moved to Primary Care Networks ~GP roles cut from practices using ARRS More costly services being promoted by Govt/NHSE at the cost of patient care

Cost to provide an appointment: - ARRS £35 - Pharmacy First £48 - Network Hub £48 - Urgent Treatment Centre £85 - A&E £150-£500 Current provision to GP Practices £169 per patent per year for average 7 consultations but everything else on top Cost of a consultation £24

The systemic reasons affecting GP access ‘Smaller practices have been shown to increase patient outcomes and satisfaction. It is likely that this is due to greater knowledge of individual patients, continuity being key, with better knowledge of patients’ managementinpractice.com/special-repo...

The systemic reasons affecting GP access ‘Smaller practices have been shown to increase patient outcomes and satisfaction. It is likely that this is due to greater knowledge of individual patients, continuity being key, with better knowledge of patients’ managementinpractice.com/special-repo...

GP Crisis is due to Top-Down management ~20% cuts in £/patient funding in 10yr ~Partnership future undermined ~NI hikes ~£ moved to Primary Care Networks ~GP roles cut from practices using ARRS More costly services being promoted by Govt/NHSE at the cost of patient care

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence being bought in Govt Patients should influence not the healthy & wealthy

Scottish ‘junior’ Doctors accepted a pay offer 2023 with no strikes ▪️12.4% 2023 ▪️inflation beating pay rises for 3yrs ▪️commitment to full pay restoration ▪️removal from “independent” pay review body The Govt listened & talked to the BMA🤷🏻‍♂️ Imagine a Govt willing to negotiate You can do it Wes!!

We really need to discuss what bribery and corruption are, why some seems to be legal and how to reform it - in the UK before it gets as bad as the US, and of course in the US.

Scottish ‘junior’ Doctors accepted a pay offer 2023 with no strikes ▪️12.4% 2023 ▪️inflation beating pay rises for 3yrs ▪️commitment to full pay restoration ▪️removal from “independent” pay review body The Govt listened & talked to the BMA🤷🏻‍♂️ Imagine a Govt willing to negotiate You can do it Wes!!

Interesting that CQC latest report ‘State of care’ will get little attention due to the resignation of Chair Julian Hartley Is this because it counters everything Wes Streeting is pushing in community care Seems likely www.cqc.org.uk/sites/defaul...

Physican Assistant - Associate - Assistant Started as a good idea but was soon a very bad idea for patients when pushed by those who had no idea about safe medicine It’s time to make sure the Leng Review recommendations are implemented substack.com/@drstevetayl...

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence being bought in Govt Patients should influence not the healthy & wealthy

The ‘manager’ is blaming the players, #NHS is ‘broken’ according to Wes Streeting But he has spent a year ‘breaking’ the teams who provide care for patients Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause

Physican Assistant - Associate - Assistant Started as a good idea but was soon a very bad idea for patients when pushed by those who had no idea about safe medicine It’s time to make sure the Leng Review recommendations are implemented substack.com/@drstevetayl...

Did Ronald Reagan ‘love tariffs’ as Trump claims? on.ft.com/47kWzvy

The reform party nativity scene. No unmarried mothers. No Middle Eastern people. No refugees. No people seeking emergency accommodation. And not a wise fvcking man in sight…

When you spend as much time as I do checking facts & figures around the #NHS, it’s sometimes hard to counter the Govt machine in terms of public opinion or perception. Is what being said ring true or false? Check the facts & listen to what those on the ground are saying too.

The ‘manager’ is blaming the players, #NHS is ‘broken’ according to Wes Streeting But he has spent a year ‘breaking’ the teams who provide care for patients Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause